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
characteristics: primary immune response, involved in abo antigens
neutropenic precautions
monitor for signs of infection, strict handwashing, avoid invasive procedures, no fresh fruit or vegetables, no live plants or flowers, private room if possible and must keep door closed, avoid large crowds or crowded facilities
I am on the same boat..I am taking mine this Monday...and it feels like i am having a panic attack...anyways, i also felt like i didn't retained any of the things I studied...so, i am thumbing through my notes from kaplan...just a quick look and the more I read on my old notes, i start to remember things =) Anxiety meds won't help before the test. it will calm you but remember that they have a sedating effect...you might not be able to think clearly...try to do a deep breathing exercise just before the test...or, run (excercise the day before the test..not too much though so won't get tired the following day) and most of all...Let's all pray..it helps..goodluck!
to Joaniedee...yeah, i got that too...but according to kaplan, NCLEX follows the book and not the "real work place" ...what we have been thought at school (from Medsurg book: Ignatavicius) you slide the new one first then remove the old ties...I hope this helps =)
** Chloral hydrate - sedative...think about a beach...with CORAL reefs....ahhhh....sleep into sweet sweet sedate while thinking about CORALS after getting some CHLORAL...get it?!?
** BOTOX ** (Botulin Toxin) can be used with strabismus also to relax vocal cords in spasmodic dysphonia.
I wanted to stop by and give you few "ideas" that may help you for your incoming test! I hope I don't get in trouble for this. I am not discussing test questions, I am just relaying few facts regarding the general consensus out there on the NCLEX.
It is not a secret that NCLEX is now focusing on infection control and prioritization/delagation (For high level questions). Make sure that you know what kind of precautions (Contact, droplets, airborne) used for any specific disease. You should check my thread on infection control: https://allnurses.com/forums/f197/quick-facts-nclex-infecton-control-314902.html
Know the major drug classes. At least 5 drugs from each class. Focus on the patient teaching section.
Spend time (if you can) learning some rare diseases such as Kawasaki disease, Fifth disease,... Know the major signs and symptoms and how you treat them.
Review the acid/base imbalance content.
Many people reported having questions on Diabetes insipidus, SIADH, Cushing's and Addison disease. Study THOROUGHLY those diseases!!!
Review the nursing interventions of internal and external radiations. (Oncology...)
Do as many questions as you can (60-100/day), always making sure that you review the rationales of missed questions. Also you should know your weak areas and focus on them when you study the content.
Have time to relax
Good luck to all of you and if I did it, you can also do it!
i know this is so off topic, but for those of you that have been following this thread since almost the beginning...
[color=#2f4f4f]does anyone know where buttercup7507 is? she was a constant on here as i am...but of late i have not seen her on here. hmmmm...i am not even sure when she was supposed to test. i just don't know what has come of her....
[color=#2f4f4f]i know this is off topic, but maybe someone can shed some light on this. i can't help but wonder how she is and what she is up to, especially since she is also in the same boat as me in preparing to study for this exam.
prevention is the key! treat the patient, then the posion!
contraindications to vomiting: danger of aspiration or aspiration pneumonia (diminished gag reflex), decreased loc, ingested lighter fluid or kerosene, ingested drain cleaner
aspirin poisoning: symptoms include tinnitus, change in mental status, increased temp, hyperventilation (resp. alkalosis), bleeding issues (decreased platelet aggregation)
tylenol poisoning: symptoms include n/v, hypothermia (if no treatment --> major danger-liver damage). mucomyst is the antidote for tylenol poisoning.
lead toxicity (aka plumbism): symptoms include lethargy, decreased activity, increased icp (seizures), diagnostic tests include blood lead level (>9 mcg = toxic), xray of long bones (will show lead deposits)
lead can be ingested --> pica-eating of non-food items such as chalk, dirt, lead, paint
hazardous wastes: if chemical poses a threat to the patient, decontaminate first! if chemical poses no threat or patient is contaminated, then begin care. if immediate threat to life, put on ppe and stabalize patient!
disaster planning: do greatest good for greatest number of people
resources used for patients w/ greatest probability of survival
triage-order treated:
red-unstable (sob, bleeding)
[color=yellow]yellow-stable, can wait (brooken bone, burn)
green-stable can wait longer ("walking wounded"-sore back, hang nail)
black-unstable, probably fatal (fatal injury, less likely to survive)
doa -dead on arrival
external radiation:
leave markings on skin, avoid use of creams, lotions, check skin for redness, cracking
internal radiation:
sealed source --> lead container and long-handled forceps in room, save all dressings, bed linen until radiation removed; urine and feces not radioactive, don't stand close or in line with source, patient is on bedrest while implant is in place
unsealed source of radiation --> all bodily fluids are contaminated --> greatest danger 1st 24-96 hours. time and distance is important, private room, sign on door, nurse wears dosimeter film badge at all times, limit visitors and time spent in patient's room, rotate staff
-kawasaki disease is seen more in asian kids under 5 yo..most s/sx are red eyes, soles and palms purple-red, fever, red, dry and cracked lips, may see rash all over the body. If left untreated, it will affect the heart. early treatment should be no more than 10 days of the s/sx appear. Md will tx it w/ gamma globulin.
-Fifth disease is a skin rash caused by a virus...rash on face, arms, legs...s/sx fever, joint pain, anemia:)
Here's how we were taught... (Might I recommend the Nursing made easy books!! GREAT!!! Pictures to help)
ADH(anti diuretic hormone) aka "natural vasopressin" helps the body to hold on to water, thus stop your pee.... so you will not be losing water and electrolytes like you would if you were giving a diuretic such as lasix.
ADH is released by the posterior pituitary gland and tells the kidneys to HOLD ON TO water (opposite of diuretic). This occurs when you become dehydrated for example and your urine osmalality increases or gets more concentrated.. your body says WE NEED WATER. when ADH is released, water is re-absorbed in the most distal portion of the renal tubule... so you are losing electrolytes but still holding on to water.
If you can grasp that cocept (flow charts help), then you will be able to understand SIADH.
or as our teachers call him........ SOGGY SID.
He has too much ADH..... so he is holding fluids, thus making him wet, wet, wet..... so expect to see hyponatremia. WHy HYPOnatremia? What Na your body does retain will be severly diluted.. Assessment wise you may see both pulmonary and peripheral edema... but these patients are going to be THIRSTY, so dry mucous membranes... as well as decreased skin turgor and changes in LOC.
CrystalClear75, BSN, RN
624 Posts
Yes JoanieDee, thank you very much for your posts!:)