My study notes--Jan. test

[CriticalCareRN1]

My day is fast approaching. I have some of my study quick-cheat facts. It only lists things that I either can't remember from time to time, just like to view occasionally, or never new at all. I done over 4000 questions using Saunders/Silvestre 4e CD. Enjoy!! May the passing blessing be with you!!

Theophylline 10-20mcg/dl

--xanthine bronchodilator

----------------

ANTICONVULSANTS

Phenytoin (dilantin)

10-20mcg/mL

Phenobarbital

15-40mcg/mL

Valproic Acid (Depakene)

50-100mEq/mL

Carbamazepine (Tegretol)

6-12mcg/mL

Clonazepam (Klonopin)

20-80mcg/mL

Lithium

.6-1.3mEq/L

OTHERS

Digoxin

--0.5-2.0ng/ml

Aspirin

--10-20mg/dL

Synthroid

--0.1-0.2mg/daily

Baclofen

--15mg four times daily: 10-20mg

Tobramycin (tobrex)

--aminoglycoside

--nephrotoxicity & ototoxicity

Metroclopramide (Reglan)

--Tardive Dyskinesia

Prochloperazine (compazine)

--blurred vision

--antiemetic

--antipsychotic

--anticholinergic

Aluminum Hydroxide tablets

--should be chewed

--SE:constipation

--take 1hr apart from other meds

Cimetidine (Tagamet)

--SE: confusion most common

ACEI (pril)

--SE: angioedema

Cyclosporine

--do not take grapefruit

--administered iver 2-6hrs

--risk of anaphylaxis need epi and O2

PTU

--Adverse SE: agranulocytosis

Tamsulosin HCL (Flomax)

--30 min after meals

Epoetin alfa

--given subq

Meperidine (Demerol)

--not recommended for children b/c risk of induced seizures from a metabolite

Zidovudine (AZT)

--SE: nausea and headache, diarrhea

--adverse effect: agranulocytosis, neurotoxicity (fatigue, nystagmus, lethargy, ataxia), seizures

Ganzicyclovir (Cytovene)

--SE: hypoglycemia

--AE: neutropenia, thrombocytopenia

Fasting glucose

--70-110mg/dl

Neutrophils

--56%, 1800-7800mm3

Magnesium

--1.6-2.6mg/dL

Serum protein

--6-8g/dl

Serum PO4-

--2.7-4.5mg/dL

Cl-

-- 98-107mEq/L

Ammonia

--15-45mcg/mL

Male hct

--42-52%

WBC

--4500-11000

Shift to the left

--increased # of immature wbc

Shift to the right

--increased # of mature wbc

Total Bili

--

BUN

--8-25mg/dl

Creatinine

--0.6-1.3mg/dL

Fibrinogen

--180-340 (m)

--190-420 (f)

Antinuclear antibody test

-->>1:8=RA

ESR (inflammation)

--normal 0-30mm/hr

-- mild 30-40mm/hr

-- moderate 40-70

-- severe 70-150

PT

--9.6-11.8SEC

Clotting time

--normal: 8-15min

FOODS

High in P04

--Fish, vegetables, eggs, milik, whole grains, carbonated beverages

High in Mg

--avocado, canned white tune, caiuliflower, green leafy vegetables, milk, oatmeal, peanut butter, peas, pork, beef, chicken, potatoes, raisins, yogurt

High in K

--bananas, oranges

High in Iron

--lean meats, liver, shellfish, dark green vegetables, legumes, whole grains, enriched grains, cereals, molasses, milk high in Ca2+ and PO4-

Glaucoma

--normal pressure 10-21mmHg

INR

--anticoagulant 2-3

--prosthetic heart 2.5-3.5

--MI 2.5-3.5

Weight gain

--1-2lb/wk

Alcohol w/d

--6-8hrs after abrupt cessation

Muscle relaxant

--Baclofen

--only muscle relaxant intrathecally administered

Dehydration

--drink 16oz of fluid for every lb lost

Polymyositis

--inflamed muscle fibers and myocardial fiber

PN solution

--q 24hrs

--infection is a potential complication

Suspect Air embolism

--on left side with head higher than feet to trap air on right side of heart

Change IV site

--change q 2-3 days

Chest Tube

--gentle bubbling in suction chamber is okay

Blood Transfusions

--delay hanging if temp higher than 100F

CPR

--1-8YRS: 12-20breaths/min

--1.5in to 2in: adult

-- 1/3 to 1/2 depth of chest: child. & infants

Maternity

--avg. 6 peripads normal

Mumps

--droplet precautions indicated during period of communicability (before and after swelling)

Roseola

--communicable period unknown

--transmission unknown

Chicken-pox

--communicable period 1-2 days before onset of rash and 6 days after the first crop of vesicles when crusts have formed

Rubeola (german measles)

--airborne precautions/ direct contact with infectious droplets

--negative room pressure

--koplik's spots

--contagious period 4 days before and 5 days after the rash appears

Rubella

--aerosol droplet

--titer determination in antenatal tests >1:8

--petechial red, pinpiont spots on soft palate

Scarlett Fever

--Pastia's sign: blanched skin with pressure except in areas of folds and joints

--strawberry tongue

--edematous, beefy red pharynx

Impetigo

--communicable for 48hrs beyond initiation of antibiotic treatment

Diabetes Insipidus

--urine specific gravity lower than 1.006

Decreases Ca2+ absorption

--bran, rhubarb, whole grain cereals, spinach

Glimepiride and ETOH--> Disulfram rxn

Metformin

--SE: diaarrhea

T-Tube drainage

--500-1000ml/day

Deodorizing foods for ostomy

--beet greens, parsley, buttrmilk, yogurt

Histplasmosis

--opportunistic respiratory fungal infection

Sprains

--ice ONLY for first 24hrs at 20-30 intervals; RICE

Oil-based myelography

--position client in bed flat 6-8hrs after dye removed

Water-based myelography

--position client in bed w/ head elevated for atleast 8hrs to prevent dye inrritating cerebral meninges

Insulin

--keep potency at rm temp for 1mo

Suction

--safe range 100-120mmHg

Hippocampus

--recall of recent events

Cerebral Hemispheres

--specific functions control orientation

Limbic system

--feelings and emotions

Cerebrum frontal lobes

--calculations and knowledge of current events

Precental gyrus motor cortex

--voluntary motor activity

Broca's in frontal lobe

--aphasia: problems articulating words

Thalamus

--relay station

Hypothalamus

--autonomic nervous system (HR, BP, temp, fluid and electrolyte balance)

Reticular Activating system

--sleep-wake cycle

Limbic system

--emotions

CO2

--causes vasodilation of blood vessels in brain

--low CO2 causes vasoconstriction of blood vessels (headache, lightheadedness)

CN IX (glossopharyngeal)

--taste in posterior 2/3 of tongue, pharyngeal sensation and swallowing

CN X (vagus)

--thoracic and abdominal viscera sensations

Radiculitis

--spinal nerve root compression

ECT

--after 3 sessions, improvement in 1 week

Agnosia

--inability to recognize well-known objects

Apraxia

--inability to perform familiar skilled activities

Ataxia

--altered motor movements

Aphasia

--difficulty finding the right word to use

Lindane (scabene)

--work into dry hair and leave for 4mins, then rinse with warm water

--repeat 7 ten days

Malathion (Ovide)--head lice

--sprinkle lotion on dry hair and allow to dry; after 8-12hrs wash hair with non-medicated shampoo

--repeat 7-10 days

Permethrin rinse (nix)--head lice

--left in hair after shampooing for 10min, rinse out, and not shampooed for 24hrs

--residual effects for 10 days

Newborn

--not immerging into water until umbilical stump falls off

Spinal Immobilization

--use of Stryker frame to turn client to prevent complications of immobility while maintaining alignment of spine

[SeattleJess]

Looking at this list terrifies me. I'm starting my second quarter of nursing school in two days. HOW did you ever memorize all those facts?

[CriticalCareRN1]

Looking at this list terrifies me. I'm starting my second quarter of nursing school in two days. HOW did you ever memorize all those facts?

Your guess is as good as mine. It just comes with the territory. But you learn all this in stages. I was speaking to a nurse who used the same version as I did, and she took it last year in the summer, and said this book really helped. You know that the NCLEX changed in 2012--went from -.16 to .00 for passing analysis. So basically, the test is more tough to pass. So knowing that my insider took the test after the change, I'm confident to say that what I posted is golden. I have spoke to a girl who failed the first time, and she said to take your time, and not to rush through. Going through the questions on this CD, the very last word in the question could make a difference in what they are looking for-- ineffective, need more understanding/teaching, shows effective teaching/understanding. The study strategies for each of the questions give you ways to decipher between the choices. Those that are comparative or alike are 96% of the time not the answer. With the drugs, most of the time the choice affecting an organ like the kidneys or the liver is the answer 96% of the time, if you are lost with the drug, and it worked a lot of the time when answering the practice questions. I would use this book when studying each of the systems, so it won't seem overwhelming when studying for the NCLEX.

[Whispera, MSN, RN]

Keep in mind that NCLEX focuses on prioritization and delegation, and having a bad case of "nerves" is more likely to fail you than anything else...

[friendlyelse]

Wow. Why would you even use the word fail?? You need to have a positive attitude going into exam mode. Be confident in yourself. You worked hard and made it this far. You can do this and you will pass the Nclex. Its time to change the way you think and speak. Goodluck and remember positive attitude.

[CriticalCareRN1]

If you have faith in The Most High, Creator of all things holy and righteous, the word Fail is not an option in anything you do. Positivity is what you must exude to keep your spirits up for a $200 test you only want to take one-time. Blessings to all January testers!

[nursewr]

That is a good list

[NICUmiiki, DNP, NP]

Thanks. I've saved this in my folder of NCLEX study guides.

[CriticalCareRN1]

Your welcome. My pleasure! All those criTical care students, AACN membership is only $52 before you are licensed. Get at that price while you can! I've been reaping the benefits already with networking in my local chapter.

[Determined NNP]

Hello! You mention studying from the Saunders CD were there anything else that you used in addition to this CD that prepared you for the exams?

[CriticalCareRN1]

Nope. Just the Saunders/Silvestre book and the accompanying CD. No NCSBN, kaplan, or hurst. Saunders is THOROUGH!! You will do very well if you get through this book and the CD. I had the 3rd edition and did well.