Congratulations to Sandra Adofina new NCLEX passer- Maryland. She took NCLEX last Friday and received a quick result.
Her test stopped at 75 items. According to Sandra, she concentrated on the ENTRALINK coursebook and she was able to answer most of the questions based on the coursebook.
Sandra will be leaving November 3 for Maryland. Congratulations and have a safe trip.
A CHF patient was just recently started on digitalis regimen. Your discharged instruction include/s except
A. Hold if apical pulse is less than 60
B. Include potassium rich foods in the diet
C. Yellow spots around your eyes is normal
D. Digoxin level will routinely be ordered
Answer C: Yellow spots around your eyes is not normal. This is a late sign of digitalis tocity. Answers A, B, D are all correct.
In any medical emergency, the principles on prioritization and triage is based on the most serious, life-threatening situations. Thus, a nurse must attend to the sickest client.
In disaster situation, you must first attend to stable, uncomplicated clients. Why? You want to stablize those who needs very little medical attention so they can go back to the disaster area and help others. Also, why spend most of your time, to those who are sick, and might not have a chance to survive.
Disaster events: earthquake, hurricane, tornado, terror attack, mudslide, etc.
Pt. had thyroidectomy 24 hours ago? What are the complications that can be expected related to the surgery?
A. Laryngeal nerve damage
B. Bleeding
C. Hypocalcemia
D. All of the above
Answer: D. All of the above
An important post-operative care includes providing:
A. Soft pillow at bedside
B. Pressure dressing
C. Neck support
D. Trach set at bedside
Answer: D. Trach set at bedside. Complication of thyroidectomy is laryngeal nerve damage. Could lead to vocal cord paralysis, resulting to airway obstruction which will require immediate trach placement.
