-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.