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
Medical Asepsis is practice to lower the number of microorganisms after they leave the body or to reduce transmission. Sometimes called "clean technique".
Includes:
-hand washing/decontamination
-universal or standard precautions
-cleaning and/or disinfecting of equipment
After opening a sterile bottle, the edge of the bottle is considered to be contaminated. The nurse should pour a little of the solution out first to wash away organisms on the lip of the opening and then pour from the same side of the bottle into the sterile container on a sterile field.
In a pt. with PIH , uteroplacental perfusion may be inadequate & gas exchange may be poor. Regional anesthesia increases the risk of hypotension resulting from sympathetic blockade possibly causing fetal & maternal hypoxia.
After delivery of the placenta, the fundus is normally contracted at the mid-line 1-2 cm below the umbilicus.
S/sx of transition to the second stage of labor include bulging of the lady partsl introitus, increase need to push, increased bloody show, & grunting.
Signs of placental separation include lengthening of the umbilical cord & a sudden gush of dark blood.
A boggy fundus signals uterine atony, to correct this, the nurse should massage the fundus until it becomes firm and clots are expressed.
Borderline personality disorder is characterized by lack of self-esteem, strong dependency needs, & impulsive behavior.
Bulemic behavior is usually a maladaptive response to dealing with stress & underlying issues. The nurse must identify with the client anxiety-causing situations.
Haldol is the drug of choice for Tourettes syndrome.
The priority goal in alcohol withdrawl is to maintain pt. safety.
Seizures are the most common adverse effect of using Romazicon to reverse benzodiazapine overdose.
Primary prevention involves promoting health & helping clients to achieve maximum wellness.
A patient with C.diff is placed in contact & standard precautions, which includes wearing a gown & gloves.
ventricular repolarization = t ware (heart relaxes)
cardiac meds
disopyramide: for a-fib, pac's, pvc's, v-tach (depresses myocardial excitability)
lidocaine: ventricular dysrhythmias only--pvc's, v-tach, v-fib (decreases myocardial excitability in the ventricles)
flecainide: severe ventricular dysrhythmias only (dose related depression of cardiac conduction, especially in the bundle of his purkinje system)
moricizine: symptomatic ventricular and life threatening dysrhythmias (prolongs av node conduction velocity)
beta blockers: general myocardial depressants for both supraventricular and ventricular dysrhythmias. (block beta-adrenergic cardiac stimulation, reduce sa node activity, reduce ventricular contraction rate, reduce atrial ectopic stimulation, reduce cardiac output and bp)
amiodarone: life threatening v-tach or v-fib (prolong myocardial action potential)
ca. channel blockers: paroxysmal supraventricular tachycardia; rate control for a-fib and flutter (prolong av node effective refractory period, reduce av node conduction, reduce rapid ventricular conduction caused by atrial flutter)
preload: muscle length prior to contractility, and it is dependent on ventricular filling or (end diastolic volume). this value is related to right atrial pressure. the most important determining factor for
preload is venous return.
afterload: the tension or (arterial pressure) against which the ventricle must contract. if atrial pressure increases, afterload also increases. afterload for the ventricle is determined by pulmonary artery pressure
seizures
simple partial (without impairment of consciousness)
-temporal: emotion
-frontal: movement
-parietal: tingling
-occipital: seeing
complex partial (with impairment of consciousness)
-can't respond to commands
-won't remember the event
-usually temporal lobe
generalized seizure (non convulsive)
-absence or petit mal: brief loss of consciousness
-myoclonic: sudden jerking of a muscle group
convulsive generalized seizure
-tonic clonic or grand mal
-no warning
-cyanotic
-pupils dilated
-loss of bowel and bladder control
types of incontinence
stress: increased pressure causes the involuntary passage of urine, occurs when coughing, laughing, straining, etc.
tx: kegel exercises, weight loss if obese, lady partsl estrogen creams, condom cath
urge: occurs randomly, often short warning (few sec to few min)
-nocturnal frequency & incontinence are common, leakage is periodic but frequent
tx: urinate more frequently, anticholinergics, ca channel blockers, lady partsl estrogen creams, condom cath
overflow: occurs when pressure of urine in bladder overcomes sphincter control
-leakage of small amt of urine is frequent throughout day & night; bladder remains distended & is usually palpable
tx: urinary cath (to decompress bladder), implement vasalva maneuver, surgery
reflex: occurs when no warning or stress precedes periodic involuntary urination; frequent urination, moderate in volume
ileal conduit is for urine diversion. stoma drains urine into a draining bag.
colostomy (semi-liquid to formed) & ileostomy (liquid to semi-liquid) are for fecal diversion.
hypospadias: abnormality in which urethral meatus is located on the ventral (back) surface of the member anywhere from the corona to the perineum (remember hypo, low (for lower side or under side)
epispadias: opening of the urethra on the dorsal (front) surface of the member
priapism: painful erection lasting longer than 6 hrs.
types of immunities
natural (innate) you're born with it
active acquired: results from invasion of foreign substance & development of antibodies
active natural: from disease
active artificial: vaccines
passive acquired-the host receives antibodies to an antigen rather than synthesizing them
passive natural: thru transfer of immunoglobulins across placental membrane from mom to fetus
passive artificial: through injection of serum antibodies (gamma globulin injection)
preventing/treating complications from central line
complications: hyperglycemia, fluid overload, sepsis, displaced catheter, air emboli, phlebitis
-use sterile technique, flush line regularly=sash, clamp line to prevent air emboli
-if air emboli: lay patient on left side, use trendelenburg position (head low)
The most common site of aneurism formation is in the abdominal aorta, just below the renal arteries.
Dobutamine increases cardiac output for pts. with acute heart failure and those undergoing cardiopulmonary bypass surgery.
If arterial insufficiency is present, elevation of the affected limb will show pallor from the lack of circulation.
Calcium chloride is the only calcium preparation that should be injected into the ventricle during cardiac arrest, if appropriate.
A patient with a pacemaker should avoid using cell phones because they may disrupt their pacemaker.
Signs/symptoms of impaired circulation include numbness & cool, pale skin.
Peripheral edema is a sign of fluid volume overload and worsening heart failure.
Signs and symptoms the pt. may have when in second degree AV block include: vertigo, weakness, and irregular pulse. Nursing management give atropine as ordered.
When giving atropine, monitor vital signs closely, monitor telemetry, give at a rate of 1.0mg or less over 1 minute.
4ever_heaven
42 Posts
Hi guys! I just wanna express my big THANKS to all of the contributors in this thread. I PASSED!!!!!!!! This thread is really helpful.
:redpinkhe