Anyone Up For Random FACT THROWING??

[CrazyScrubNurse]

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

OK your turn....

[grouchybuthappy]

RESPIRATORY ISSUES AND HOME CARE..

I though i could add trach care at home

Nursing mgt/teaching for home care;

1. wash hands before and after

2.use humidifier/nebulizer for extra moisture.Drink lotsa fluid

3. Avoid OTC cough meds as they dry out airway

4.For suctioning: 4-5 deep breaths before inserting sucionng catheter. do not suction more than 10 sec. Do not suction more than 3 times per session. Wait 5-10 minutes between sessions

5. CAtheter care: clean catheter in hot soapy water,rinse with tap water. soak in 50:50 water and vinegar for 1 hr and rinse with saline solution. Dry in clean covered container. Wash suction tube daily with hot,soapy water.

6. May use thin vaseline coat outside stoma t prevent crusting.

7. Stoma can be covered with ccarf, gauze when bathin, no swimming.

8. pt loses sense of smell and taste, so dental care and smoke detector are a must.

And....

Esophageal speech 101: Pt swallows air into her esophagus and she burps up the air at the moment of articulation.

Info from: Neal and Gullet" CAre of the adult with chronic disability"

[CrystalClear75, BSN, RN]

I'm testing in August too RN Rabbit2 be. I'm soooo nervous. So why the name change? Had us all worried & wondering. And where is the dog?

Hemolytic Disease of the Newborn ( Erythroblastosis Fetalis )

RBC destruction which lead to anemia & hyperbilirubinemia. May be caused by Rh or ABO incompatability. s/s jaundice, anemia, erythropoiesis, large placenta, edema & ascites.

Interventions: Determine results of Coombs test early in pregnancy and a 2nd time at 28-32 wks. Give Rhogam IM to mom as ordered. Phototherapy as ordered for the infant after birth.

Good to have you still with us Buttercup7507.:heartbeat

Don't know, just felt like changing it. As for when I'm testing, not too sure. Didn't mean to worry anyone. Also felt like changing the avatar(dog) lol. And good luck to you Melinurse...you can do it!

[JoanieDee, LPN]

5 Modes of transmission of a pathogen

1. Contact Transmission-Direct transmission-body to body, and

Indirect transmission-person to contaminated object;

2. Droplet Transmission-Moist particles from an infected person (within

3 feet);

3. Airborne Transmission-Movement of microorganisms attached to

evaporated water droplets or dust particles that have been suspended;

4. Vehicle Transmission-Transfer of microorganisms present on or in

contaminated items; and

5. Vector Transmission-Transfer from an infected animal

6 Steps in the Chain of Infection

1. Infectious agent;

2. A reservior- a place for growth and reproduction of the microorganisms;

3. An exit route-a means by which the microorganisms escape the

reservoir and move about;

4. A mode of transportation-How the infection moves from one location to

another;

5. A port of entry-Where the microorganisms find their way onto or into a

new host; and

6. A susceptible host-whose defense mechanisms are compromised in

some way.

[JoanieDee, LPN]

Abdominal Aortic Aneurysm ("Triple A")

Widening of the Aorta.....3 types:

---ascending (most common and most deadly)

---descending

---transverse

Sx: Severe pain of the shoulder, neck, lower back, or

abdomen; hypertension

Dx: Confirmed by X-Ray

Tx: includes decreasing hypertension, myocardial contractility, pain control and relief of respiratory distress while preparing for surgical intervention.

---Abdominal aneurysm resection- surgical removal of a portion of weakened arterial wall with an end-to-end anastomosis to a prosthetic graft

[Melinurse]

NY2008, go with the Kaplan version for your question. That is darn close to the wording in my book too. ( Lippincott )

[JoanieDee, LPN]

Antidotes

For Cyanide Poisoning..............................Nitrites

For Anticholinergic Poisoning.....................Physostigmine

For Organophosphate/Anticholinesterase.....Atropine; Pralidoxime (2-PAM)

For Acetaminophen (APAP) Tox.................N-acetylcysteine (Mucomyst)

For orificenic, Mercury, Lead, Gold................Dimercaprol

For Copper (Wilson's Disease), Lead,

Mercury, and orificenic.............................Penicillamine

For Heparin Tox......................................Protamine Sulfate

For Warfarin (coumadin)...........................Vitamin K & Fresh Frozen

Plasma (FFP)

For Opiod Tox.........................................Naloxone (IV); naltrexone (PO)

[Melinurse]

NY2008, forget what I just wrote, I went upstairs and got my med-surg book and it says : Stand at affected side of client when ambulating and slightly behind. Now I am confused, I also have 2 answers.

Hyperglycemia is the most common complication of giving TPN.

The amount of dextrose in TPN is usually 30%.

Coldness, pallor, & swelling around an IV insertion site are the best indicators of infiltration.

Neuro changes from hyponaturemia include; confusion, disorientation, lethargy, seizure, and coma.

Pts. with renal failure are likely to get hyperkalemia.

[NY2008]

thank you for melinurse!

that is why i am confused.if it happens in our test.i don't know how to answer it.

[Melinurse]

I am not sure how to answer either, but, both books say to ambulate with a walker, to be on the affected side. Personally, I would go with stay on the affected side because that is how we walk pepole at work using a walker so same should apply for a cane? It's been a while since I took my CNA classes where they showed us this and darn it, I passed that check off. Guess I'm having a :brnfrt:. So if anyone else has an answer, please write it in.

[Melinurse]

Cast Care:

Nursing Assessment:

Neuro check to areas below/distal to cast and above, compare

report absent or diminished pulses, cyanosis, blanching, coldness, lack of sensation, unable to move toes or fingers, any swelling

check for odor that may indicate infection

report all complaints of numbness/tingling or burning sensations

check for bleeding and " hot spots " that can signal inflammation under the cast

teach pt. to wriggle fingers/toes

elevate affected extremity to reduce swelling and for pain control

apply ice if ordered

:typing

[grouchybuthappy]

OK! am freaking out. My test is tomorrow morning!!!I know you always support the weak side, but yet you walk slightly behind. My prayer now is if i have that particular question, only one of those answer will be there. If both are there i hope thats not my question number 265!

Thanks evryone, keep posting the random facts. Especially between now and tomorrow.

I appreciate y'all!!

[Melinurse]

GOOD LUCK tomorrow. Be sure to get a really good nights rest. Don't do any cramming as tempting as it will be. I'll be praying for you tomorrow and be sure to keep us posted on how you did and whether or not this thread helped any.