April 2008 NCLEX test takers, COME ON IN!

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Per the request of janina08 ;) I've started the April NCLEX takers support group. When do you take it? What are you using to study? Would anyone like to review any of the systems/meds that he/she feels weakest on? Let's keep each other in our prayers and good thoughts as we go through one of the biggest experiences of our lives. :) :nurse:

Moments, I don't believe that you aspirate when you give heprin..... i think you only aspirate when you give IM injections (but correct me if I am wrong b/c I didn't look it up anywhere)...

Another question :bluecry1::

I am on Saunders (study mode, all questions) number 935: and the questions reads:

A nurse is reviewing the labs of a client with Cushing syndrome. Which of the following labs would the nurse expect to note:

a. a blood glucose of 110

b. a potassium of 5.5

c. a white blood cell count of 6,000

d. a platelet count of 200,000

As far as I'm concerned you wouldn't see any of these.... You would see hyperglycemia, hypokalemia, hypernatremia etc... answers b & c are within normal range....

anyway her answer was B, that we should expect hyperkalemia.... is this a typo in the Saunders book or am I going CRAZY!:bugeyes:

Should I be reading a book with MAJOR typos like this when I am about to take the test in 3 weeks :uhoh3:

Genny, I'm blind.

My note said: With exception of Heparin, aspirate. Oh God

With cushing yes, you are right potassium level is low. The book also says, you see high amount of WBCS right? With cushing, your glucocorticoid level goes up = so your immune system gets supressed even more. So, when your immune system is low/weak, would your WBC's be high or low? Thanks.

This is bad - the CD part with rational. Now which is teh right answer in this qustion?

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Hmm. I've looked online but I can't seem to find the answer! However, I think the only time you would aspirate heparin would be when you're trying to aspirate a clot. We normally give heparin in a vessel or parenterally because we want the blood to be pretty thin for whatever reason. I know that we definitely do not give heparin IM because of the risks for hematomas.

Mave I'm blind. I had on the note, with the exception of HEPARIN :cry: And still I go on and on with you aspirate with heparin.

With Heparin, we never aspirate. Thank you for the information :nuke:

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isn't k+ 3.5-5.5

When I was reading Genny's question, I was thinking between 3.5 - 5.1 MEQ/L

Maybe your value is the latest one.

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Specializes in Psychiatric Nursing.
isn't k+ 3.5-5.5

Potassium 3.5-5.1 mEq/L in Saunders

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Doesn't our body also produce natural heparin or something?

Where is vitamin K synthesized? Liver?

Thanks

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Specializes in Cardiac/Telemetry.

april test takers schedule thus far:

april 1st:

qlcatandgyro

imignior

april 3rd:

avalere2474

kano

[color=olive]april 8th:

janina08

rnbymay08

april 14:

genny0616

chichimitchi

april 18:

pinkroyalty18

or2ca

april 19th:

rose143

[color=gray]april 21st:

mave

april 22nd:

rizapride

april 23rd:

ianjel

zackjabeen

april 24th:

malachi39

april 26th:

mrstip905

april 29th:

ron134

april 30th:

ethenmon

deliciouscandii

waikiki

ilovetiggerdear

undecided/did not say date/waiting for att:

hopefulrn82

stacy14

lvlytxn

myacura2008

pinaigie

bigglesnurse

kimkevant

pinky22

lola4525

sccc07grad

avalere2474

a2008

wedny2006

youcan

lizbiz

missmykids

jasminebynight

enobong

kcjo

clarissa

hotcmodity

good luck to all of us!!!!! :yeah:and a very warm welcome to the newest april test takers!

:wlcmggrp::spnngwlcm:

mave i'm blind. i had on the note, with the exception of heparin :cry: and still i go on and on with you aspirate with heparin.

with heparin, we never aspirate. thank you for the information :nuke:

no problem! i don't think you aspirate at all, but i was reading an article online that said that the only time you aspirated with heparin is to take out a clot. it is not the usual practice. it's confusing, but this is why i love that we have this group! :)

where is vitamin k synthesized? liver?

thanks

it is synthesized in your intestines. :) this is why babies need to be given a vit k shot when they're born because their gi system is not "dirty" yet, and therefore cannot produce vit k.

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april test takers schedule thus far:

april 1st:

qlcatandgyro

imignior

april 3rd:

avalere2474

kano

[color=olive]april 8th:

janina08

rnbymay08

april 14:

genny0616

chichimitchi

april 18:

pinkroyalty18

or2ca

april 19th:

rose143

[color=gray]april 21st:

mave

april 22nd:

rizapride

april 23rd:

ianjel

zackjabeen

april 24th:

malachi39

april 26th:

mrstip905

april 29th:

ron134

april 30th:

ethenmon

deliciouscandii

waikiki

ilovetiggerdear

undecided/did not say date/waiting for att:

hopefulrn82

stacy14

lvlytxn

myacura2008

pinaigie

bigglesnurse

kimkevant

pinky22

lola4525

sccc07grad

avalere2474

a2008

wedny2006

youcan

lizbiz

missmykids

jasminebynight

enobong

kcjo

clarissa

hotcmodity

good luck to all of us!!!!! :yeah:and a very warm welcome to the newest april test takers!

:wlcmggrp::spnngwlcm:

no problem! i don't think you aspirate at all, but i was reading an article online that said that the only time you aspirated with heparin is to take out a clot. it is not the usual practice. it's confusing, but this is why i love that we have this group! :)

it is synthesized in your intestines. :) this is why babies need to be given a vit k shot when they're born because their gi system is not "dirty" yet, and therefore cannot produce vit k.

hm... sure about vit k being synthesized in gi? i went back and checked ati, and it says - liver. hm... :confused:

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Specializes in Cardiac/Telemetry.
Hm... sure about Vit k being synthesized in GI? I went back and checked ATI, and it says - liver. Hm... :confused:

In the 3rd edition of Saunders, on page 352, it says, "Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. Vitamin K promotes liver formation of the clotting factors II, VII, IX, and X...The normal flora in the intestinal tract produces vitamin K." copyrighted reference: Saunders Comprehensive Review for the NCLEX-RN...Linda Anne Silvestri.

So, it is produced in the intestines, but it is synthesized--like mostly everything else--in the liver. :) Sorry if I misunderstood. *blushes*

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In the 3rd edition of Saunders, on page 352, it says, "Vitamin K is necessary for the body to synthesize coagulation factors. Vitamin K is administered to the newborn infant to prevent abnormal bleeding. Vitamin K promotes liver formation of the clotting factors II, VII, IX, and X...The normal flora in the intestinal tract produces vitamin K." copyrighted reference: Saunders Comprehensive Review for the NCLEX-RN...Linda Anne Silvestri.

So, it is produced in the intestines, but it is synthesized--like mostly everything else--in the liver. :) Sorry if I misunderstood. *blushes*[/quote

That was very helpful. Thank you :icon_hug:

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Specializes in Registered Miwdife.

:p

hi guys,

im from philippines and would take the exam maybe in may.. can you count me in on your discussion thread?!

how can i be connected? sorry just a new member.. thanks

yshiahl,

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Specializes in ICU.

YshiahL, welcome to the group! :D

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Specializes in Pedia Cardio--- 6 yrs ago!.
count me in on for april. not sure what day yet but im hoping i dont spill into may.

:grpwlcm:

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