-if a part of a question is wrong, then the WHOLE question is wrong (bsan unsa p a na kanindot na gstated) -questions about POISONING, priority gud na LOCKED ang storage where the poison is -in NCLEX, always offer SELF FIRST in therapeutic communications -VOMITING , especially in elderly n children, always check for dehydration -RHEUMATOID, OSTEOARTHRITIS---avoid ISOMETRIC and RESISTIVE exercises -NCLEX DOES NOT prefer choose PSYCH DRUGS as a first choice of answer -DONT DO all of PTS' CARE, they prefer independence -LUNG CANCER-most common cause of Inappropriate Use of Antidiuretic Hormone -BURNS in ABDOMEN, CHEST, MOUTH--primary concern is AIRWAY -Digoxin toxicity---cardinal signs diarrhea, N&V -STUDY COLORECTAL CANCER: risk factors-high fat, high calories, high protein, lo w residue: older than 40 years old -STUDY DUMPING SYNDROME -NCLEX, does NOT PREFER DISTRACTIONS used except for SCHIZO and TODDLER -NCLEX does NOT PREFER RESTRAINTS as FIRST CHOICE -NCLEX does NOT PREFER "PASSING THE BUCK" ex. imo ipasa ang imohang work to some one else -GRAPEFRUIT INTERACTIONS: digoxin, synthoroid, buspar, calan, tegretol, zocor -if patient GETS A RASH, immediately D/C the MEDXN -PREDNISONE-increases BLOOD SUGAR and increases chances for FRACTURES -STUDY DIABETES -PROGRESSIVE, CHRONIC DISEASES-are STABLE client, so dont prioritize these pt. -SIGNS of INFXN in elderly clients: tachypnea, tachycardia, confusion LYMES DISEASE-originated in EAST COAST countries Doxycycline-NOT GIVEB B4 BEDTIME-becz it causes esophageal irritation -Tylenol Poisoning causes TOXIC HEPATITIS -Pregnant adolescents, BY LAW NURSES DO NOT TELL THE PARENTS -NEVER LET THE MOTHER LIE ON HER BACK DURING LABOR -Hemmorhage---late signs: changes in vital signs; earliers signs are lochia chan ges -Infant does 2-3 BM per day; breastfeeding every 2 hours in the day and every 4
hours at night -Terbutaline is used for PRETERM LABOR, side effects are rapid heart beat and tr emors -DECREASE IN FHR-1st STOP PITOCIN 2nd OXYGEN 3rd POSITION 4th IV -Drug addicted babies shows s/s 12-24 hrs after birth Neonatal Sepsis-slightly jaundices, vomiting, hypothermia -ANTIBIOTICS BLOCKS ORAL CONTRACEPTIVE EFFECTS -INTRAUTERINE DEVICES- assess for MONOGAMOUS REL. bec multiple partners have a h igher risks for STI and pelvic inflammatory diseases -Heart Sounds Tricuspid valve-5th ICS left substernal border Mitral valve-5th ICS left mid clavicular line Aortic valve-2nd ICS right sternal border Pulmonic valve-2nd ICS left sternal border Aort -Meningitis- cardinal: headache, rash, photosensitivity -Hallucinations (AUDITORY)-acknowledge (VISUAL) reorient to reality -NCLEX, when u read the word RESTLESS, it is an AIRWAY PROBLEM -Tylenol-DOC for post op craniotomy bec. it doesnt mask ICP sx and make nero che cks more valid -Autonimic dysreflexia is an E.R. situation -Digoxin-monitor POTASSIUM -GRANDMAL SEIZURES- seen in decrease NA and dec. MG -Garlic, Ginger, Gingko are BLOOD THINNERS so C/I with Aspirin -NSAIDS are C/I with anticoagulants -Acute Otitis Media , a complx is Meningitis BMA- provide ICE application to prevent swelling -Paracntesis- must take BP because it may lead to HYPOTENSION -Cystoscopy- observe abdominal or pelvis pain because may cause RUPTURED, PREFOR ATED BLADDER -NGT or ENTERAL FEEDING- 1st is X-RAY 2nd is PH CHECKING -Blood administration- start an IV FIRST then get blood from blood bank -Central Line Placement- major complxn is PNEUMOTHORAX -ACE INHIBITORS-observe for COUGH
-BETA BLOCKERS-observe for BRONCHOSPASMS -LASIX-check for HYPOKALEMIA -patients receiving PRE OP MED SHUD REMAIN IN BED -SLE- common S/S is PROTEINURIA, HYPERLIPIDEMIA -INFECTIOUS MONONUCLEOSIS-"no energy" -FLU-"cough that wont go away" -INFLUENZA-"hurts all over" -LEGIONNAIRE'S DISEASE-cause by pneumonia -CRISIS-needs a autocratic/directive leadership -Pancreatitis- DOC is MEPERIDINE -Spinal ANesthesia- check for HYPOTENSION -radioactive implants-lead shield is placed on the hallway of clients bed to pro tect caregivers n visitors -Fundus rises to umbilicus lvl at 6-12 hours after delivery, fundus descend abou t 1 fingerbreadth per day -Anorexia- Ammenorrhea is the criteria to diagnose anorexia -The word pain in a question during a priority type of question is a psychosocia l except for MI, renal calculli, sickle cell -NEVER READ INTO A QUESTION, NCLEX dont give gray areas, "kung unsa ilang gpangu tana, mao ra gud na, ayg OVERANALYZE -IV fluids are given first b4 drug medications -in NCLEX patient always first before any doumentation -eliminate inflamamtory words in choices -the word "INCREASING" indicates a COMPLICATION -NCLEX prefer DELEGATIONS of task rather than you doing all of the tasks -NEVER ASPITAE HEPARIN -NCLEX< always take note the CHAIN OF COMMAND -in all questions, all the choices you see are already doctor ordered, so dont g et confuse if there in the choices "doctor ordered" because all the choices from the start are already ordered -NEVER LEAVE THE PATIENT in NCLEX -in NCLEX, you always have EVERYTHING at ur disposal -large infants, post op priority is HEMMORHGAE/BLEEDING, so chek LOCHIA
-Immediate newborn, normal with acrocyanosis and fine crackles -BLEEDING is an unstable situation -CANES u hold the handle bar at the lvl of this landmark which is the GREATER TR OCHANTER -NEVER give tPa in post CPR because of the presence of BRUISES which are CLOTTED BLOOD -STUDY COLOSTOMY n ILOESTOMY DECISION TREE in order to better eliminate choices ( CALL ME KUNG UNSAY QUESTION NIMU ANI) 1---LOOK FOR THE TOPIC OF TE QUESTION 2---DO ASSESSMENT/IMPLEMENTATION 3---MASLOW 4---ABC 5---DOES IT MAKE SENSE? AND REMEMBER: Lyme disease gani,remeber iya symptom is BULL' S EYE lesion...from TICK BITE usually from outdoors like forest.
