Tr-I-LIfe

Hello! Welcome to my tumblr! I am a Nursing student and hope that my Nursing related posts will be helpful to all my fellow student nurses!

I am also a writer (not a pro) :) But poetry brings great joy and serenitity to my being. please see the page "writing/poems by trilife"

I am pretty much an open book to those who take the time to ask and care to know me. I am open-minded and feel caring for others ANYONE is a priority in my life.

I don't wanna just ramble about myself but please feel free to ask me anything.
I do not claim to be a person who "knows everything," But I have been delt a few jokers in my life so who know's maybe we can relate! ;0
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Posts tagged "nclex"

pieceofcakenursing:

NCLEX Tip:
On NCLEX, heart sounds can appear in a multiple-choice format question or a hot spot question.

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5 areas to remember: APETM
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Here’s another illustration by Nursing Education Consultants, Inc. (2007):

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Mnemonics (input by various people)
  - APE To Man
  - All People Enjoy Time Magazine
  - All Physicians Earn Too Much
  - All Patients Enjoy Taking Meds
  - All Pigs Eat Too Much
  - All Pimps/Prostitutes Enjoy Taking Money

pieceofcakenursing:

APGAR is used to assess a newborn at 1 min and 5 min.
If baby was born at 11:25am, you check at 11:26am and 11:30am.

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Appearance = skin color (pink, blue, or grey)
Pulse = heart rate
Grimace = reflex irritability / responsiveness
Activity = muscle tone
Respiration = respiratory…

pieceofcakenursing:

image(Credits: Zerwekh J, Claborn J: Memory notebook of nursing, vol 1, ed 4, Ingram, Texas, 2008, Nursing Education Consultants)

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Maslow’s hierarchy of needs comes in handy when you are answering questions on the NCLEX, especially those that require prioritization.

Physiological needs…

A client says to the nurse, “The federal guards were sent to kill me.” What is the best nursing response to the client’s concern?

1."I don’t believe this is true."

2."The guards are not out to kill you."

3."Do you feel afraid that people are trying to hurt you?"

4."What makes you think the guards were sent to hurt you?"

Test-Taking Strategy:

Note the strategic word best. Use therapeutic communication techniques. Eliminate options that show disagreement with the client or encourage any discussion regarding the delusion

Read More


Here are the 10 Kaplan Strategies used for answering nclex questions - broken down by me. Click each link for each step. Tip: use a computer or iPad screen instead of a cell phone to view each strategy. I didn’t even have to take the Kaplan review course after studying these strategies on my own. Hope it helps!
Step #1 Expected Outcomes
Step #2 Unfamiliar Questions
Step #3 Answers
Step #4 Real World
Step #5 Maslow
Step #6 Nursing Process
Step #7 Patient Safety
Step #8 Delegation
Step #9 Positioning
Step #10 Therapeutic Communication

Here are the 10 Kaplan Strategies used for answering nclex questions - broken down by me. Click each link for each step. Tip: use a computer or iPad screen instead of a cell phone to view each strategy. I didn’t even have to take the Kaplan review course after studying these strategies on my own. Hope it helps!

Step #1 Expected Outcomes

Step #2 Unfamiliar Questions

Step #3 Answers

Step #4 Real World

Step #5 Maslow

Step #6 Nursing Process

Step #7 Patient Safety

Step #8 Delegation

Step #9 Positioning

Step #10 Therapeutic Communication

easiernursing:

Previously, I have posted a video on ABGs using the Tic-Tac-Toe method [original post here]. If you don’t think that was the easiest method for you, then maybe give this one a try.

Before starting a question, write down the normal ABG values as below: (During NCLEX, write it down on your…

Hope the owner of the above tumblr doesn’t mind me posting a link to promote their tumblr…. GREAT lil review to help you recognize "NURSING PRIORITIES" 

*****************UNDERSTANDING IVF’s*********************

*****************UNDERSTANDING IVF’s*********************

———————————————————————-
ECG CHANGES of HYPOKALEMIA:  We conclude this ECG post by brief review of the ECG changes of Hypokalemia.  In contrast to hyperkalemia — the ECG is not a reliable tool for assessing for assessing hypokalemia, as bothsensitivity and specificity of ECG findings are low.  That said — the changes that one looks for are sequentially illustrated in Figure 3.
  • Ais a normal ST-T wave.    
  • Bshows flattening of the T wave, which typically is the earliestchange.
  • Cand DIn association with ST-T wave flattening (and sometimes with slight ST depresssion) — a U wave develops.  A ”pseudo-P-pulmonale” pattern (with P wave peaking) may be seen.     
  • Eand FST depression is more noticeable and the Uwave increases in amplitude (arrow) — until ultimately the U wave overtakes the T wave.  At this point, distinguishing between T wave and U wave may be almost impossible (ie, there may be Q-U" rather than “Q-T”prolongation as in F).

Figure 3 – Sequential development of ST-T wave changes of hypokalemia. Note increasing U wave amplitude. (Figure reproduced from ECG 2011 Pocket Brain – pg 57).

As emphasized above — U waves are not specific for hypokalemia.  They may also be found in patients with LVH and/or bradycardia, or occasionally as a normal variant.  However, the setting and ECG findings in this case (given the history of alcohol use with diffuse ST-T wave flattening and relatively large amplitude U waves in multiple leads) strongly suggests the possibility of electrolyte disturbance.
  • Final PEARL:  Hypomagnesemia produces virtually identical ECG changes as hypokalemia.  Low body magnesium is often encounteredin association with other electrolyte abnormalities (ie, low sodium, potassium, calcium or phosphorus); acute MI; cardiac arrest; digoxin/diuretic use; alcohol use and abuse; renal impairment.

SPECIAL THANKS to KEN Grauer, MD

great lil’ mnemonic site I just found!!! check it out

PINWORM—A$$ment and Pharm Treatment..Mnemonic



1. Eggs are deposited on perianal folds.
2. Eggs may be ingested when people touch their mouth after they scratch their perianal area (autoinfection) or after handling contaminated clothes or other objects (eg, bed linens, curtains, carpeting); handling contaminated objects may also cause a few eggs to become airborne and thus ingested.
3. After eggs are ingested, they travel to the small intestine, where they hatch, releasing larvae.
4. The adult worms establish themselves in the cecal lumen.
5. At night, gravid females migrate outside the anus and lay eggs as they crawl on the skin of the perianal area.
SOURCE




THE “SCOTCH TAPE TEST”

*Note pt is BENDing over for “Tape Test”

TREATMENT 
Mebendazole (ME-BEND-azole)
HAHA, Get it? and for the “azole” ending I (bc I’m weird) think of pasta.. so spaghetti noodles=pinworms)

Mode of Action
Mebendazole inhibits the formation of the worms’ microtubules and causes the worms’ glucose depletion.
 Indications and Usage for Mebendazole
Mebendazole tablets are indicated for the treatment of Enterobius vermicularis (pinworm),Trichuris trichiura (whipworm), Ascaris lumbricoides (common roundworm), Ancylostoma duodenale (common hookworm), Necator americanus (American hookworm) in single or mixed infections.
Efficacy varies as a function of such factors as preexisting diarrhea and gastrointestinal transit time, degree of infection, and helminth strains. Efficacy rates derived from various studies are shown in the table below:
Contraindications
Mebendazole is contraindicated in persons who have shown hypersensitivity to the drug.
Warnings
There is no evidence that Mebendazole, even at high doses, is effective for hydatid disease. There have been rare reports of neutropenia and agranulocytosis when Mebendazole was taken for prolonged periods and at dosages substantially above those recommended.
Precautions
General
Periodic assessment of organ system functions, including hematopoietic and hepatic, is advisable during prolonged therapy.
Information for Patients
Patients should be informed of the potential risk to the fetus in women taking Mebendazole during pregnancy, especially during the first trimester (See Pregnancy).
Patients should also be informed that cleanliness is important to prevent reinfection and transmission of the infection.
Drug Interactions

Preliminary evidence suggests that cimetidine inhibits Mebendazole metabolism and may result in an increase in plasma concentrations of Mebendazole.


 

PINWORM—A$$ment and Pharm Treatment..Mnemonic

pinwormlife

1. Eggs are deposited on perianal folds.

2. Eggs may be ingested when people touch their mouth after they scratch their perianal area (autoinfection) or after handling contaminated clothes or other objects (eg, bed linens, curtains, carpeting); handling contaminated objects may also cause a few eggs to become airborne and thus ingested.

3. After eggs are ingested, they travel to the small intestine, where they hatch, releasing larvae.

4. The adult worms establish themselves in the cecal lumen.

5. At night, gravid females migrate outside the anus and lay eggs as they crawl on the skin of the perianal area.

SOURCE

THE “SCOTCH TAPE TEST”

*Note pt is BENDing over for “Tape Test”

TREATMENT

Mebendazole (ME-BEND-azole)

HAHA, Get it? and for the “azole” ending I (bc I’m weird) think of pasta.. so spaghetti noodles=pinworms)

Mode of Action

Mebendazole inhibits the formation of the worms’ microtubules and causes the worms’ glucose depletion.

Indications and Usage for Mebendazole

Mebendazole tablets are indicated for the treatment of Enterobius vermicularis (pinworm),Trichuris trichiura (whipworm), Ascaris lumbricoides (common roundworm), Ancylostoma duodenale (common hookworm), Necator americanus (American hookworm) in single or mixed infections.

Efficacy varies as a function of such factors as preexisting diarrhea and gastrointestinal transit time, degree of infection, and helminth strains. Efficacy rates derived from various studies are shown in the table below:

Contraindications

Mebendazole is contraindicated in persons who have shown hypersensitivity to the drug.

Warnings

There is no evidence that Mebendazole, even at high doses, is effective for hydatid disease. There have been rare reports of neutropenia and agranulocytosis when Mebendazole was taken for prolonged periods and at dosages substantially above those recommended.

Precautions

General

Periodic assessment of organ system functions, including hematopoietic and hepatic, is advisable during prolonged therapy.

Information for Patients

Patients should be informed of the potential risk to the fetus in women taking Mebendazole during pregnancy, especially during the first trimester (See Pregnancy).

Patients should also be informed that cleanliness is important to prevent reinfection and transmission of the infection.

Drug Interactions

Preliminary evidence suggests that cimetidine inhibits Mebendazole metabolism and may result in an increase in plasma concentrations of Mebendazole.