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Grab some peppermint

Aromatherapists have long relied on peppermint oil as a natural stimulant. Now scientists are on board: Researchers at West Virginia’s Wheeling Jesuit University found that sniffing peppermint immediately improves both athletes’ running speed and office workers’ typing speed. Its scent acts as a mood enhancer that boosts your motivation and concentration. So grab an infusion, whether it’s breath mints, lip gloss, or hand lotion.

– Women’s Health Magazine

 

“Try to achieve 65% on Question Trainer 4 and 5. Aim for 60% correct on Question Trainer 6 and 7 and all Qbank questions.”

p. 28 of the Kaplan book.

Pop Quiz

What’s the drug of choice for frequent PVCs?

Picture Hints!

Click on the link below and go through the links (in blue) for pictures like these:

LINK

 

– Steff

 

Kaplan strategy books

here is the book that I’m using that’s really helping me a lot!

http://www.amazon.com/Kaplan-NCLEX-RN-2011-2012-CD-ROM-Strategies/dp/1607148773/ref=sr_1_5?ie=UTF8&qid=1294610471&sr=8-5

– Theresa

Hi guys!  I thought I had posted this earlier, but oopsie.

 

Click on the link below to open the Excel file.

catagorized-meds

Thank you Margaret for making this.

Interview Questions

Not NCLEX-related, but as promised, here is the list of interview questions I encountered on two separate interviews.  At my first interview, it was just me and the nursing administrator.  At the second hospital, I first interviewed with the HR nurse recruiter and then there was a panel interview, including the director and 5 other managers.

Interview 1:

– Tell me about yourself.

– How did you hear about this hospital?

– What are your strengths and weaknesses?

– What do you think is the biggest challenge for new grads today?

– Where do you see yourself in 5 years?

– Why should I hire you?

– Do you prefer day or night shift?  [say EITHER!!]

– Do you have any questions for me?

Interview 2:

– Tell me about your clinical experience?

– Why did you choose to be an RN?

– You told us about your worst experience [how I started answering the first question], now tell us a time when you had a good experience.  What did you learn?

– What is an example of a time you went out of your way for a patient?

– If I called Dr. Levy, who wrote your letter of recommendation, what do you think she would say about you?

– If I called your supervisor at Cedars-Sinai [my employer 9 years ago], what would they say?  What would your supervisor at Children’s Hospital [current employer] say about you?

– You work at CHLA, so why don’t you want to be an RN there?

– What was your favorite rotation?

– What are you looking for in a hospital?

– Describe your communication style.

– Do you describe yourself as a team player? Why?

– Where do you see yourself in 5 years?

– What area would you like to work in? [say ANY!]  What shift do you prefer? [again, say NO PREFERENCE!!]

– Why should we hire you out of all the 500 new grads who applied?

– Have you applied anywhere else?

I never feel nervous before interviews… EXCEPT BEFORE THESE TWO!  I think these interviews felt so different, because we’ve all worked so hard during nursing school and this was the only moment I had to prove this to them.

I got offers from both hospitals, and I chose the second interview.  I like the way their new grad program was structured, and I liked the way they described their management style.

Call me if you’d like me to tell you how I answered these!

Good luck everyone!  Get out there and apply now, even if you haven’t taken the NCLEX.  Someone told me that 80% of the new grads they hire have NOT taken the NCLEX yet!  I was supposed to start with my Interim Permit at Monrovia, so YES the jobs are opening up to us.

– Steff

• Acetaminophen: acetylcysteine or mucomyst

• Anticholinesterase: atropine or pralidoxime
• Anticholinergics: physostigmine
• Antifreeze: fomepizole, ethanol
• Benzodiazepines: Romazicon (flumazenil)
• Beta-Blocking Agents: Glucagon, epinephrine
• Ca++ Channel Blockers: Ca+ chloride, glucagon
• Carbon Monoxide (CO): hyperbaric, oxygen
• Coumadin: phytonadione or vitamin K
• Cyanide: amyl nitrite, sodium nitrite, or sodium thiosulfate
• Cyclophosphamide: mesna
• Digoxin: Digibind or Digoxin Immune Fab
• Dopamine: Rigitine
• EPS (Extra Pyramidal Symptoms): Benadryl (diphenhydramine)

• Ethylene Glycol: fomepizole
• Fluorouracil: leucovorin calcium
• Heroin: Narcan (naloxone) or nalmefene
• Heparin: protamine sulfate
• Insulin Reaction: IV glucose (D50)
• Iron (Fe): deferoxamine
• Lead: edetate calcium disodium, dimercaprol, or succimer
• Malignant Hyperthermia (MH): dantrolene
• Methanol: ethanol
• Methotrexate: leucovorin calcium
• Narcotics: Narcan (naloxone) or nalmefene
• Opioid Analgesics: Narcan (naloxone) or nalmefene
• Organophosphate (OPP): atropine, pralidoxime
• Potassium (K): Insulin and glucose, NaHCO3, albuterol inhaler, or Kayexalate (sodium polystyrene sulfonate)

• Rohypnol: Romazicon (flumazenyl)
• TCA (tricyclic antidepressants): physostigmine or NaHCO3
• Tranquilizers-EPS symptoms: Benadryl (diphenhydramine)
• Tylenol: acetylcysteine
• Warfarin: phytonadione or vitamin K

– Steff

ADDITIONAL MED CATEGORIES (THANKS TO ALENOOSH)

*** Right-click these images and select SAVE AS to save it to your computer***

Hint List

**Copied from someone on allnurses.com**

AIRBORNE PRECAUTION (credit goes to the one who posted this on April thread, sorry can’t remember your name) i just re post it again

My – Measles
Chicken – Chickenpox
Hez – Herpes Zoster (Disseminated)
TB – TB

Private room
Negative pressure with 6-12 air exchanges per hour
UV
Mask
N95 Mask for TB

DROPLET PRECAUTION
think of SPIDERMAN!
S – Sepsis
S – Scarlet fever
S – Streptococcal pharyngitis
P – Parvovirus B19
P – Pertussis
P – Pneumonia
I – Influenza
D – Diptheria (Pharyngeal)
E – Epiglottitis
R – Rubella
M – Mumps
M – Meningitis
M – Mycoplasma or meningeal pneumonia
An – Adenovirus

Private room
Mask

CONTACT PRECAUTION
MRS.WEE
M – Multidrug resistant organism
R – Respiratory infection – RSV
S – Skin infections
W – Wound infections
E – Enteric infections – clostridium defficile
E – Eye infections

Skin Infections:
V – Varicella zoster
C – Cutaneous diptheria
H – Herpes simplex
I – Impetigo
P – Pediculosis
S – Scabies, Staphylococcus

Private room
Gloves
Gown

Insulin, Coumadin, Heparin, antihypertensives, viagra, digitalis, ritalin, actonel, accutane, anti-ulcer medications, nitroglycern, to name a few. Try to look at the suffixes:

ace inhibitors end with ‘pril (eg: captopril) *note that this drug increases potassium in the blood,

angiotensinogen 2 inhibitors end in ‘sartan (eg: losartan),

beta blockers end with ‘olol (eg: metoprolol) *caution with patients who are diabetic or who are asthmatic,

cholesterol reducing drugs usually end with ‘statin (eg: atorvastatin) * note that if the patient experiences muscular pain, they should stop immediately and report it to the doctor, also not to consume grapefruit juice,

impotence drugs end with “defil (eg: sildenefil-hope I spelled it correctly…if not please excuse the typo) *note that you cannot take this drug if you are taking nitrates such as nitroglycerin or isosorbide and go to the doctor if an erection last longer than 4 hours,

accutane is an acne drug, where a pregnancy test must be done on females before prescribing them

actonel (again, this may be a typo) cannot be taken unless a person is able to sit up for at least 1/2 hour to an hour after adminstration.

Know the acting times of insulin, which is fast acting, long acting or the lente. They may ask when will a person become hypoglycemic, and that would be during peak hours.

penicillin: if a person has an allergy to penicillin, they may be at risk for an allergy to a cephalosporin, in that case suggest a macrolide such as clarithromycin. Macrolides are known to cause severe stomach pain for some people. Also, if a nurse administers penicillin or cephalosporin, that the patient should remain with the nurse for 1/2 hour afterwards to intervene with allergic reactions.

Most drugs that end with ‘mycin may cause nephrotoxicity or ototoxicity

Parameters for digitalis administration, and also that if potassium is low and calcium and magnesium is high, there is a higher chance for digitalis toxicity.

corticosteriods usually end with ‘sone (eg: predinsone), may cause medication related diabetes, increase chances of infection, cause Cushoid symptoms (buffalo hump in back, thin skin, easy to bruise, etc…)

Aspirin should not be consumed with alcohol, increases bleeding, causes ulcers, should be taken with food to diminish gastric distress

Antidote for tylenol is Mucomyst.

dont forget your diuretics … esp. those are imp. also I have some for now …

meds that end in -sartan=decrease blood pressure, increase cardiac load (Used for those who side effect is cough with ACE)
ANGIOTENSIN II RECEPTOR BLOCKERS
side effects 2nd degree AV block, angina, muscle cramps monitor BUN,BP and pulse

-vastatin(Lovastatin)=decrease cholesterol, lower tricycerides (NOTE*Lipitor at night only do not take with grapefruit juice)
ANTIHYPERLIPIDEMICS
side effects muscle weakness, alopecia monitor liver/renal profile

cox=osteoarthritis, rheumatoid arthritis(relieve pain by reducing inflammation)
NSAID/CO2 ENZYME BLOCKER
side effects tinnitus, dizziness monitor bowel habits (could cause GI bleed, platlet count) Increase risk of strokes, heart attacks***

tidine=GERD
HISTAMINE 2 ANTAGONIST(inhibit gastric acids)
side effects agranulocytosis, brady/tachycardia monitor gastric PH/BUN ***If taking antacids take one hour after or before taking these drugs***

-prazole=ulcers, indigestion, GERD (Take before meals better absorption)
PROTON PUMP INHIBITORS
side effects gas, diarrhea, hyperglycemia monitor LFTs

-parin=thin blood, DVT, M.I.,post surgeries (Antidote Protamine sulfate–check PTT should be 1.5-2.0x) anticoag. decread vit. K levels
side effects hematuria, bleeding, fever monitor PTT, hematocrit and occult testing q 3mths

-pam
-pate
-aze/azo =Benzos/Antianxiety/anticonvulsants
side effects incontinence, respiratory depression/ monitor for LFT, respirations

-caine (anesthetic)
-mab (monoclonal antibodies)
-ceph or cef (cephalosporins)
-cycline (tetracyclines)
-cal (calciums)
-done (opioids)

ganciclovir sodium causes neutropenia and thrombocytopenia and nurse should monitor for s/s of bleeding just as equiv. to a pt. on anticoag. therapy.

SSRIs and MAOIs used together potentially fatal

caine= local anesthetics
cillin= antibiotics
dine= anti-ulcer agents
done= opiod analgesics
ide= oral hypoglycemics
iam= antianxiety agents
micin= antibiotics
nium= neuromuscular blocking agents
olol= beta blockers
ole= anti-fungal
oxacin= antibiotics
pam= antianxiety agents
pril= ace inhibitors
sone= steroids
statin= antihyperlipidemics
vir= antivirals
zide= diuretics

– Steff