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Hello to everyone
Everyone is welcome to join this group. lets study together share views and give each other support and encouragement.
Who had passed exam your views, encouragement, advice would be appreciated.
By God grace we will pass this exam.
I am doing content write now. I did questions before I did not pass . So now going to concentrate more on content.
Any advise or tips .
hello everyone hope u all doing well wth the review ,well i found out today (vermount)that i need to submit a review course 1. cert of completion 2, over all test.. so i had along chat with my wife and we both feel that kaplan is the choice thou its quite expensive £399(uk)its sounds and look promising (fingers cross)so today is a start of something good...although im working full time senior nursein on an orthopedic ward reviewing at the same time is hard work...so i hope u all do the same keep striving coz we can all do it ( with Gods help we can).. and thanks a million to NEVER STOP SMILING awesome person...who gives us some tips and reminder.....GOd bless everyone...
Since you mentioned Kaplan course... I can tell for myself it is worth it every penny, I love their Decision tree and Q-bank. Nursing content is well prepared and easy to review. It is organised in step by step manner which makes me less anxious. Create time on your schedule every day or every other day but stick to it consistently till your exam. 3 months are plenty for exam preparation. Believe in yourself!!! Write if you need to believe it.... "I will pass NCLEX_RN EXAM!" Surround yourself with positive thoughts and supportive people!!! May positive energy be with everyone!!!
HEY GUYS!!!!!!!!!!!!THANKS A LOT FOR KIND WORDS!!!!!!!!!!!!I'M REALLY TOUCHED. I REMEMBER THE TIME WHEN I WAS IN NURSING SCHOOL HERE, IN USA,( BON REQUIRE SOME CLASSES)IT WAS LIKE A BUM IN MY HEAD. I WAS STRESSED & CONFUSED(MY ENGLISH WASN'T GOOD IN THAT TIME), DEPRESSED(LOST 25 LBS IN 2 WEEKS),KIDS SO LITTLE(PREASCHOOLERS).......IN ONE WORD CRAZY, BUT...WE HAD AN AMAZING , SUPPORTIVE GROUP(REALLY MISSED THEM ALL),& I CAN'T FORGET HOW'S EVERYBODY SUPPORTING ME!!!!!!!!!!!!!AND ONCE I ASKED MY CLASSMATE THAT HOW I CAN THANK HIM, & AND HE ANSWERED:"U WUOLD THANK ME IF ONE DAY U CAN HELP SOMEBODY ELSE WHO WILL NEED HELP. BECAUSE I'VE BEEN HELPED WITH OTHER PEOPLE". AND NOW .......IF MY LITTLE TIPS CAN HELP SOMEBODY, I'TS REALLY BIG WORLD FOR ME. BECAUSE IT'S LIKE A CHANE . WE CAN'T GO FORWARD WITHOUT SUPPORTING AND BEING SUPPORTED. WHAT GOES AROUND , COMES AROUND. GOD BLESS U ALL. BE HAPPY, HEALTHY, AND SUCCSSEFUL...:heartbeat
1. rh negative mom gets rhogam if baby rh positive. mom also gets rhogam after aminocentesis, ectopic preganancy, or miscarriages.
[color=dimgray]hodgkins- reed sternberg cells
[color=dimgray]multiple myeloma- benz jones protein (24 hour urine)
[color=dimgray]dic- elevated d dimer, low fibrogen
[color=dimgray]leukemia- thrombocytopenia (low platlets below 150,000)
[color=dimgray]aplastic anemia- pancytopenia (low rbc, low wbc, low platlets)
[color=dimgray]sickle cell- hgb –s
systemic lupus - anti nuclear antibodies
hiv - western blot test
1. side effect of clozaril is extreme salivation
2. when taking cimetidine (tagamet), elderly are at risk for developing confusion, so check for mental status.
3. side effects of lidocane are bradycardia, heart block, cardiovascular collapse, and cardiac arrest. this drug should never be admisnistered without continous ekg monitoring.
q1:how is congenital hypothyroidism diagnosed?
a1:newborn screening revealing low t4 and high tsh.
q2:what are the symptoms of congenital hypothyroidism in early infancy?
a2:large protruding tongue,coorifice hair,lethargy,sleepiness and constipation.
q3:what are the metabolic effects of pku?
a3:cns damage,mental retardation and decreased melanin
q4:if u wave is most prominent,what condition might then suspects?
a4:hypokalemia
q5:what is the initial sign of gerd?
a5:forceful vomiting
high risk for cholelitiasis: 5f's>female, fertile,forty,fat,fair
high risk for pancreatitis: 5m's>male,middle age,mephenol,meal heavy,midnight or early mornin attack
aspirin-for tia.purpose:to inhibit platelet aggregation
aricept-donepezil>newer drug for alzheimers
decadron(dexamethasone)-s/e occult blood in the stool
note:for tb patient taking anti tb drug,question the order decadron-
reactivates old tb lesions and precipitates hemoptysis
on wounds:
if its wet, then dry it (apply dry dressing)
if its dry, then wet it (apply wet dressing)
drugs for bradycardia and decrease bp
isoproterenol
dopamine
epinephrine
atropine
prostate problems are no fun
f[color=sandybrown]requency
u[color=sandybrown]rgency
n[color=sandybrown]octuria
who needs dialysis? aeiou the vowels do
acid base problems
elecrolyte problems
intoxications
overload of fluids
uremic symptoms
hyperosmolar hyperglycemic nonketotic syndrome (hhns):
– severe ↑ glucose, almost exclusively in type 2 diabetics
– similar to dka but usually have much higher glucose (>600) and no acidosis or ketonuria/ketonemia
– treat with [color=#3366ff]fluids and [color=#3366ff]low dose insulin infusion
– an important distinction is that dka usually occurs in type 1 diabetics, while hhns most often occurs in type 2 diabetics. remember this as it is a common question in the nclex world.
reasons for high alarm-
. increased secretions in airway, think suction
reasons for low alarm-
bottlefed neonate's first feed is with sterile water than formula
multiple myeloma- condition in which neoplastic plasma cells infiltrate the bone marrow resulting in osteoporosis, high risk for fractures so we need to install precautions with position changes
with cardiac tamponade, venous pressure rises and neck veins become distended
for chest physiotherapy, percussion should only be done in the area of the rib cage
evaluation of htn is a key assessment in the course acute glomerulonephritis
recommended age for switiching from formula to whole milk is 12 months to prevent allergies and lactose intolerance
chronic, under treated asthma can lead to lung remodeling and permanent changes in lung function
priority care/triage
emergent priority (1st): requires immediate attention and continuous evaluation yet have a high survival rate
-trauma
-chest pain
-severe respiratory deficits
-chemical splashes to the eyes
urgent priority (2nd): injuries non life threatening..treated within 1-2 hours and are evaluated every 30 to 60 minutes thereafter.
-simple fracture
-asthma without respiratory distress
-fever
-hypertension
-abdominal pain
-renal stone
nonurgent priority (3rd): clients can wait several hours before being seen and require 1-2 hours of evaluated thereafter.
-minor laceration
-sprain
-cold symptoms
so if someone came in with a chest pain because they ate something wrong and another person that came in with a high blood pressure, do pick the chest pain first.
delegations
cnas
-skin care, feeding, toileting, vital signs (not initials), height, weight, ios, rom exercises, ambulation, transporting, grooming, and hygiene meaures of stable clients.
lpns/lvns
-physiologically stable clients with predictable outcomes
-dressings, suctionings,urinary catheterization,med admin(only oral, subcutaneous,and intramuscular),no rectal or iv meds
rn associated:
-care for individual in a structured health care environment
rn bsn:
-care for individuals, families, groups, and communities in both structured and unstructured health settings.
rn (all):
-assessment/planning care, initiating teaching, iv meds
rn can not delegate these tasks:
-initial assessments of clients
-evaluation of client data
-nursing judgement
-client/family educatoin/evaluation
-nsg diagnosis
addison's (hyposecretion of adrenal cortex hormone)
6 a's of addison
1. avoid stress
2. avoisd strenous activity
3.avoid individuals with infection
4.avoid otc meds
5.a lifelong glucocorticoids therapy
6.always wear medic alert bracelet
cushing's (hypersecretion of adrenal cortex)
check vital signs esp bp
urinary output and weight monitoring
stress management
high chon diet
infection precaution
na restriction
glucose and electrolytes monitoring
spousal support
drug/food interaction
-synthroid (take on empty stomach--take in the morning)
-digoxin (take on empty stomach)
-zyvox (limit tyramine food to less than 100mg a day)
-maois (no tyramine)
-tetracycine (no dairy products)
-coumadin (no vit k)
-lithium (no alcohol consumption)
-benzodiazepines-ativan (no grapefruit juice)
-cholesterol meds (no grapefruit juice)
-neostigmine (give to myesthenia gravis clients 45 minutes before meal to help with chewing)
drug/drug interaction
(do not take together meds)
-maois and ssris
-vasopressin (do not med with demeclocycline, epinephrine, lithium)
-atropine (monitor with digoxin because of dig. toxicity)
-atropine (do not give with potassium salts bc it may delay solid potassium passage in the gi tract which could increase risk for ulcers)
special diets with these symptoms/disease/conditions:
-gout (no purine in diet)-eat more cherries
-anemia (too much milk can reduce intake of iron)
-celiac disease: avoid brow (barley, rye, oat, wheat)
-diabetes type 1: eat 3 meals a day
-diabetes type 2: decrease in the calories and fat
-diarrhea: increase protein, increase calories, decrease fiber
-cushing: increase protein, increase calories, increase calcium and vit d
-crohn's: increase protein, increase calories, decrease fat, low residue diet
-ulcer colitis: low fiber diet
-neutropenic conditions: no milk, raw fruit or veggies
-kidney stones: avoid calcium
-calcium oxalate (renal stones): avoid spinach, black tea, rhubarb
-dumping syndrome: increase fat and protien intake, low roughage diet, low carb, no milk, no sweets, no liquid between meals
immunizations....
influenza...allergy to eggs
hepatitis b...allergy to yeast
measles/mumps...allergy to nepmycin
opv/ipv...allergy to streptomycin
varicella...allergy to gelatin/neomycin
agnosia - i don't know what it is (when an object is placed in hand)
apraxia - my practiced skills are lost (can't carry out a purposeful activity)
procainamide - for dysrhythmias unresponsive to lidocaine
ridaura - gold, for arthritis (think shiny, aura)
tessalon - anti-tussive (sounds like tuss)
cognex - for alzheimer's (sounds like cognition)
calcium carbonate has the most calcium of oral types
neupogen - sounds like "generates neutrophill
epogen - sounds like "erythropoetein generator"
flomax - improves urinary flow with bph (urine flows)
dimetane - an antihistimine (dimetapp)
which anti-coagulant is safe in pregnancy? heparin is! it does not cross the placenta, so when it is ordered, give it, and when you do it is sub-q.
Hello everyone. I jus graduated nursing school and plan on taking my NCLEX the middle of June. I am looking forward to having a support group during this process. I start the Kaplan classroom anywhere tomorrow night.
hiya welcome to the group...i was also going for Kaplan classroom anywhere,this weeek i heard from lots of nurses that its one of the best reviewer out there........Goodluck and Godbless
diya77
8 Posts
definitely this infor would be very helpful for every1 out there.
thnk u so much...