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
:chuckle kpjr, we must have had the same instructor. :chuckle Our instructor used alot of really funny ways to get us to remember stuff. Of course, that's how I seem to learn best. Keep the facts coming.:typing Whatever, helps to aide our memory is ok. Of course, we could always just beat it into our noggins.:lol_hitti
Hey Guys Question or should I say some advice please............ :redbeathe I am taking the NCLEX LPN in Nov and I was wonder how many hours a day is good for studying. By the way this sticky is the best I learned so much in no time at all just from reading the posts daily. As soon as I can follow a study schedule I will post all that I have learn't.
Thank You all for sharing your knowledge.
i've heard to study every day for one month for an hour a day. me personally never studied thru nursing school, well only an hour or teo the day before and i got thur with straight A's. not bragging just hated studying and i have one of those weird memories. for my boards i studied for about a week doing repetative questions on the computer with a CD ROM from a review book i bought.
Also just a personal statement. all the stuff that u are tested on for the NCLEX u use only about 1/2 of all of it (in the real world of nursing)
best of luck to all. don't get too worked up about it. it will only created test anxiety. put it this way. the worst thing that could happen is u fail. no one has to know, not even the job u apply for. so what? so u take it again. not a matter of life and death
When it comes to IV lines what are some of the things an LPN can and cannotdo.............. I remember we cannot touch central lines??? Correct me if i'm wrong
every hospital has their own policies as well as every state may differ. in my hospital. LPN's can't hang or take down blood, but they can be a cosigner for a witness for verification.
they can't do pushes (think tahts nation wide) but can do saline flushes which are done once a shiftt for hep locks.
but they can do IV fluids, iv piggyback, and iv starts
I've been an LPN for 5 years so here goes what we can and can't do:
Hospital Setting :
* can NOT assess unstable pts or do first 2 post op assessments
* if pt LPN is assigned has ANY change in condition the RN must be notified and come assess and confirm
* LPN can hang IV fluids and start IV ( in some states ) in other states LPN needs a certification before hanging IV fluids and meds ( this varies from state to state ) If your state allows LPN to hang IV fluids & meds, the LPN still CANNOT hang any type of drip or titrated IV meds. LPN can co-sign for blood administration BUT can not hang blood or change the rate or discontinue. ( Again this can vary from state to state )
* LPN can do wound care treatments
* LPN can give meds ( different hospitals have variations on this though ) for example at my hospital I can not as a LPN give narcotics without a RN co-sign. Some hospitals around here do not let LPNs give cardiac meds.
* in acute care hospital setting LPN cannot take orders or call doctors to get orders
* LPN can delegate to CNAs and to nurse techs
* LPN can insert foley or straight cath
There's more but for the most part these will vary from state to state.
Hope this helps a little.
in my shopital LPN's can give all meds (including cardiac) except pushes, titrates. they can give narcs with out a RN's cosign (like IM demerol and PO narcs like percocet) they are allowed to delegate to NA's but RN's can delegate to them (most don't because a lot of Rn's feel it makes LPN's feel inferior) but for their pt assignment; an RN cover's their pt's usually if they have 6pt's one RN will cover 3pts and another RN covers the rest. and thats only for scheduled or PRN pushes, blood transfusions, and for physical assessments. they just started inforcing that an RN has to do the physical assessment open a narrative, then cosign it their notes at the end of the day. plus LPN's can't take phone orders or verbals from Dr's nor can they do discharge instructions since its pt education...hope this helps too
this is the best site ever. i am just thankful to all the threads you all have put in.
ABG.normal ph is 7.35-7.45
respiratory is 35-45( i remember by removing the 7 in front.
metabolic is 22-26
always use the ph to determine what the answer will be.
CAST=COMPARTMENT SYNDROME
FRACTURE=PULMONARY EMBOLISM. SAME WITH DVT
DVT PT SHOULD BE ON BED REST FOR 5-7 DAYS TO PREVENT BLOOD FROM TRAVELLING TO LUNG
AGAIN WONDERFUL WONDERFUL THREADS!!!:yeah:
i work on orthopedics, all ortho pt's post op get DVT prophalaxisis. all get SCD's, some dr's give a daily 81mg asprin, some lovenox (usu dosing is 1mg/1kg) and most are on daily coumadin. the pts get daily Pt/INR's drawn early in the AM the dosage varies based on their INR level. its usually given at 6pm. 1st day post0 op for ortho and all surgery pt's; when they get OOB for the first time for P.T. watch out for orthostatic hypotension. very common. especially if they have a low H&H. most therapists ask permission from the nurses before they get the pt OOB. they check the H&H and also to see if the pt has been medicated for pain. always anticipate the pt's needs. realize they will feel pain for PT and they must be medicated for optimal therapy:nurse:
It is the replacement of both the acetabulum and head of the femur with prothesis.
Nursing Care:
Routine post op care plus...........
-maintain abduction of affected limb at all times with splint or two pillows between legs
-prevent external rotation by placing trochanter rolls along leg
-prevent hip flexion , keep HOB flat if ordered , may raise to 45 degrees for meals
-turn to unoperative side if ordered; use abductor pillow or pillows between legs to keep in alignment, do not let pts. legs cross
-assist pt. to get out of bed as ordered which is usually on 2nd day post-op
-avoid weight bearing until allowed
-do not use a low chair
-do not cross legs
-do not bend more than 90 degrees for at least 6 months or as doctor orders
-teach signs of wound infection
i work on orthopedics. also use a fracture bed pan instean of a normal bed pan for total hips. remind pt never to bend over (for example to tie shoes). also in my hospital they get OOB for the first time postop day 1 in the morning stay OOB in a Hip chair (a higher chair with a foot stool that has a greater than 90 degree angled back. toilet seats have a raised seat and enforce pt's to lean back on the toilet seat. rule of thumb for turning a pt for changing pads or bed pan. turn pt towards the operative site. expect edema/swelling about 1+or 2+ in the operative leg both for knees and hip (whether it be a ORIF, IM nailing, partial replacement, or a total replacement) encourage incentive spirometer and deep breathing and coughing. most ortho pts are d/c'd to and ECF or rehab (at a sub-acute facility) on post op day 3. and usually are there for 7-14 days
Where I work we don't get them up post-total hip on first day. Our doctors have strict orders not to turn on operative side when repositioning. We can turn on operative side for short periods though. We do get them up next day IF they returned from surgery early in day and if no complications. Got my info not from work experience but from class notes and my books.
kpjr
39 Posts
Cytoxan--don't handle if pregnant
statin--lipid lower
mycin-antibiotic
zine-antipsych or antiemetic
tidine-H2 blocker
prazole-prot pump inhib
three hour glucose tolerence test--est for diabetes
FBS-80-110
1 hour
2 hour
3 hour
HbA1c--normal 4-6%
Elderly abuse--S/S===missing dentures, urine burns, pressure ulcers, bruises, excoriated skin
Renal impairment--inc in BUN, edema, irritable, Dec Hct, fatigue
Anticholinergic effects==