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april31099

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  1. My husband did NCSBN Learning Extension and he felt it helped him most on his exam. It's $50 for 3 weeks. Hope all goes well with your exam! :)
  2. My husband's posted 48 hours after he COMPLETED the test. He started at 7:30 am, finished at 9:30 and his results posted 2 days later at 9:30 on a Saturday. Good luck! :)
  3. Make sure it says "delivery successful" before trying to reregister. Hope it works out for you!
  4. You're in my prayers...best wishes on your exam!
  5. Pharmacology - Know Indication/Action/Effect Prefix/Suffix -ase = thrombolytic -azepam = benzodiazepine -azine = antiemetic; phenothiazide -azole = proton pump inhibitor, antifungal -barbital = barbiturate -coxib = cox 2 enzyme blockers -cep/-cef = anti-infectives -caine = anesthetics -cillin = penicillin -cycline = antibiotic -dipine = calcium channel blocker -floxacin = antibiotic -ipramine = Tricyclic antidepressant -ine = reverse transcriptase inhibitors, antihistamines -kinase = thrombolytics -lone, pred- = corticosteroid -mab = monoclonal antibiotics -micin = antibiotic, aminoglycoside -navir = protease inhibitor nitr-, -nitr- = nitrate/vasodilator -olol = beta antagonist -oxin = cardiac glycoside -osin = Alpha blocker -parin = anticoagulant -prazole = PPI's -phylline = bronchodilator -pril = ACE inhibitor -statin = cholesterol lowering agent -sartan = angiotensin II blocker -sone = glucocorticoid, corticosteroid -stigmine = cholinergics -terol = Beta 2 Agonist -thiazide = diuretic -tidine = antiulcer -trophin = Pituitary Hormone -vir = anti-viral, protease inhibitors -zosin = Alpha 1 Antagonist -zolam = benzo/sedative -zine = antihistamine Pharm Facts -Don't give non-selective beta-blockers to patients w/respiratory problems -Vitamin C can cause false +I've occult blood -Avoid the 'G' herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc) -ASA toxicity can cause ringing of the ears -No narcotics to any head-injury victims -Mg2+ toxicity is treated with Calcium Gluconate -Do not give Calcium-Channel Blockers with Grapefruit Juice -Oxytocin is never administered through the primary IV -Lithium patients must consume extra sodium to prevent toxicity -MAOI Patients should avoid tyramine: oAacados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream. -Don't give atropine for glaucoma – it increases IOP -Don't give ant-acids with food -- b/c it delays gastric emptying. -Don't give Stadol to Methadone/Heroin Preggo's -- cause instant withdrawal symptoms -Insulin – clear before cloudy -Don't give meperidine (Demerol) to pancreatitis patients -Always verify bowel sounds when giving Kayexelate -Hypercalcemia = hypophosphatemia (and vice versa) -Radioactive Dye – urine excretion -Signs of toxic ammonia levels is asterixis (hands flapping) -D10W can be substituted for TPN (temporary use) -Dopamine and Lasix are incompatible -Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants) -Common symptom of aluminum hydroxide – constipation -Thiazide diuretics may induce hyperglycemia -Take iron with Vit C – it enhances absorbtion – Do not take with milk -B1 - For Alcoholic Patients (to prevent Wernicke's encephalopathy & Korsakoff's synd) -B6 - For TB Patients -B9 - For Pregnant Patients -B12 - Pernicious anemia, Vegetarians. -Complications of Coumadin - 3H's - Hemorrhage, hematuria & hepatitis -FFP is administered to DIC b/c of the clotting Fx -Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp – use a filter needle -Antianxiety medication is pharmacologically similar to alcohol –used for weaning Tx -Administrate Glucagon when pt is hypoglycemia and unresponsive -Phenazopyridine ( Pyridium)--Urine will appear orange -Rifampicin -- Red-urine, tears, sweat) -Hot and Dry = sugar high (hyperglycemia) -Cold and clammy = need some candy (hypoglycemia) -Med of choice for V-tach is lidocaine -Med of choice for SVT = adenosine or adenocard -Med of choice for Asystole = atropine -Med of choice for CHF is Ace inhibitor. -Med of choice for anaphylactic shock is Epinephrine -Med of choice for Status Epilepticus is Valium. -Med of choice for bipolar is lithium. -Give ACE inhibitors w/food to prevent stomach upset -Administer diuretics in the morning -Give Lipitor at 1700 since the enzymes work best during the evenin -Common Tricyclic Meds - 3 syllabes (pamelor, elavil) -Common MAOI's - 2 syllables (nardil, marplan) -TPN has a dedicated line & cannot be mixed ahead of time -RHoGAM -- Given at 28 weeks & 72 hrs postpartum -Do not administer erythromycin to Multiple Sclerosis pt -Benadryl and Xanax taken together will cause additive effects. -Can't take Lasix if allergic to Sulfa drugs. -Acetaminophen can be used for headache when the client is using nitroglycerin. -Dilantin - can not give with dextrose. Only give with NS. Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid) -Never Give via IVP: oKCL oHeparin oIbuprofen oInsulin oDobutamine oASA oAlbumin oAcetaminophen -Insulin: oRapid: lispro – onset oShort: Regular – onset ½ - 1 hr. Peak: 2-3hr. Duration: 4-6 hr oInt: NPH or Lente – onset: 2 hr. Peak 6-12 hr. Duration: 16-24hr oLong: Ultralente – onset 4-6 hr. Peak: 12-16 hr. Duration: >24hr oV.Long: Lantus – onset 1 hr. Peak: None. Duration: 24 hr continuous -Anticholergic Side Effects: oCan't See oCan't Pee oCan't Spit oCan't Sh*t -Hypocalcemia – CATS oConvulsions oArrythmias oTetany oSpasms & Stridor -Hyper Kalemia Causes: 'MACHINE' oMedicationa (ace inhibitors, NSAIDS) oAcidosis (metabolic & repiratory) oCellular destruction (burns, traumatic injuy) oHypoaldosteronism, Hemolysis oNephrons, renal failure oExcretion (impaired) -Signs of increased K ' Murder' oMuscle weaknes oUrine – olyguria, anuria oRespiratory distress oDecreaed cardiac contractility oECG Changes oReflexes – hyperreflexia, or flaccid -Substance Poisoning and Antidotes oMethanol -- Ethanol oCO2 -- Oxygen oDopamine -- Phentolamine oBenzo's (Versed) -- Flumazenil oLead -- Succimer, Calcium Disodium oIron -- Deferoxamine oCoumadin -- Vitamin K oHeparin -- Protamine Sulfate oThorazine -- Cogentine oWild Mushrooms - Atropine oRat Poison - Vit K -Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary o1st 8hrs – ½ total volume o2nd 8hrs – ¼ total volume o3rd 8 hrs – ¼ total volumes
  6. Do you have the LaCharity book (Priority, Delegation & Assignment)? That's a good one to practice priority. Hope it all goes well for you! :)
  7. From what I've read the scores you should be getting on practice exams depends on what sources you are using. Some books/reviews are more difficult than others. If I'm not mistaken, Kaplan recommends you get 65% on their exams. My husband just passed the NCLEX, he was getting 80-90% in Saunders and 75-89% on NCSBN. The NCSBN Learning Extension recommends you score at least 75% on all of their exams. Hope this helps! :)
  8. In Florida you can take the test 3 times, then you have to take a review course before your 4th attempt. You can retest every 45 days.
  9. If you did fail at 265 it means you were close to passing. Not that it makes you feel any better. When you go all the way to 265, the computer can't determine with 95% confidence that you passed or failed, so your score will depend on whether you were more consistently above the passing standard or more consistently below the passing standard. Your account will say "your results are not available at this time" for 48 hours after you finished your exam. Then the message changes and you can pay $7.95 for your unofficial quick results, assuming your state participates in quick results. Hope all goes well for you :)
  10. My husband took it Thursday. He had 75 questions, 18 SATA, no calculations, but he did have several pharm questions. He did the "trick" and got the pop-up. Just found out today he did indeed pass. :)
  11. I remember seeing that question in the Saunders book. The rationale stated that administering oxygen would be wrong because you have to have a doctor's order. The above poster is correct...never make assumptions with NCLEX questions! :)
  12. just wanted to say that the saunder's q & a book is supposed to have audio questions on the cd. you may want to check it out. :)
  13. If you failed with Kaplan, then you probably need content. My husband failed the first time. He did the retake this morning, did the PVT and got the "good pop-up." He reviewed and practiced questions for about 7 weeks before the second test. He thinks the Exam Cram review book, NCSBN Learning Extension, and the LaCharity Priority, Delegation & Assignment book helped the most. He also did the NCLEX Made Incredibly Easy review book and Question and Answer book. Even though he didn't get a chance to finish it, he also liked the Saunder's Q & A book. It is broken up according to the NCLEX categories instead of body systems, so you can focus on your weak areas. Hope this helps and best wishes on your next exam! :)
  14. Congrats!! My hubby got the "good pop-up" too! :) He failed the first time and the PVT took him straight to the cc page. I'd say you passed! :)
  15. My husband is taking his right now! He studied so much and of course you still get nervous and don't feel 100% prepared. You are in my prayers! Just trust God to guide the test to your strengths and guide you to the answers!! :) Have faith and know He is with you!

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