Nclex Diagnosis Treatment!!

KAYBDT6, BSN, RN · Aug 30, 2009

what shld the nurse assess for in a pt who is taking lanoxin

1- hyperNa

2- hyperCa

3- hypoK

4- hyperK

von9 · Aug 30, 2009

what shld the nurse assess for in a pt who is taking lanoxin
1- hyperNa:wink2:
2- hyperCa
3- hypoK
4- hyperK

I choose #1,cause u should not too much na.

KAYBDT6, BSN, RN · Aug 30, 2009

I choose #1,cause u should not too much na.

Correct ans is 3 Nope, digitalis cos hypokalemia

KAYBDT6, BSN, RN · Aug 31, 2009

Wishing everybody sitting for nclex best of luck!!

KAYBDT6, BSN, RN · Aug 31, 2009

isolation precaution in hospital

universal precaution: prevention of nosocomical infections. the tent of standard precaution are that all pt are considered infected with micro-organism with or w/o s/sx and a uniform of caution should be used in all pt cared for.

standard precaution include: blood, all body fluids, mucous membrane, non-intact skin, secretion and excretion except sweat regardless of whether or not it contains blood. standard precaution are designed to reduce the risk of transmission of micro-organism from both infected and uninfected pt in the hospital.

contact precaution is divided into 2 groups

direct contact transmission involves when a nurse turn a pt, gives apt bath, perform other pt activities that require direct personal contact. also it can occur btw 2 pt in which one serves as source of infectious micro-organism and other serving as a susceptible host.

indirect contact transmission involves contact of a susceptible host with a contaminated object usually inanimate such as contaminated needles, dressing, contaminated hands that are not washed and gloves that are not changed btw pt. handwashing is considered as the most single important measure to reduce risk of transmitting organism from one pt to another pt. wearing gloves does not eliminate hand washing because gloves may have small defect such as torning during use and hands becomes contaminated during removal of gloves.

example of contact precaution disease:

abscess

hemorrhagic fever(ebola)

resistant bacteria

scabies

mrsa

mononucleosis

hsv

impetigo

boils

heroes simples type 1(cold sores)

pediculice(lice)

rubella

strep staphylococcus

shingles(zoster)

droplet transmission: involve pt infected primarily during coughing, sneezing, talking and during performance of certain procedure suction as suctioning, cvl, and bronchoscopy. transmission via large particle drolplets will occur only when there is close contact with infected person. the nurse should wear a mask when suctioning pt on droplet precaution and during bronchoscopy.

droplet precaution disease: influenza(flu)

mumps (droplet and contact) with saliva

meningococal (meningitis), pneumococcal droplet and contact with infected respiratory secretion

haemophilus influenzae

streptococus pneumoniae droplet and contact

rsv - droplet and direct or idirected with infected respiratory secretion

bordetella pertusis.

airborne transmission : occur by same route via droplet transmission but airborne droplet are very small and propelled a long distance through the air.

tb

chicken pox ( varicella)

good luck nclex transmission!

KAYBDT6, BSN, RN · Sep 5, 2009

cushing’s syndrome?

endocrine and metabolic changes

cortisol-induced insulin resistance and incr gluconeogenesis in liver

incr androgen production

musculoskeletal changes

hypokalemia

incr catabolism

dcr bone mineral ionization

osteopenia

osteoporosis

skeletal growth retardation (in children)

skin changes

dcr collagen and weakened tissues

signs and symptoms

dm with dcr glucose tolerance,

fasting hyperglycemia, and glucosuria

mild virilism and hirsutism

clitoral hypertrophy

amenorrhea or oligomenorrhea (in women);

sexual dysfunction

muscle weakness, loss of muscle mass

pathologic fractures

purple striae;

facial plethora (edema and blood vessel distention);

acne

fat pads above clavicles

over upper back (buffalo hump)

on face (moon face)

trunk (truncal obesity) with slender arms and legs;

little or no scar formation

poor wound healing

spontaneous ecchymosis

hyperpigmentation

KAYBDT6, BSN, RN · Sep 5, 2009

VON, HOPE THESE WILL HELP!!

http://thepointeedition.lww.com/pt/re/978158255515

von9 · Sep 5, 2009

VON, HOPE THESE WILL HELP!!
http://thepointeedition.lww.com/pt/re/978158255515

Hi kay,i am so...........thankful.:wink2::typing

KAYBDT6, BSN, RN · Sep 26, 2009

nclex fact

least invasive first

pain never killed anyone

never release traction unless you have an order from the md to do so

polyuria—think shock first

if you have never heard of it…. don’t pick it!

anytime you see fluid retention... think heart problems first

stay away from restraints as long as you can… remember the nclex is

a perfect world.

do not pick an answer that delays care or treatment.

never pick an answer that does not allow your patient to speak.

select a “patient focused” answer.

with priority questions… remember you can only send one message to

the nclex lady… so you must pick the “killer” answer

adh—think h2o

aldosterone—think sodium and water

with siadh—too many letters too much water

more volume—more pressure

less volume—less pressure

anytime you see the words “assessment” or “evaluation” think pertinent

signs and symptoms

there will not be a test questions unless there is something to worry

about…

assume the worst

if there is something you can do about the problem first... do that before

calling the hcp

hypoxia may be the first sign of respiratory acidosis

with restless patient… think hypoxia first

limit protein in kidney patients except with nephrotic syndrome

like illness can be put in the same room together

if there are any long term consequences to your patient with the answer

you pick, you should not pick that answer.

assess before implementing

if you have a fluid problem you have a na problem too

if you have a fluid problem… you will do i&o and daily weights

“always” and “whenever” are too definite

read the questions…. then decide what you are worried about…

then pick an answer that you can do to solve the problem

if you see words like “assessment” or “evaluation” in the stem of the

question…. think pertainate signs and symptoms. the presents or

absence of the signs or symptoms.

you can’t use medical dx in a nursing diagnosis

you will report something “new” or different” or “possible” to the next

shift nurse.

if you can narrow the answers down to 2 answers… pick the more life

threatening answer.

anytime you have a mg or ca question… think muscles first.

digoxin + hypokalemia= toxicity

you elevate veins and dangle arteries.

always worry if the rate decreased with a pacemaker

never pick an answer that puts your work off on anyone else

never pick an answer that does not allow your patient to speak

never pick an answer that ignores or brushes off the patient’s compliant.

if the answer is not applicable to the situation… don’t pick it.

i promise that i will be happy if you get more right than wrong… we are

not trying to get a 100!

KAYBDT6, BSN, RN · Sep 26, 2009

Hi kay,i am so...........thankful.:wink2::typing

VON, pm before monday or text me on my cell phone. I have a review note to share with you.

Pedsnurze · Sep 27, 2009

I need to know your schedule in other to plan my day. Are u working day or night shift? Let me know you off days, but i don't mind doing it everyday. Am ready anytime!! I will pm you my cell #, anytime you're on your computer, you can always text me. Am still much around till 3am.
PLAN A
What are your weakness in terms of content?
what NCLEX review book are you using?
Assignment
you need to know your content first before applying strategy on how to pik an answer.
We all need to start from the basic first.
Read up your Fundamentals[/quote
Just noticed this thread is it to late to join you guys? I have Saunders 4th edition, a drug book, A med-surg book from 2005. Would you please send me the notes and info to get started. It is 7:30 PM now and days are best for me but I'm flexible and just greatful for you and the help.

jabwemet · Sep 28, 2009

kay you are a big help I would like to join to please send me the info