NCLEX Updates, Tips, Reviews and News

NCLEX RN Quick Review Sheet

This NCLEX RN cram sheet contains the distilled, key facts about the NCLEX licensure exam. Review all this information just before you enter the testing center, paying special attention to those areas where you feel you need the most review. You can transfer any of these facts from your head onto a blank sheet provided by the testing center. We also recommend reading the glossary as a last-minute cram tool before entering the testing center. DOWNLOAD YOUR COPY... read more

NCLEX-PN Quick Tips

Left is the lungs – Right is the rest Cushing’s Response = widening pulse pressure Hypersensitivity to iodine can range from a local reaction (hives, itching) to a systemic reaction (widening pulse pressure, increased systolic BP and decreased pulse) Babinski’s Response/Reflex = dorsiflexion of great toe when soles of feet are stimulated Normal Specific Gravity = 1.010 – 1.030 (think of it in terms of time – 10:10-10:30) ”Comma, Comma, And Rule” => all parts of an answer choice MUST be correct or it’s not correct at all A decrease in alertness or mental function may be an early indication of decreasing O2 levels => manifestation of hypoxia 3 ”P” of Diabetes: o Polydipsia (excessive thirst) o Polyuria (excessive production of urine) o Polyphagia (excessive hunger) Hypersensitivity to iodine can range from a local reaction (hives, itching) to a systemic reaction (bronchial constriction, decreased BP MRI – the magnet used can damage tissues if any metal is present – can cause the metal to heat up as it absorbs the energy Tip – Always attempt to solve the ”root” cause Tip – A mix forces you to go back to the stem of the question to validate your hunch of what’s really going on -> do you need another assessment to clarify something or are you free to just move on an implement Tip – Your goal is to logically, methodically work your way through the question to eliminate as many answers as possible until you get to the legitimate, correct one The 4 ”G’s” – will decrease platelet aggregation o Ginkgo o Ginger o Garlic o Ginseng Tip... read more

Gestational Hypertensive Disorders

Pregnancy Induced hypertension or PIH Mom is not hypertensive before pregnancy Hypertension and other symptoms that occur due to pregnancy Disappear with birth of fetus and placenta High risk factors Chronic renal disease Chronic hypertension Family history Primagravidas (a woman who is pregnant for the 1st time) Twins Mom <19 and >40 Diabetes Rh incompatibility Obesity Hydatidiform mole Pathophysiology Can progress from mild to severe Aterial venospasms decrease diameter of blood flow, which results in: Decreased blood flow Increased BP Classifications Transcient Hypertension Preeclampsia Mild severe Eclampsia HELLP syndrome Transcient Hypertension BP > 140/90 Develops during pregnancy No proteinuria No edema (other than “normal” places like ankles) BP returns to normal by 10th day postpartum Mild Preeclampsia BP > 140/90 x 2 at least 4-6 hours apart Weight gain (due to 3rd spacing) +2 pounds/wk in 2nd trimester, or +1 pound/wk in 3rd trimester, or sudden weight gain of 4 pounds/week anytime Norms – 1st trimester: 1 lb/month 2nd and 3rd trimester: 1 lb/week Dependant edema Eyes, face, fingers (above the waist) Proteinuria Urine output > 30ml/hr Nursing care for Mild Preeclampsia Patient at home Bedrest (with BR privileges); side-lying position Mom and family will be taught to monitor: Daily weight Urine dipstick BP Fetal movements Diet: Regular with no salt restrictions If symptoms progress to severe Preeclampsia à Hospital! Severe Preeclampsia Presence of any of the following in a woman diagnosed with Preeclampsia: BP > 160/110 (x2) 4-6 hours apart Proteinuria > 2+ dipstick x2 4 hrs apart Urine output < 500ml/24 hr Pulmonary edema (Crackles heard in lungs) Cerebral changes Headache (Tylenol will not alleviate) visual changes... read more

Antiplatelet Medication Cheat Sheet

An antiplatelet drug (antiaggregant) is a member of a class of pharmaceuticals that decrease platelet aggregation and inhibit thrombus formation. They are effective in the arterial circulation, where anticoagulants have little effect. They are widely used in primary and secondary prevention of thrombotic cerebrovascular or cardiovascular disease. Antiplatelet drug decreases the ability of blood clot to form by interfering with platelet activation process in primary haemostasis. Antiplatelet drugs can reversibly or irreversibly inhibit the process involved in platelet activation resulting in decreased tendency of platelets to adhere to one another and to damaged blood vessels... read more

Laboratory Values Cheat Sheet by Justin

Laboratory values with brief description on what it does. It is of utmost importance that nurses are knowledgeable about the different procedures and their values and results to make informed clinical... read more

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