NCLEX Tip of the Day - 2/6

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Specializes in CVICU.

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.

What is a t-tube? I'd never heard of one. It drains bile from the bile duct after gallbladder sx, and there could be a lot of drainage, up to 400 cc's/day. It should be bloody initially, and then green. Count it as output.

Why does skin temperature drop when someone is experiencing acute pain? Because they are sweating (diaphoretic).

What's a ureteral catheter? It may be placed to drain urine from the ureter along with a foley. The foley gets d/c'd first, the ureteral one can be clamped so your patient can pee normally, and then you unclamp it to see how much residual there is! Once there is no residual it is also d/c'd. Who knew?

What if you find your TURP patient in a wet bed? The catheter is either too small, or the patient is having bladder spasms, causing leakage.

What's given for alcohol withdrawl? Librium. Narcotic withdrawl? Methadone. Narcotic withdrawl with respiratory depression? There you go...Narcan.

Who get's c-diff? Hospitalized patients, that's who. Almost half of your patients who get diarrhea in the hospital have c-diff, and got it from somebody who works there.

You've run out of tube feeding. Which solution is most like TPN while you're waiting for the pharmacy? D10W.

What is the solution of choice for volume replacement in the ER? Lactated Ringers.

How does acute renal failure differ in s/s from chronic? With acute there is an oliguric phase when the kidney is really sick, followed by a diuretic phase when the kidney is starting to get better and urine starts to flow again. With chronic, the kidney slowly deteriorates, and output decreases.

That's it for tonight. :idea:

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Do you post these all in a file somewhere on here or can you? These are really good.

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Specializes in CVICU.

I just jot my own notes down by hand as I'm studying, and have been posting some of them here. Glad they're helping. I'd just cut 'n paste them if you want to save them. Good luck as you prepare.

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Thanks a lot. They are super good!

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Specializes in LTAC, Homehealth, Hospice Case Manager.

Mind if I ask what you are studying from?

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Specializes in CVICU.

I study from a variety of NCLEX reviews, as well as my good old text books.

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