March 2008 NCLEX support group

Published

A thread for all those in March who are planning to take the NCLEX offering both support and any hints or tips that help

Good luck to all :D

Before I start I wanna welcome the new people who joined our group!

Gastrointestinal

Positioning and Diagnostic Exams

Liver Biopsy

- position patient supine/ left lateral during the procedure to expose the right side of the upper abdomen.

-position patient on right side with pillow under the costal margin to decrease the risk of hemmorhage

Colonoscopy

-position patient left side-lying with knees drawn up to the chest

-position may change during the procedure

Sigmoidoscopy & Proctoscopy

-patient on left side-lying position with the leg bent and placed anteriorly

Paracentesis

-position upright on the edge of the bed w/ back supported and feet resting on a stool

-Fowler's is used for patient confined to bed

Esophagogastroduodenoscopy

-position on left side to facilitate drainage of saliva and provide easy access of the endoscope

Anoscopy

-patient should be in knee-chest position with back inclined @ 45 degrees

Positioning and Diseases

GERD - elevate the head of the bed on 6 to 8-inch blocks or left side-lying with head of bed elevated to 30 degrees

PUD - after sugery, position patient in Fowler's for comfort and to promote drainage

Hiatal Hernia - tell patient not to recline one hour after eating

Appendicitis - Preoperatively, position patient right side-lying or low semi-Fowler's position to promote comfort; Post-op, position patient the same way to promote comfort and facilitate drainage

Esophageal Varices - Elevate head of the bed

Dumping syndrome - tell patient to lie down after meals to prevent dumping syndrome

Pancreatitis - Lying in recumbent aggravates pain

Cirrhosis - elevate head of bed to minimize shortness of breath

If you guys like mnemonics, here's some for GIT: http://www.medicalmnemonics.com/cgi-bin/return_browse.cfm?&discipline=Gastroenterology&system=Alimentary&browse=1

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oh yeah, in case you guys get confused with the order for assessing the abdomen:

inspect

auscultate

percuss

palpate

it's easy to remember IAPP, but this one tells you that the last 'p' rhymes with auscultate. hehehe...

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Specializes in My first yr. as a LVN!.

Hi all ... I have been MIA because Ive been an emotional wreck! I just feel like Im not sure if Im studying all of the right material and doubts come into my mind and though I try to stay positive I cant help but to be so overwhelmed!! So, an update.. I did get my papers Jan 12th and I scheduled for Feb. 8th. I have a counter counting down the days to keep me going .. (11 days!) I have studied a broad range of books and have found all of the are SUPER different. Ive done some saunders, hurst, lippincotts, exam cram, mosbys. I bought the PDQ for LPN yesterday at barnes and noble and did a lot of notes and found this is super useful in particular, has anyone else found mosbys to be helpful? I cannot find a Kaplan LVN/PN review book around by where I live (only RN) so since I have only 11 days left to study Im not buying anymore books. I think I spent around $300 on books so far. I didnt do the review course but have studied on my own. I find this is the only way I can study and wish I could study w a partner soemtimes but it just doesnt work for me... I did complete silence at home when Im studying and sometimes the bookstore is too loud. I get aggravated because this is the only way to study! UGH! I have insomnia , was staying up some nights until 2-3am... then I tapered off that so I can get my schedule back in order. At this point Im soley focusing on doing questions along w my weak areas which is meds and their side effects. I havent done much delegating.. but I did read an interesting article on Triage and its all the same thing and I pretty much get it and also to remember our scope of practice when it coems to delegating ... um what else ... I have a hard time w cardio. sys. -always have ...and I need to work on the broncho. meds. and I think thats about it up til this point. Ive allowed myself 3+ weeks studying before NCLEX am hoping this was enough time ... good luck!!

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Hey guys!

Sorry I've been MIA. I had to take a little break. I will def do a unit if you guys would like me to. Sign me up for anything. I have a question.

Have any of you found conflicting information in different NCLEX books? For example, in the Saunders book, I read that when a client with a trach is feeding the cuff should be inflated and then in another book I read it should be deflated. There have been others too this is just one that jumps out in my mind. It's driving me nuts cause I don't know how the NCLEX will be. Any words of wisdom would help. I am getting more and more nervous!!!

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Specializes in My first yr. as a LVN!.

OMG Kellied! I thought the same exact thing ... I have come across at least 5 in various books that had errors.. so I jot it down and then go online and look it up so I dont get confused... good luck

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Specializes in PACU.

hey guys! i have been a total slacker the past few days. i finisihed my last day of in class kaplan tuesday. i think i may have been a little too confident with the readiness scores because i havent been doing my questions. I got sick thurdsday with a horrible sinus infection, missed work, and could not get much done. i am feeling better today though. i did 30q today from kaplan qbank and will do 30 more before bed. I love the notes everyones posting and finding it all so helpful. i am glad our little support group is growing and doing so well. we are all gonna be successful on our exams~

well, i am off to do my 30questions and will be back later

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Specializes in PACU.

i forgot to mention. i havent forgotten the new members. i will be updating the list tonight or tommorow

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Specializes in OB/GYN/OR.

Hi Kelied

That's an very true statement you have made... so If I have a doubt I check the rationale for eg correct me if I am wrong ... if you are feeding a patient anything via a tube one of the main thing you want to prevent is aspiration.. so if you inflate the cuff the tracheal opening is blocked ... therefore inflation is the answer..

Hey guys!

Sorry I've been MIA. I had to take a little break. I will def do a unit if you guys would like me to. Sign me up for anything. I have a question.

Have any of you found conflicting information in different NCLEX books? For example, in the Saunders book, I read that when a client with a trach is feeding the cuff should be inflated and then in another book I read it should be deflated. There have been others too this is just one that jumps out in my mind. It's driving me nuts cause I don't know how the NCLEX will be. Any words of wisdom would help. I am getting more and more nervous!!!

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Specializes in OB/GYN/OR.

Hi guys

Check this out...Nursing care in GIT

http://www.free-ed.net/sweethaven/MedTech/NurseCare/GastroNurse01.asp

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OMG Kellied! I thought the same exact thing ... I have come across at least 5 in various books that had errors.. so I jot it down and then go online and look it up so I dont get confused... good luck

Im going to start doing that as well. Also when I come across 2 conflicting facts in books I'll post them so we can all find out the right answer and remember them! We have enough on our plates to have to worry about whether the material we are studying is accurate!! So frustrating!!

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Specializes in OB/GYN/OR.

hi, march 2008 nclex support group

the following is a list of topics and dates with names posted so that each one of us can read and revise as well as post any tips, mnemonics, or just any material you think will be beneficial to the group!! please follow the forum rules especially no "real" questions! but if you have a doubt or query regarding something that can be posted...if for any reason you cannot do the review or post plz let us know so that someone else can do it!!!...we can do this!!

  • cardiovascular or2ca 1/23
  • meds buttercup1/24
  • renal igmirnor 1/25
  • meds ledwards 1/26
  • gastrointestinal wishiwereanurse 1/27
  • meds halayne 1/28
  • endocrine heartjulz 1/29
  • meds nbb susie496 1/30
  • neurology- kellied1983 1/31
  • meds- mave 2/1

  • musculoskeletal

  • meds
  • respiratory
  • meds
  • oncology
  • meds
  • integumentary
  • meds
  • immune/hematologic
  • meds
  • eye/ear
  • meds
  • maternity
  • pediatric
  • psych

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Specializes in OB/GYN/OR.

hi guys

This is about Git drugs

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