OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!
SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:
OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:
1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.
2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.
3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves
4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate
5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.
Oh, ohh, one more...
? Vasopressin is also known as antidiuretic hormone
hey guys i just got home from my nclex test. well the test was "ok", i didn't get any major surprise. 75 questions, 10 sata, 10 meds, 1 math (someone recently posted a question similar...) a bunch of prioritization/delegation and infection control...
please review the infection control material and brush the delegation and prioritization content.
thanks for everyone who posted on this thread, please keep it going. i am not allowed to discuss test questions, but i can tell you that many diseases on this thread were there( check some of my postings...)
now i am going to take a nap, i have a nasty headache. hopefully my next posting would be to say that i am officially rn...
Freud veiws anxiety as a warning to the person of impending danger.
Vitamin B1 deficiency is linked to Korsakoff's syndrome.
Korsakoff's syndrome is associated with ataxia, confabulation, and myopathy.
A liver that is tender on palpation is suggestive of viral hepatitis.
The inability of diseased liver cells to clear normal amounts of bilirubin from the blood is found in hepatocellular jaundice.
Hepatitis B has an incubation period of 2-5 months.
Patients with renal disease need to be monitored for potassium imbalances especially hyperkalemia. The primary method of treating hyperkalemia is with hemodialysis.
Approximately 2 weeks after starting pt on antidepressants, assess for increased energy, could be sign of suicidal ideation
If you believe pt to be in respiratory detress, assess lung sounds first, LOC, retractions, skin color, etc would all be late signs
if dealing with a pt that is hallucinating, ask pt what voices in head are saying to assess for presence of command hallucinations
Bi-polar pt in mania phase will be full of energy, difficulty sitting still, provide finger foods as well as private room
Chest tube water seal chamber should fluctuate with breaths, this is normal
Chest tube should not bubble, this could be sign of air leak
Trach balloon should be inflated any time there is any risk of pt aspirating (ie eating, increased secreations, when getting tube feeds, on vent, and 30 min after eating)
When changing trach ties, remove old ties with non-sterile gloves, then put on sterile gloves to apply clean ties
With a pt receiving tube feeds, only fill bag with enough feeds for 4 hrs, and assess for residuals every 4 hours
Cystic Fybrosis pt---Contact and Droplet precautions, pt must wear mask if leaving room
Avoid asking "why"
After administering Fosamax, instruct pt to remain sitting up for 30 min
Never palpate a Wihlm's Tumor, could cause cancer cells to break off
When doing adominal assessment, auscultate, then palpate, Palpating first will alter bowel sounds
When instilling eye drops into the lower conjunctival sac hold the dropper 1 to 2 cm ( 0.4 to 0.8 inches ) above the sac.
Does anybody have any tips/facts for disaster planning/triage?
Hmm, I recall having a session on disaster in my last semester. You need to triage the pts based on severity, as well as liklihood of living (pts not likely to leave or needing comfort measures only should be seen later, save those that can be saved first).
Thanks Christine. Do you remember what code green and the other codes refer to? I did not get much from our disaster planning lecture. It was over so quickly.
Expected patient outcomes for hemodialysis include but are not limited to the following:
*Achieves dry weight during dialysis
*States that discomfort is decreased
*Participates in a program to maintain activity level
*Eats according to preference during therapy
*Describes nature of dialysis, care of venous access routes, side effects, and work/activity schedule
Thanks Christine. Do you remember what code green and the other codes refer to? I did not get much from our disaster planning lecture. It was over so quickly.
Mel, here is what I found (BTW: if you happen to be using Kaplan, they have 2 pages on disaster planning)
Red--unstable, ie, occluded airway, actively bleeding, see first
Yellow---stable, can wait up to an hour for treatment, ie burns, see second
Green---stable, can wait even longer to be seen, "walking wounded"
Black--unstable clients that will probably not make it, need comfort measures
:bowingpurThank you sooooo much ChristineN. I usually took really good notes in class, but for some reason that escaped me. The lecture was so breif but we had ours during 3rd semester not last.:tku:
- greek heritage - they put an amulet or any other use of protective charms around their baby's neck to avoid "evil eye" or envy of others
- somatoform disorder is controlled by subconscious mind.
- milwaukee brace is used to correct curvature of the spine; worn long-term, during periods of growth, usually 1-2 years.
- kawasaki disease - mmr vaccine should be delayed because the immunoglobulin given for kawasaki may interfere with forming of antibodies. live antibodies should be delayed.
- 4 year old kids cannot interpret time. need to explain time in relationship to a known common event (eg: "mom will be back after supper").
- valsalva maneuver can reverse svt. other forms of valsalva maneuver: ice to the face, holding breath then bearing down, massaging carotid artery on only one side of cheek. if vagal maneuver didn't work, treat svt with iv adenosine.
As the nurse:1) assess pt. first then the vent 2) assess vitals, resp. rate and breathing pattern 3) monitor color of lips & nail beds 4) monitor chest for symetry 5) assess need for suctioning & observe type, color, and amount of secretions 6) check pulse ox 7) check alarms on vent 8) empty vent tubings when moisture collects 9) turn pt. every 2 hours and prn 10) have resuscitation equipment by bedside
Causes of Alarms:
High Pressure Alarm- a) increased secretions in the airway
b) wheezing or bronchospasm
c) displaced ET tube
d) obstructed ET tube( check 4 kinks )
e) pt coughing, gaging, bites tube
f) pt. fighting vent (bucking)
Low Pressure Alarm- a) disconnection or leak
b) pt.stops spontaneous breathing
Children of School Age 6-12 years:
play is more competivitive
rules and rituals are important aspects of games and play
enjoys drawing, collecting items, dolls, pets, guessing games, board games, listening to the radio, TV, reading, videos & computer games.
Side effects: decreased libido, CNS effects such as lethargy, depression,confusion.
Use cimetidine with caution in older people!
Using antacids at same time decreases effects!
Sucralfate ( Carafate )
used for peptic ulcers
side effects: constipation, icrease fluids and fiber, no systemic effects
antacids interfere with carafates absorbtion
So if a nurse has a patient who is taking ranitadine ( Zantac ) and an antacid for tx of peptic ulcer you would want togive those meds about an hour apart.
Also tell your pts. to report any signs of GI bleed developing. Symptom relief is not idicative of ulcer healing. Zantac can be taken without regard to food or NSAIDs.
Children and older adults are usually NOT given Compazine due to increased risk for extrapyramidial symptoms such as restlessness, anxiety, and spasms. These are more common in children.
Jack_ICU
288 Posts
hey guys i just got home from my nclex test. well the test was "ok", i didn't get any major surprise. 75 questions, 10 sata, 10 meds, 1 math (someone recently posted a question similar...) a bunch of prioritization/delegation and infection control...
please review the infection control material and brush the delegation and prioritization content.
thanks for everyone who posted on this thread, please keep it going. i am not allowed to discuss test questions, but i can tell you that many diseases on this thread were there( check some of my postings...)
now i am going to take a nap, i have a nasty headache. hopefully my next posting would be to say that i am officially rn...
wish me good luck!