NCLEX RN 3500 - Funda

In a female client, the nurse should advance an indwelling urinary catheter 2" to 3" (5 to 7.5 cm) into the urethra. In a male client, the nurse should advance the catheter 6" to 8".

 The nurse should always move from the center outward in ever-larger circles when cleaning around a wound drain because the skin near the drain site is more contaminated than the site itself. The nurse should never remove the drain before cleaning the skin. Alcohol should never be used to clean around a drain; it may irritate the skin and has no lasting effect on bacteria because it evaporates. The nurse should wear sterile gloves to prevent contamination, but a mask isn't necessary.

Client isolation techniques attempt to break the chain of infection by interfering with the transmission mode. These techniques don't affect the agent, host, or portal of entry.





http://nursing.slcc.edu/nclexrn3500/question.do;jsessionid=F43EEF67F19145CEF6373206BD908D70

I'm Back and Need to Focus Now

Many things happened for the past months, weeks and days.. All are overwhelming but thank God for always being there for us. Thank you Lord for all the things that You've done and for all the things that You are still going to do. Be with me Lord as I'm going to study again for my NCLEX. I have only 6 months left before my nclex will due. Help me Lord. Thank you so much.

Funda: Chapter 1

Developing Critical Thinking Skills
1. Consider the roles and functions of professional nursing
(see Table 1-2). Interview several nurses in different settings
to see how much value they attach to these roles
and how much time they are able to devote to them.
2. Describe how a nurse would meet the aims of nursing as
described in this chapter (promoting health, preventing
illness, restoring health, and facilitating coping) when
caring for the following patients:
• A single mother who has just delivered her first
child and is scheduled to be discharged 12 hours
after delivery
• An 82-year-old woman who wants to begin an
exercise program
• A 32-year-old man dying of AIDS at home
As you consider these situations, try to identify factors
that either promote or inhibit the fulfilling of these aims.



Practicing for NCLEX
1. Which phrase best describes the science of nursing?
a. The skilled application of knowledge
b. The knowledge base for care
c. Hands-on care, such as giving a bath
d. Respect for each individual patient
2. Which nurse in history is credited with establishing
nursing education?
a. Clara Barton
b. Lillian Wald
c. Lavinia Dock
d. Florence Nightingale

3. What historic event in the 20th century led to an
increased emphasis on nursing and broadened the
role of nurses?
a. Religious reform
b. Crimean War
c. World War II
d. Vietnam War
4. Which of the following phrases describes one of the
purposes of the ANA’s Nursing’s Social Policy
Statement?
a. To describe the nurse as a dependent caregiver
b. To provide standards for nursing educational
programs
c. To regulate nursing research
d. To describe nursing’s values and social
responsibility
5. A school nurse is teaching a class of junior-high
students about the effects of smoking. This educational
program will meet which of the aims of nursing?
a. Promoting health
b. Preventing illness
c. Restoring health
d. Facilitating coping with disability or death
6. Which of the following nursing degrees prepares a
nurse for advanced practice as a clinical specialist or
nurse practitioner?
a. LPN
b. ADN
c. BSN
d. Master’s
7. Which nursing organization was the first international
organization of professional women?
a. ICN
b. ANA
c. NLN
d. NSNA
8. What is the purpose of the ANA’s Scope and Standards
of Practice?
a. To describe the ethical responsibility of nurses
b. To define the activities that are special and unique to
nursing
c. To establish nursing as an independent and freestanding
profession
d. To regulate the practice of nursing
9. What type of authority regulates the practice of nursing?
a. International standards and codes
b. Federal guidelines and regulations
c. State nurse practice acts
d. Institutional policies

10. Who are the largest group of healthcare providers in
the United States?
a. Registered nurses
b. Physicians
c. Physical therapists
d. Social workers


Answers With Rationale
1. b. The science of nursing is the knowledge base for care
that is provided. In contrast, the skilled application of that
knowledge is the art of nursing.
2. d. Florence Nightingale established nursing education.
3. c. During World War II, large numbers of women worked
outside the home. There was an increased emphasis on
education and a knowledge explosion in medicine and
technology, broadening the roles of nurses.
4. d. The Nursing’s Social Policy Statement describes the
values and social responsibility of nursing.
5. b. Educational programs can reduce the risk of illness
by teaching good health habits.
6. d. A master’s degree prepares advanced practice nurses.
7. a. The ICN, founded in 1899, was the first international
organization of professional women.
8. b. The ANA’s Scope and Standards of Practice define
the activities of nurses that are specific and unique to
nursing.
9. c. Nurse practice acts are established in each state to
regulate the practice of nursing.
10. a. Registered nurses are the largest group of healthcare
providers in the United States.

Fresh Start

I decided to start my review this new year with God's enlightenment. Guide me Lord. Thank you so much.

NCLEX RN Application to BON Approved

Last night, I decided to email the BON Texas to inquire about the status of my application. This morning, I got a reply that they are giving me 1 year to take my exam. Lord, help me start reviewing my exam despite the things that are happening. Help me to focus Lord. Thank you so much Lord. 

To Continue My Review or Not? Lord please enlighten me

My review is pending for the meantime and my application to the BON Texas is also hanging.




Updated: To Continue.. Thank you Lord for giving this spirit to go on what I have started already. Though the future is so uncertain Lord but I will lift them up to You Lord. Use it Lord for Your glory. I love you Lord.

Pharmacology Mnemonics

morphine: side-effects morphine:
myosis
out of it (sedation)
respiratory depression
pneumonia (aspiration)
hypotension
infrequency (constipation, urinary retention)
nausea
emesis


tricyclic antidepressants: members worth knowing
"i have to hide, the cia is after me":
clomipramine imipramine amitrptyline
· if want the next 3 worth knowing, the dndis also after me:
desipramine norrtriptyline doxepin

patent ductus arteriosus: treatment
"come in and close the door": indomethacin is used to close pda

siadh-inducing drugs abcd:
analgesics: opioids, nsaids
barbiturates
cyclophosphamide/ chlorpromazine/ carbamazepine
diuretic (thiazide)

vir-named drugs: use"-vir at start, middle or end means for virus": · drugs:
abacavir,
acyclovir,
amprenavir,
cidofovir,
denavir,
efavirenz,
indavir,
invirase,
famvir,
ganciclovir,
norvir,
oseltamivir,
penciclovir,
ritonavir,
saquinavir,
valacyclovir,
viracept,
viramune,
zanamivir,
zovirax.

phenobarbitone: side effects
children are annoying (hyperkinesia, irritability, insomnia, aggression).
adults are dosy (sedation, dizziness, drowsiness).

[color=#333333]thrombolytic agents usa:
urokinase streptokinase alteplase (tpa)



narcotic antagonists
the narcotic antagonists are naloxone and naltrexone. · important clinically to treat narcotic overdose.


routes of entry: most rapid ways meds/toxins enter body
"stick it, sniff it, suck it, soak it":
stick = injection
sniff = inhalation
suck = ingestion
soak = absorption

anticholinergic side effects
"know the abcd's of anticholinergic side effects":
anorexia
blurry vision
constipation/ confusion
dry mouth
sedation/ stasis of urine


atropine use: tachycardia or bradycardia
"a goes with b": atropine used clinically to treat bradycardia.


aspirin: side effects aspirin:
asthma
salicyalism
peptic ulcer disease/ phosphorylation-oxidation uncoupling/ pph/ platelet disaggregation/ premature closure of pda
intestinal blood loss
reye's syndrome
idiosyncracy
noise (tinnitus)


morphine: effects at mu receptor pear:
physical dependence
euphoria
analgesia
respiratory depression

beta-1 vs beta-2 receptor location "you have 1 heart and 2 lungs":
beta-1 are therefore primarily on heart. beta-2 primarily on lungs.

ssris: side effects ssri:
serotonin syndrome
stimulate cns
reproductive disfunctions in male
insomnia


warfarin: action, monitoring wept:
warfarin works on the extrinsic pathway and is monitored by pt.


propranolol and related '-olol' drugs: usage"olol" is just two backwards lower case b's. backward b's stand for "beta blocker". · beta blockers include acebutolol, betaxolol, bisoprolol, oxprenolol, propranolol.


depression: 5 drugs causing it proms:
propranolol
reserpine
oral contraceptives
methyldopa
steroids

lead poisoning: presentation abcdefg:
anemia
basophilic stripping
colicky pain
diarrhea
encephalopathy
foot drop
gum (lead line)


cholinergics (eg organophosphates): effects
if you know these, you will be "less dumb":
lacrimation
excitation of nicotinic synapses
salivation
sweating
diarrhea
urination
micturition
bronchoconstriction

benzodiazepines: actions
"ben scams pam into seduction not by brain but by muscle":
sedation
anti-convulsant
anti-anxiety
muscle relaxant
not by brain: no antipsychotic activity.


teratogenic drugs "w/ teratogenic":
warfarin
thalidomide
epileptic drugs: phenytoin, valproate, carbamazepine
retinoid
ace inhibitor
third element: lithium
ocp and other hormones (eg danazol)

gynaecomastia-causing drugs discos:
digoxin
isoniazid
spironolactone
cimetidine
oestrogens
stilboestrol

osmotic diuretics: members gum:
glycerol
urea
mannitol


antibiotics contraindicated during pregnancy mcat:
metronidazole
chloramphenicol
aminoglycoside
tetracycline


lithium: side effects lith:
leukocytosis
insipidus [diabetes insipidus, tied to polyuria]
tremor/ teratogenesis
hypothyroidism

Prednisone
Cortisone
Dexamethasone
...Your #1 anti-inflammatory corticosteroids end in ONE!

Mag Sulfate Toxicity
Blood pressure decreased
Urine output decreased (<30mL/hr)
Respirations <12
Patellar reflex absent
...d/c the MgSO4!

Pitocin side effects:
Pressure is elevated
Intake and output
Tetanic contractions (if >90sec, stop the pitocin!)
Oxygen decreased in fetus
Ccardiac dysrhythmias
Irregular FHR
Nausea and vomiting

NSAIDS
No alcohol
Side effects (teach them to report any dark tarry stools, coffee-ground or bloody emesis, GI distress, tinnitus) 
ASA sensitivity - do not give
Ibuprofen, indocin are a few examples
Do take with food
Stop 5-7 days before surgery

Al (boy) and Mag (girl)
Our instructor taught us: "Al (boy) is so full of s*** so his problem is constipation." I can't remember what she said about Mag, but since Al is constipated, Mag has the diarrhea 

Humulin Lispro (Humalog) - think "hoppy humalog" (rapid acting!)
what to do/look for:
Lipodystrophy
Insulin syringes only and draw up 1st
Staff education: Humalog isn't the same as Humulin!
Prefilled syringes stable for one week
Rapid action, have food nearby
Observe for hypoglycemia reactions

Insulin Glargine (Lantus) - "lazy lantus" (very slow acting)
Level relatively constant
Alert for name confusion with lente
Never mix with anything
Take once/day
Undesirable effects
Store in a cool place

Dilantin - Dial At Ten
Therapeutic level: 10-20mcg/mL (there is a TIN [TEN] in Dilantin)