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
This might sound stupid but to assess for a thrombis, the nurse would elict a homan's sign to see if there is pain on dorsiflexion...well in Saunder's 4th edition it says to "grasp the foot and dorsiflex it forward"....I thought you would grasp it and move it backwards, as in flexion, not plantar extension. Maybe I'm reading too much into it.
RNRabbit, my books all say to elicit Homan's for assessing DVT & that's how we do it at work too. We also look for redness, swelling, temperature difference & check O2 saturation via pulse ox. I think you were right. Maybe it's a misprint?
This might sound stupid but to assess for a thrombis, the nurse would elict a homan's sign to see if there is pain on dorsiflexion...well in Saunder's 4th edition it says to "grasp the foot and dorsiflex it forward"....I thought you would grasp it and move it backwards, as in flexion, not plantar extension. Maybe I'm reading too much into it.
flexion is bringing the toes towards the shin....extension is the oposite "pointing" the toes.....
Morte! If you open your drug book and check synthroid side effects, you'll see that insomnia is one of the major side effects. It does make sense b/c synthroid is used to treat hypothyroidism. And you remember that in hypothyroidism the body's metabolism slows down. Synthroid which is a thyroid preparation contain hormones T3 and T4 that increase the body metabolism. If you take a large dose of synthroid, not only you'll have some serious side effects (cardiovascular collapse, ...) but you may develop also synthroid toxicity and the drug may be withheld for a reasonable period of time, and you may end up in an acute care setting depending of your condition. It puzzles me you question that insomnia is side effect of synthroid b/c you know that synthroid may affects the CNS by making the patient nervous, restless, irritable and unable to sleep among other things.
Hope this help.
dont have a drug book at home had to wait to go to work...in davis there is a line BEFORE the listing of S/E "usually do to overdosage" paraphrased
PSORIASIS is a non-contageous, chronic skin inflammation that involves keratin synthesis & makes patches of silvery,white, shedding plaques that usually affect the scalp, knees, shins, elbows & sacral regions. Can be itchy, can cause joint inflammation & a yellow discoloration to the nails and cause the nails to get thick.
Tx. corticosteroids, warm soaks, bed cradle to keep sheets off skin, prevent scatching, anticipate using anthrlin ( coal tar ) followed by exposure to UV light, prepare pt. for photochemotherapy, give keratinolitics & antimicrobials as prescribed.
Appearance of skin cancer lesions:
waxy nodule
irregular, circular, with hues of different colors
small red nodular
oozing, bleeding, crusting
Acne Vulgaris:
A common self-limiting disorder. There is NO evidence that chocolate, nuts, or fatty foods affect acne!!! Exacerbations go along with the menstural cycle from hormonal activity. Heat, humidity, & sweating have a role in acne flare ups.
Med commonly used is Accutane, with this med tell pt about side effects such as chelitis ( lip inflammation ), skin dryness, elevated triglycerides, & eye discomfort. Tell pt to stop taking vitamin A supplements with Accutane & improvement may take 4-6 weeks.
:typingAnyone got some quick facts on HIV/AIDS??? I have the info but it's sooooo long that I quit reading halfway through.
flexion is bringing the toes towards the shin....extension is the oposite "pointing" the toes.....
yes so flexion is what they mean in saunders (toward the shin because that's what I always thought)?... when I think of pulling the foot forward, I think of plantar extension and it sounded like to me, in saunders, they were referring to plantar extension(bringing it forward) and that is totally opposite of how I visioned it after all this time only because I thought of dosiflex as in what is in the medical dictionary, as bringing the foot towards shin, lol.....yikes! So my simple question is, when you assess for a homan's sign, do you bring it toward the shin(flexion) or extension?
Maybe I'm reading too much into it.
amazingaloha
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I wish I read this thread before I took mine. After reading the first few pages I think it would have helped a lot.