A thing I have learned from the review today….

In Myasthenia Gravis, to check whether the client is on a myasthenic crisis or cholinergic crisis, an Edrophonium or Tensilon Test should be done. When you administer an edrophonium (via IV) to the patient, her condition will improve if she is on Myasthenic Crisis. 

Remember, Myasthenic Crisis is caused by skipping medications, therefore, administering an anticolinesterase, which is an Edrophonium, will improve the patient’s condition, thus confirming the crisis.

But if you administer an Edrophonium (via IV) to the patient and her condition worsens, she is on a Cholinergic Crisis.

Remember, Cholinergic Crisis is caused by an excessive medication, therefore adding an “extra” medication to the patient will even worsen you patients condition!

But if you want to make your life easier in remembering these, just remember the word “MICE”, which means…

Myasthenic Crisis

Improve

Cholinergic Crisis

Exacerbate

SOURCE: SRG 

This is the part 2 already. I don’t have the first part, i dunno, maybe I deleted it ACCIDENTALLY. But I can assure you, you can still understand the review even if you’ll start with this part.

LINK: PSYCH 2 Audio review

8. Correct answer is C.

Rationale: Food tolerance varies among individuals. The client can experiment to find the diet that is best for him. Gas-forming and foul-odor foods are particularly avoided.

SOURCE: MEDICAL-SURGICAL NURSING: CONCEPTS AND CLINICAL APPLICATION 2ND ED. by Josie Quiambao-Udan, RN, MAN

8. When planning diet teaching for a client with a colostomy, the nurse would develop a plan that emphasizes which of the following dietary instructions?

a. Foods containing roughage should not be eaten.

b. Liquid is best limited to prevent diarrhea.

c. Clients should experiment to find the diet that is best for them.

D. A high-fiber diet will produce a regular passage of stool.

SOURCE: MEDICAL-SURGICAL NURSING: CONCEPTS AND CLINICAL APPLICATION 2ND ED. by Josie Quiambao-Udan, RN, MAN

kebslcn asked: hey great blog! haha. anong edition nung program mo na lippincot nclex made incredibly easy? thanks! :)

Thanks! :)

Eto po yung name: NCLEX-RN Review Made Incredibly Easy 3rd Edition

7. Correct answer is C

Rationale: Impaired verbal communication related to inability to speak is a priority nursing diagnosis for the client with a total laryngectomy. The client will be unable to speak, and an alternative communication must be used.

A, B and D may be important diagnoses for the client with a total laryngectomy but there are no data in the situation that these are indicated for this client.

SOURCE: MEDICAL-SURGICAL NURSING: CONCEPTS AND CLINICAL APPLICATION 2ND ED. by Josie Quiambao-Udan, RN, MAN

7. Which of the following is a priority nursing diagnosis for the client with a total laryngectomy due to cancer?

a. Deficient fluid volume related to difficulty swallowing.

b. Feeding self-care deficit related to inability to swallow.

c. Impaired verbal communication related to inability to speak.

d. Powerlessness related to diagnosis of cancer.

SOURCE: MEDICAL-SURGICAL NURSING: CONCEPTS AND CLINICAL APPLICATION 2ND ED. by Josie Quiambao-Udan, RN, MAN