March 2011 Test Takers Support Group

Nursing Students NCLEX

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:grpwlcm:

aint sure if there is already an existing march 2011 test takers' support group. nonetheless, i ought to just create one.. study tips and advices, as well as encouragement, motivation, support, and prayers from each and everyone of us may play a big role in our preparation for this battle. let's all be rn's!! good luck to us!! may the good lord be with us all in our way to passing the nclex!! :cheers:

hello everyone, i seen this on one of the thread that a recent nclex rn just took and

passed her exam good luck everyone.....

chest tubes

-continuous bubbling= air leak

-bubbling with inspiration= okay

-continuous bubbling in suction chamber= okay

-up and down in water seal= okay

types of insulin

-rapid acting (lispro, humalog)

-onset= 5 minutes

-peak= 30 minutes

-short acting (novolog, regular)

-onset= 30 minutes

-peak= 2 hours

-intermediate acting (nph)

-onset= 1 hour

-peak= 6-12 hours

-long acting (humulin)

-onset= 4 hours

-peak= 16-18 hours

-maslows= physiologicàsafetyàlove & belongingàesteem & recognitionàself actualization

-piaget= sensorimotor (birth-2)àpreoperational(2-7)àconcrete operational(7-11)àformal operations(11-death)

-eriksons=trust vs. mistrust(birth-1)àautonomy vs. shame and doubt(1-3)àinitiative vs. guilt(3-6)àindustry vs. inferiority(6-12)àidentity vs. role confusion(12-18)àintimacy vs. isolation(early adulthood)àgenrativity vs. stagnation(middle adult)àego integrity vs. despair(older adult)

airborne precaution (sars is airborne/contact)

my - measles

chicken - chickenpox

hez - herpes zoster (disseminated)

tb - tb

-private room

-negative pressure with 6-12 air exchanges per hour

-uv

-mask, standard precautions (gown,gloves)

-n95 mask for tb

-put own eyewear-->mask-->gown-->gloves and take off in opposite order (this applies to all infection control)

droplet precaution

think of spiderman!

s - sepsis

s - scarlet fever

s - streptococcal pharyngitis

p - parvovirus b19

p - pertussis

p - pneumonia

i - influenza

d - diptheria (pharyngeal)

e - epiglottitis

r - rubella

m - mumps

m - meningitis

m - mycoplasma or meningeal pneumonia

an - adenovirus

-private room

-mask and standard precautions

contact precaution- standard precautions

mrs.wee

m - multidrug resistant organism

r - respiratory infection - rsv

s - skin infections

w - wound infections

e - enteric infections - clostridium defficile

e - eye infections

skin infections private room, gloves, gown

v - varicella zoster

c - cutaneous diptheria

h - herpes simplex

i - impetigo

p - pediculosis

s - scabies, staphylococcus

cranial nerves

1) olfactory

2) optic

3) oculomotor

4) trochlear

5) trigeminal

6) abduchens

7) facial

8) acoustic

9) glossopharyngeal

10) vagus

11) spinal accessory

12) hypoglossal

triage

red-unstable, but fixable, see first

yellow-stable, can wait for up to an hour for treatment, see second

green- stable, can wait for a while, "walking wounded"

black- unstable clients that probably won't make it, comfort measures

doa- dead on arrival

antidotes

-heparin- protamine sulfate

-coumadin- vitamin k

-meg sulfate- calcium gluconate

-morphine- narcan

-anaphylaxis- epinephrine

-tensilon-atropine sulfate

-tylenol= mucomist

-benzodiazapines= romazicon

lab values

coagulation

-pt = 10-13 seconds, 1.5-2 times the control for coumadin therapy

-aptt= 20-35 seconds, 1.5-2.5 times the control for heparin therapy

-ptt = 60-70, 1.5-2.5 times control in anticoagulant therapy

-inr= 2-3

electrolytes

-na+ = 135-145

-k+ = 3.5-5.0

-cl- = 95-105

-ca+ = 8-10

-mg+ = 1.5-2.0

-protein = 3.5-5.5

hematology

-wbc = 5000-11000

-neutrophils = 45-75%

-rbc = 4.5-6 million

-hgb = 12-16 (women), 13-18 (men)

-hct- 36-46%

-platelet = 150000-400000

renal function

-bun= 7-20

-creatinine= 0.5-1.5

-urine specific gravity= 1.010-1.030

cholesterol

-total=

-ldl =

liver

-ast = 10-40

-alt= 5-35

electrolytes

-hyponatremia- hypervolemia, edema, increased urine output, lethargy, dizziness, diarrhea, use isotonic solutions, give loop diuretics(excess water)

-hypernatremia- tachycardia, hypertension, hypovolemia, seizures, decrease na+ intake, assess i&o, loop diuretics( excess sodium)

hypokalemia- flattened t wave, u wave appearance, weak shallow respiratations, paresthesias, give k+

hyperkalemia-bradycardia, narrow/peaked t waves, widened qrs, flattened p waves, muscle cramps, diarrhea, give k+ wasting diuretics

hypocalcemia-chvostek's sign (cheek twitching), trousseau's sign , diarrhea, bone fractures, give calcium gluconate, multivitamin

hypercalcemia- decreased deep tendon reflexes, lethargy, coma, nausea/vomiting, give loop diuretics

hypomagnesemia- chronic alcoholics, laryngeal stridor, inverted t wave,confusion, associated with hypokalemia

hypermagnesemia- decreased deep tendon reflexes, hypotension, bradycardia, elevated t wave, weakness

hpochloremia- tremors/twitching, shallow breaths, associated with hyponatremia/hypokalemia, give oral salt tablets

hyperchloremia- weakness, lethargy, seen with cystic fibrosis, renal failure, diabetes insipidus

hypophosphatemia- associated with hypercalcemia, slurred speech, tetany, parathesias, increased breathing rate, hypoactive bowel sounds

hyperphosphatemia- associated with hypocalcemia, oliguria, corneal haziness, tachycardia, circumoral parathesias, tetany

acid-base imbalances

respiratory acidosis- copd, hypoventilation, etc.

respiratory alkalosis- hyperventilation

metabolic acidosis- dka, lactic acidosis, starvation, diarrhea, renal failure, shock

metabolic alkalosis- vomiting, nasogastric suctioning, diuretic therapy, excess licorice intake

iv solutions

isotonic- normal saline, lactated ringers, 5% dextrose in water

hypotonic- 0.45% ns, 0.225% ns

hypertonic- 5% dextrose in 0.45% ns, 5% dextrose in 0.9% ns

med-calc

vol (ml) / time (minutes) x drop factor = flow rate

dose order / dose on hand x amount available = amount to give

random

-vasopressin is for diabetes insipidus

-duodenal ulcers= pain relieved by eating

-gastric ulcers-pain exacerbated/unrelieved by food

-hypoparathyroid- low calcium, high phosphorus, s/s: parathesias

-hyperparathyroid- high calcium, low phosphorus, s/s: decreased deep tendon reflexes

-5 rights of delegation- right task, right circumstance, right person, right direction/communication, right supervision/evaluation

-normal serum osmolality= 275-295

-therapeutic digoxin level= 0.5-2

-therapeutic theophylline level= 10-20

-therapeutic lithium level = 1-1.5

-fetal heart strips: veal chop (variable is cord, early is head, accelerations is ok and late is placental insuffenciency)

- 60 mg= 1 gr

-autonomic dyreflexia- check foley first!

-mi treatment= mona (morphine, oxygen, nitro, aspirin)

-hyperglycemia = dry and drowsy, hypoglycemia = wet and wild

-pulse paradoxus- pulse is weak on inspiration and strong on expiration

-hypothyroidism: decreased t3 +t4, but increased tsh

-hypertyroidism: increased t3 + t4, but decreased tsh

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include the

oh

oh

oh

to

touch

and

feel

a

girls

lady parts

such

heaven

for the cranial nerves wahaha

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It's great to have a March support group! I'm taking the NCLEX March 11th. I'm a British-trained RN, so all this is very unfamiliar to me. Wish it was April 1st & we had all finished...:)

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any update guys? how's your studying>?

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I feel like a congenital idiot! Taking the NCLEX March 10th & I thought it was 11th. Taking evening Kaplan online starting Monday. Does anyone know how long Ohio takes to confirm results???

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Hi to all of you, I'll be taking mine on March 12. I hope we can all make it.This thread really helps us specially the tips that we can get here are really helpful. Thank you very much for having this support thread..Good luck to all of us. God be with us...

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Specializes in Cardiac ICU/ Telemetry.

Hi Everyone,

I am taking my boards end of March. If we passed nursing school, we are competent to pass boards. Several friends from school just took and passed thier boards. They said it was easier than our nursing final. I am sure everyone will do fine. Have a positive attitude, study, review, get enough rest, pray, and you WILL pass!

I am using a combinationg of Kaplan, Saunders, Mosby, ATI, etc. Just practicing questions and doing a general review of material. Also, I found lots of resources at the local library!

Anyone have any other tips???

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Let us all ask GOD's guidance and ask Him for strength to overcome this exam!

Good luck to all of us!

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OMG! Days seem to pass so fast than ever!! i feel so nervous as early as now.. :redbeathe dont know how am i gonna be able to make this. lets keep on praying..

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can you guys help me about drug computation?? tnx!

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I went through the first half of my LPN progression to RN program pregnant, the second half with an infant. Now on March 3 I will take the biggest exam of my life. I have held the scriptures Philippians 4:6-13 close to my heart. To everyone GOD bless all things can be done through Christ who strengthens you.

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We can do it!!! :cheers:

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