I’M BUSTED!!!!

DIABETES

diabetic-ulcer

Why do clients with diabetes have trouble with wound healing? High blood glucose contributes to damage of the smallest vessels, the capillaries. This damage causes permanent capillary scarring, which inhibits the normal activity of the capillary. This phenomenon causes disruption of capillary elasticity and promotes problems such as diabetic retinopathy, poor healing of breaks in the skin, and cardiovascular abnormalities.

RIDICULOUS!!!!

PEDICULOSIS

lice

 

Pediculosis is an infestation of lice on humans. The most common form is head lice, which affects the scalp and hair. Head lice appear as small white flakes along the shaft of the hair. Treatment is directed toward killing the adult lice, combing out the nits and using a hair product containing permethrin or pyrethrin. Anything that is in direct contact with the infestation has to be treated to decrease spread of the lice.

I HAVE A LEGION OF 300 CLONES!!!

LEGIONNAIRE’S DISEASE

Rex_and_company

A severe form of pneumonia and lung inflammation usually caused by an infection.

CAUSES

Legionella pneumophila and inhaling bacteria. Older adults, smokers, and clients with weakened immune systems are particularly susceptible. Sources of the organism include contaminated cooling water and warm stagnant water supplies (including water vaporizers, water sonicators, showers, and whirlpool spas

ASSESSMENT

Influenza like symptoms with chills, high fever, muscle aches, and headaches that may progress to pleurisy, dry cough, and occasionally diarrhea

NURSING INTERVENTIONS

A. Treatment is supportive

B. Antibiotic therapy may be initiated

Left untreated, Legionnaires disease can be fatal

YOU INCOMPETENT IDIOT!!!

INCOMPETENT CERVIX

Idiot

It’s the premature dilation of the cervix

CAUSES

Cervical defects in the structure and function

ASSESSMENT

A. Dilation of cervix (usually in 4th or 5th month)

B. Vaginal bleeding

NURSING INTERVENTIONS

A. Monitor vital signs and fetal heart rate

B. Prepare client for cervical cerclage

C. Postsurgical teaching

D. Avoid intercourse, prolonged standing, and heavy lifting

E. Instruct client to report vaginal bleeding or increased uterine contractions to healthcare provider

CONSIDERATION

Cervical cerclage removed at 37 weeks to allow for normal dilation of cervix in preparation of delivery

THE WINTER SOLDIER!!

STRATEGIES FOR MASTERING COMPUTER-BASED STANDARDIZED NURSING TESTS PART II

 

computeroverload

STRATEGY 8

A. Avoid answers containing qualifying words

1. Always

2. Never

3. All

4. None

STRATEGY 9

A. Look for answers that are somehow different

1. If 3 options give a specific age, but the fourth option generalizes (ex. adult), the general option is usually the correct one

STRATEGY 10

A. Look for answers that facilitate something such as:

1. Client teaching

2. Assisting the client toward independence

3. Look for facilitative words: Assist=Help, Aid=Reinforce, Support=Foster, Encourage=Nurture, and Facilitate=Endorse

STRATEGY 11

A. Look for relationships between answers

1. Item writers usually write the question first, the right answer next, then the distracters

2. Usually the correct answer has a connection with the other options

3. Incorrect answers don’t have a relationship with each of the other answers

STRATEGY 12

A. Select the answer that is most inclusive

1. If more than one answer looks to be correct, see if one of the contains the other

2. The more comprehensive an answer is, the more likely it is the correct one

STRATEGY 13

A. When given the option to medicate or use a non-pharmacologic treatment, select the non-pharmacologic treatment

1. Alternative methods of treating a problem should be attempted before administering medications

STRATEGY 14

A. For each option not if it’s a true statement (+), a false statement (-), or a not sure (?)

B. If there are 2 matching options left, select the more familiar

C. If there is 1 matching and 1 not sure, pick the matching one

D. GO WITH YOUR GUT

STRATEGY 15

A. Practice, Practice, Practice

1. Using practice tests in a timed environment helps reduce anxiety when it’s time for the real thing

WHAT IS YOUR CENTRAL LOCATION?

ASSISTING THE MD TO INSERT A CENTRAL LINE

CQ_CentralLine

A. You need to gather your supplies of saline and fluids. However, do not start the fluids until positive confirmation of placement via chest x-ray (CXR)

B. If air gets in the line then you will position the patient on left side trendelenburg in order to trap air in the right atrium

C. When you are changing the tubing, to avoid getting air in the line, you will need to clamp it off, ask the patient to do valsalva (bare down like you are having a bowel movement), and take a deep breath

D. An x-ray is done to check for placement and to make sure the patient does not have a pneumothorax

THE AGE OF ULTRON AND FALCON!!!

STRATEGIES FOR MASTERING COMPUTER-BASED STANDARDIZED NURSING TESTS PART 1

computer-addiction-thumb17346992

Strategy 1

A. Read the client description and question carefully

1. Take time to read each word in the situation

2. Read the question stem and be sure you understand what it is asking

3. Form an answer in your mind, then select the option that close to your answer

4. After choosing your answer, place it back into the stem and ask yourself does that answer the question?

Strategy 2

A. The information provided is the only information to use

1. Avoid adding information to the situation

2. Do Not assume information that is not there

3. Do Not refer to personal experience

Strategy 3

A. Go with your gut

B. If it sounds familiar, it may be jogging your memory

Strategy 4

A. Identify the step of the nursing process being tested

1. If an assessment question is asked, answers should involve the collection of more data

2. You need to become sensitive to words that indicate the phase of the nursing process being tested

An Example: The nurse completes a client’s vitals and notes the following

RR: 28 bmp, T: 98.6, HR: 90, and BP: 100/70

Which of these results would be concerning to the nurse?

Temperature, HR, and BP are within normal range so the answer is RR because the client is tachypneic

Strategy 5

A. Concentrate on the question at hand

1. Each question demands your undivided attention

2. Once a question is answered, it done, FORGET IT!!

Strategy 6

A. Every question has the same point value

1. No question carries more weight on the test than another

2. If you do not know an answer, make an educated guess and move forward

Strategy 7

A. Do not test ANGRY

1. Avoid personalizing a question

2. Some topics, such as abortion, abuse, or rape trigger personal emotions

3. Answer according to what you have learned, not what you believe