Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc.
Updated:
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....
Hyponatremia = not enough salt ( Na+ ) in the body. So the lab work will show something less than 135 mEq/L. The patient will have anorexia, nausea/vomiting, muscle cramps, lethargy, altered level of conciousness, and headache. If the level goes below 115 mEq/L then you may see convulsions.
So, what causes hyponatremia? fluid loss ( vomiting, diarrhea, diuretics, diaphoresis, NG tube suctioning), adrenal insufficiency, SIADH, excess water gain from too much drinking water or IV fluids, water pulled into cells because of decreased extracellular Na+ level and increased cellular fluid concentration.
So, what should you do as the nurse caring for this patient?
-monitor the I&O
-make pt. a daily weight
-watch/assess for signs of fluid volume excess
-give Na+ replacement by diet or IV fluid
-give hypotonic solutions cautiously
-SEIZURE PRECAUTIONS!!!
-assess GI and neuro status
-monitor serum lab values
-water restiction when hyponatremia is present with normal or excess fluid volume.
Ok, your turn for hypernatremia facts........................................................
Some of these might be repeated... but repeating makes it stick for me.
*Rho gram given to Rh- mom that has a RH + fetus
*Autonoic neropathy can cause inability to urinate
*PKU is not reversible
* IGE is only immunoglobulin that can cross the placental barrier to protect the fetus.
*Hypercalcemia S/S: polyuria, severe abd. pain, confusion, muscle weakness, incoordination, constipation, N/V, thirst, and ECG changes, and dysrhythmias
*Wt gain is associated with CHF and Congenital heart deficits
*Streptokinase is a clot busting drug
*Green vegs and liver are great source of folic acid
*RBC-- 120 days in body
Hypernatremia- sodium greater then 145mEg/L
Causes: excess water loss, excess sodium administration, diabetes insipidus, heat stroke, and hypertonic IV solutions,
Manifestions: thirst, elevated temp, dry swollen tongue, sticky mucosa, neurologic symptoms, restlessness, and weakness,
You are FRIED
F- Fever (low grade), flushed skin
R- restlessness (irritable)
I- increase fluid retention and increase BP
E- edema (peripheral and pitting
D- decrease urinary output, and dry mouth
Medical Management: hypotonic electrolyte or D5W
Nursing managment: assess for OTC sources of sodium, offer and encourage fluids to meet pts needs, and provide sufficient water with tube feedings
so with hypernatremia are you retaining fluid or excreting it? ... i'm sorry but your post confused me because with the edema i thought you would be retaining it but then with the tx you said to give fluids ...?
The high content of salt is in the blood and by osmosis(because the blood has more solutes) pulls the fluid out of the cells thus creating dehydration.
oncastic2
http://two.xthost.info/pinoynurse1/review%20notes%20in%20infection%20control%20-%20nclex.pdf
this is good stuff. do you need to pay or join pinow rn to get this and other info?
Swallowing is a motor function of cranial nerves IX and X. The motor function of cranial nerve V is chewing.
When leaving a strict-isolation room, the nurse should remove the gloves first because they are considered the most contaminated. Removeing other PPE before the gloves could cause cross contamination of the hair, uniform, and promote pathogen transmission.
Vitamin A is important for the eye's ability to see colors.
The B viamin complex plays a role in nerve conduction and many other functions.
S.aureus is the most common cause of osteomylitis.
Tachycardia can result from fear, pain, and anger along with other causes.
A decrease in heart rate can come from vomiting, suctioning, ot some medications.
Using Nagel's rule the nurse calculates the EDD ( estimated due date ) by adding 7 days to the first day of the last menstral period and then subtracts 3 months from the last menstral period which gives the EDD count.
For a child under 3 yrs, the thigh ( vastus lateralis ) is the best site for an IM injection.
Nancy LPT for now
27 Posts
A dehydrated pt needs hypotonic sol.
Yawning could be an early indicator of hypoxia.
Percodan is contraindicated in hemophilia pt (contains ASA), give percocet instead.
Standard Precautions: Herpes simplex, Typhus, Staph, Leprosy,Kawasaki
Contact Precautions: RSV, Croup,Typhoid fever,MRSA,Lice,Scabies
Droplet Precautions: Influenza, Pneumonia, Rubella,Fifths, Adenovirus
Airborne Precautions: Small Pox, TB, Measles,Herpes zoster disseminated:nurse: