Anyone Up For Random FACT THROWING??

Let's have some fun learning. Each person should throw out 5 random facts or "things to remember" before taking your finals, HESI, NCLEX, etc. Nursing Students NCLEX Article

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OK I know this sounds stupid but I have a friend that gets really freaked out before big tests like finals, HESI, NCLEX, and usually we get together and a few days before I start throwing out random facts at her. On 2 different tests she said the only way she got several questions was from the random facts that I threw at her that she never would have thought of!

SOOOOO..... I thought that if yall wanted to do this we could get a thread going and try to throw out 5 random facts or "things to remember". NCLEX is coming and the more I try to review content the more I realize that I have forgotten so......here are my 5 random facts for ya:

OH and BTW these came from rationales in Kaplan or Saunders no made up stuff:

1️⃣ A kid with Hepatitis A can return to school 1 week within the onset of jaundice.

2️⃣ After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine.

3️⃣ Hyperkalemia presents on an EKG as tall peaked T-waves

4️⃣ The antidote for Mag Sulfate toxicity is ---Calcium Gluconate

5️⃣ Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact.

Oh, ohh, one more...

? Vasopressin is also known as antidiuretic hormone

OK your turn....

Specializes in Medical/Surgical, Ambulatory Care.

1) With neurogenic shock, you have bradycardia (it's the only shock with bradycardia)

2) Blood products need to be finished infusing within 4 hours of starting

3)Urine output of

4) Tonsillectomy post-op---- frequent swallowing indicated bleeding!!!

5) When infusing TPN---ALWAYS check blood sugars!

---Learned in Nursing School :-)

just some testing strategies....

*pray like you've never prayed before!!!

* least invasive first

*pain never killed anyone - look for the life threatening problem

* stay away from restraints as long as you can

*always assess the patient before the machine

*always assume the worst - dont pick answers that "do nothing"

*digoxin + hypokalemia = toxicity

* never pick "passing the buck" answers (ex. ask your doctor)

hope these help.:o

lmichel,rn2b said:
just some testing strategies....

*pray like you've never prayed before!

* least invasive first

*pain never killed anyone - look for the life threatening problem

* stay away from restraints as long as you can

*always assess the patient before the machine

*always assume the worst - dont pick answers that "do nothing"

*digoxin + hypokalemia = toxicity

* never pick "passing the buck" answers (ex. ask your doctor)

hope these help.:o

I am finally "seeing" what you have posted after taking Kaplan!! ty for posting this again. I believe in the power of prayer.... say one for me on Thursday??

LaneRN said:
For those of you that are looking for the random fact throwing documents please look at pg 385 post #3844 there r links for a download. Hope this helps and good luck to all of us who are trying to pass the NCLEX

Do you have to have microsoft word? I don't :(??

Hmm.. I wanna share some things, hope it helps :D

R-espiratory

O-pposite

M-etabolic

E-qual

Midriatics- it has a letter "d" in it so it causes dilation xP

Miotics- it has no letter "d" so it causes constriction

Maoi-usually takes 3-4wks until it takes effect

Ssri- 4wks to take effect

.45NaCl is the only hypotonic solution

Remember your ABC's and do assessment firstbefore implementing..

Specializes in Rehab, Geriatrics & School Nurse.
Callisonanne said:
Originally Posted by Melony, RN

Okay I got one...sorry if this is offending..but it is how I remember acid base imbalances...

If it come out your ***...its metabolic acidosis...

by vomitting...metabolic alkalosis...

^ You can remember that alkalosis sounds like alcohol which makes you vomit ?

Thank u so much for this was doing practice questions and used this and I got it right ..THANK YOU THANK YOU!

so many knowledge flowing...

Specializes in DIALYSIS.

Thanks for the random FACT THROWING documents, 'got it.

homonymous hemianopsia is blindness in the same visual field of both eyes.

1. Regular insulin is the ONLY insulin that can be administered IV.

2. Celiac Sprue pts cannot have gluten.

3. Lantus cannot be mixed with ANY other insulin.

4. Appendicitis- palpate at McBurney's Point, RUQ periumbilical, rebound tenderness, abd rigidity.

5. Fat soluble vitamins are K, A, D, and E. (Remember KADE)

6. Late FHR Decels= uteroplacental insuffiency.

7. Variable FHR Decels= umbilical cord compression.

8. Early FHR Decels= a GOOD sign.

9. Abdominal assessment- inspect, auscultate, percuss, palpate

10. CF chloride breath test- positive if Chloride is >60.

hope this helps :)

Therapeutic drug levels

Following are some of the drugs that are commonly checked, followed by the normal target levels:

- Acetaminophen: varies with use

- Amikacin: 15 to 25 mcg/mL

- Aminophylline: 10 to 20 mcg/mL

- Amitriptyline: 120 to 150 ng/mL

- Carbamazepine: 5 to 12 mcg/mL

- Chloramphenicol: 10 to 20 mcg/mL

- Desipramine: 150 to 300 ng/mL

- Digoxin: 0.8 to 2.0 ng/mL

- Disopyramide: 2 to 5 mcg/mL

- Ethosuximide: 40 to 100 mcg/mL

- Flecainide: 0.2 to 1.0 mcg/mL

- Gentamicin: 5 to 10 mcg/mL

- Imipramine: 150 to 300 ng/mL

- Kanamycin: 20 to 25 mcg/mL

- Lidocaine: 1.5 to 5.0 mcg/mL

- Lithium: 0.8 to 1.2 mEq/L

- Methotrexate: greater than 0.01 mcmol

- Nortriptyline: 50 to 150 ng/mL

- Phenobarbital: 10 to 30 mcg/mL

- Phenytoin: 10 to 20 mcg/mL

- Primidone: 5 to 12 mcg/mL

- Procainamide: 4 to 10 mcg/mL

- Propranolol: 50 to 100 ng/mL

- Quinidine: 2 to 5 mcg/mL

- Salicylate: 100 to 250 mcg/mL

- Theophylline: 10 to 20 mcg/mL

- Tobramycin: 5 to 10 mcg/mL

- Valproic acid: 50 to 100 mcg/mL

Note:

- mcg/mL = microgram per milliliter

- ng/mL = nanogram per milliliter

- mEq/L = milliequivalents per liter

- mcmol = micromole

Toxic levels for some of the drugs that are commonly checked:

- Acetaminophen: greater than 250 mcg/mL

- Amikacin: greater than 25 mcg/mL

- Aminophylline: greater than 20 mcg/mL

- Amitriptyline: greater than 500 ng/mL

- Carbamazepine: greater than 12 mcg/mL

- Chloramphenicol: greater than 25 mcg/mL

- Desipramine: greater than 500 ng/mL

- Digoxin: greater than 2.4 ng/mL

- Disopyramide: greater than 5 mcg/mL

- Ethosuximide: greater than 100 mcg/mL

- Flecainide: greater than 1.0 mcg/mL

- Gentamicin: greater than 12 mcg/mL

- Imipramine: greater than 500 ng/mL

- Kanamycin: greater than 35 mcg/mL

- Lidocaine: greater than 5 mcg/mL

- Lithium: greater than 2.0 mEq/L

- Methotrexate: greater than 10 mcmol over 24-hours

- Nortriptyline: greater than 500 ng/mL

- Phenobarbital: greater than 40 mcg/mL

- Phenytoin: greater than 30 mcg/mL

- Primidone: greater than 15 mcg/mL

- Procainamide: greater than 16 mcg/mL

- Propranolol: greater than 150 ng/mL

- Quinidine: greater than 10 mcg/mL

- Salicylate: greater than 300 mcg/mL

- Theophylline: greater than 20 mcg/mL

- Yobramycin: greater than 12 mcg/mL

- Valproic acid: greater than 100 mcg/mL

positioning facts:

- trying to improve/promote o avoid/prevent something.

- what are you trying to prevent/promote?

- promoting circulation? venous, arterial… after angiogram.(supine with affected extremity extended)

- think about anatomy, physiology and pathophysiology

- what position best accomplished what you are trying to prevent or promote?

anaphylactic reaction: place in supine position with legs elevated

air/pulmonary embolism (s&s: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> position the client to a left trendelenburg position with the hob lower (this will trap the air in the right side of the heart

pneumonia on right side, position with the left side dependent

for a lung biopsy, position pt lying on side of bed or with arms raised up on pillows over bedside table, have pt hold breath in midexpiration, chest x-ray done immediately afterwards to check for complication of pneumothorax, sterile dressing applied

best position to improve respiration effort = left lateral, folwer & modifications of it

detached retina --> area of detachment should be in the dependent position

after cataract surgery --> pt will sleep on unaffected side with a night shield for 1-4 weeks.

eye problems do not want head in dependent position. lie on good side and have bad eye up or elevate the head of the bed to 35 degrees.

infant w/ cleft lip --> position on back or in infant seat to prevent trauma to suture line. while feeding, hold in upright position. cleft palate - on side or abdomen

meneries- position affected side

after myringotomy --> position on side of affected ear after surgery (allows drainage of secretions)

after thyroidectomy --> low or semi-fowler's, support head, neck and shoulders.

tube feeding w/ decreased loc --> position pt on right side (promotes emptying of the stomach) with the hob elevated (to prevent aspiration)

infant with laryngomalacia(congenital laryngeal stridor), place in prone position with neck hyperextended to decrease stridor

infant w/ spina bifida --> position prone (on abdomen) so that sac does not rupture

during epidural puncture --> side-lying

for a lumbar puncture, pt is positioned in lateral recumbent fetal position, keep pt flat for 2-3 hrs afterwards, sterile dressing, frequent neuro assessments

after lumbar puncture

- (and also oil-based myelogram oil based dye heavier bed flat)--> pt lies in flat supine (to prevent headache and leaking of csf).post laminectomy -flat position

- myelogram postop positions. water based dye (lighter) bed elevated.

head injury --> elevate hob 30 degrees to decrease intracranial pressure

william's position - semi fowlers with knees flexed (inc. knee gatch) to relieve lower back pain.

autonomic dysreflexia/hyperreflexia (s&s: pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension) --> place client in sitting position (elevate hob) first before any other implementation.

seizure position patient on his or her side in a lateral position

shock --> bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified trendelenburg)

buck's traction (skin traction) --> elevate foot of bed for counter-traction

after total hip replacement --> don't sleep on operated side, don't flex hip more than 45-60 degrees, don't elevate hob more than 45 degrees. maintain hip abduction by separating thighs with pillows.

above knee amputation --> elevate for first 24 hours on pillow, position prone daily to provide for hip extension.

below knee amputation --> foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.

prolapsed cord --> knee-chest position or trendelenburg. call for help!! get that bottom off the cord! support cord with you hand

woman in labor w/ un-reassuring fhr (late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give o2, stop pitocin, increase iv fluids)

preterm high risk: position in add & flex extremities w/ rounded shoulders

pt w/ heat stroke --> lie flat w/ legs elevated

bridiging technique ,which i had never heard of is a type os positioning of pillows used to relieve pressure on bony prominences

liver biopsy - position supine with arms raised above head. lay on right side after liver biopsy.

during continuous bladder irrigation (cbi) --> catheter is taped to thigh so leg should be kept straight. no other positioning restrictions.

nephrotic syndrome require good skin care and frequent position changes d/t edema

parkinson risk of aspiration --> upright during feeding.

to prevent dumping syndrome (post-operative ulcer/stomach surgeries) --> eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low cho and fiber diet, small frequent meals)

peritoneal dialysis when outflow is inadequate --> turn pt from side to side before checking for kinks in tubing (according to kaplan)

- when more dialysate drains than has been given, more fluid has been lost(output). if less is returned than given, a fluid gain has occured.

- peritoneal dialysis if outflow slow check tube for patency, turn pt side to side

• weight before and after treatment

• monitor bp

• monitor breath sounds

• use sterile technique

• if problem w/ outflow, reposition client

• side effects: constipation

- slow dialysate instillation- increase height of container, reposition client. poor dialysate drainage-lower the drainage, reposition.

administration of enemaà position pt in left side-lying (sim's) with knee flexed. do not elevate the head of bed

colonoscopyàleft sims position

after supratentorial surgery (incision behind hairline) --> elevate hob 30-45 degrees

after infratentorial surgery (incision at nape of neck)--> position pt flat and lateral on either side.

during internal radiation --> on bedrest while implant in place