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11/05/2026

🩺 PULSE ASSESSMENT – Know Your Basics! ❤️

Do you know what to assess while checking a patient's pulse?

Remember the 5 key characteristics:
1️⃣ Rate
2️⃣ Rhythm
3️⃣ Volume
4️⃣ Equality
5️⃣ Tension

💡 Normal adult pulse: 60–100 beats/minute

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11/04/2026

🩺 T-TUBE (KEHR’S TUBE) CARE – NCLEX NURSING REVIEW

A T-tube is used after common bile duct surgery to maintain bile drainage and prevent obstruction.

🔑 Important Nursing Responsibilities:

- Maintain semi-Fowler’s position.
- Monitor bile drainage (amount, color, consistency & odor).
- Keep drainage bag below gallbladder level.
- Watch for infection and skin irritation.
- Never irrigate or clamp without provider’s order.
- When prescribed, clamp before meals and unclamp if nausea or vomiting occurs.

⚠️ NCLEX TIP: Sudden increase in drainage, foul odor, pus, fever or abdominal discomfort must be reported.

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11/04/2026

🩺 HOME CARE INSTRUCTIONS FOR PATIENTS WITH HEPATITIS 🏥

Proper home care plays an important role in recovery and preventing the spread of hepatitis.

✅ Maintain strict hand hygiene.
✅ Use separate personal items like towels, razors & toothbrushes.
✅ Eat small, frequent meals rich in carbohydrates and low in fat.
✅ Avoid alcohol and hepatotoxic medications.
✅ Increase physical activity gradually.
✅ Do not donate blood.
✅ Follow appropriate infection-prevention precautions.
✅ Keep regular follow-up appointments.

💡 NCLEX KEY POINT: Remember – Small, frequent, high-carbohydrate, low-fat meals are an important traditional nursing dietary recommendation for hepatitis.

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11/04/2026

🩺 TYPES OF CIRRHOSIS – NCLEX NURSING REVIEW!

Cirrhosis is a chronic liver disease characterized by progressive fibrosis, scarring, and loss of normal liver function.

4 Important Types of Cirrhosis:

1️⃣ Laënnec’s Cirrhosis: Commonly associated with chronic alcohol use and malnutrition.

2️⃣ Postnecrotic Cirrhosis: Develops after massive liver cell necrosis, often due to hepatitis or hepatotoxins.

3️⃣ Biliary Cirrhosis: Associated with chronic bile duct obstruction, bile stasis, and inflammation.

4️⃣ Cardiac Cirrhosis: Results from chronic right-sided heart failure causing liver congestion.

💡 NCLEX TIP: Remember the association:

- Alcohol → Laënnec’s
- Hepatitis → Postnecrotic
- Bile obstruction → Biliary
- Right-sided heart failure → Cardiac

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11/03/2026

🚨 ECTOPIC PREGNANCY – Recognize the Signs, Save a Life! 🩺

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube.

🔴 Key Symptoms:

- Unilateral lower abdominal pain
- Vaginal bleeding or spotting
- Shoulder-tip pain
- Nausea and vomiting
- Dizziness or fainting

💊 Treatment:

- Methotrexate (if eligible and unruptured)
- Laparoscopic surgery
- Salpingectomy or Salpingostomy

⚠️ NCLEX ALERT: Ruptured ectopic pregnancy is a life-threatening emergency due to internal bleeding.

📚 Learn it. Remember it. Save lives!

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11/03/2026

🩺 COLOSTOMY CARE – Essential Nursing Knowledge!

A colostomy is a surgically created opening (stoma) in the colon that allows stool to pass into an external ostomy pouch.

🔹 Key Nursing Responsibilities:

- Assess stoma color, size, and moisture.
- Healthy stoma should be pink/red and moist.
- Clean peristomal skin gently.
- Empty pouch when 1/3–1/2 full.
- Monitor stool output and consistency.
- Maintain skin integrity and prevent leakage.
- Educate patients about pouch care.

⚠️ NCLEX TIP: A pale, bluish, or black stoma is abnormal and requires immediate reporting.

💡 Remember: Proper colostomy care prevents complications and promotes patient comfort!

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11/03/2026

NCLEX TRICKY QUESTION – ECTOPIC PREGNANCY!
A 7-week pregnant woman presents with severe abdominal pain, vaginal bleeding, shoulder tip pain, and dizziness.
Her BP is 80/50 mmHg and pulse is 124/min.
🧠 What is the nurse’s PRIORITY action?
A. Administer Methotrexate
B. Prepare for emergency surgery
C. Schedule transvaginal ultrasound
D. Administer oral analgesics
🔥 This question tests your PRIORITY NURSING & CLINICAL JUDGMENT skills!
👇 Comment your answer (A, B, C, or D).
📌 Don't Google it! Test your nursing knowledge.

11/03/2026

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11/03/2026

Classic symptom: Unilateral pelvic pain.
Vaginal bleeding may occur.
Shoulder tip pain can indicate internal bleeding.
Major complication: Tubal rupture → Hemorrhagic shock.
💊 Treatment:
Methotrexate (stable, early cases).
Surgery (ruptured or unstable cases).
🔥 NCLEX ALERT: A pregnant woman with abdominal pain, vaginal bleeding, and dizziness needs urgent evaluation!
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11/03/2026

🦠 AIRBORNE PRECAUTIONS & INFECTIOUS DISEASES 🏥

Do you know which diseases require Airborne Precautions? 👩‍⚕️

🚨 Remember these NCLEX high-yield points:

✅ Tuberculosis (TB)
✅ Measles (Rubeola)
✅ Varicella (Chickenpox)
✅ Disseminated Herpes Zoster (Shingles)

🩺 Important Nursing Interventions:

- Wear an N95 respirator or PAPR.
- Use a negative-pressure isolation room.
- Follow appropriate PPE guidelines.
- Active TB can spread through the air.
- Latent TB is NOT contagious.

🔥 NCLEX TIP: Always remember N95 + Negative Pressure Room!

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💬 QUIZ TIME: Which type of mask is required for a patient with active pulmonary TB?

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