StethoNurse

StethoNurse StethoNurse was founded in April 2024 to help nursing grads struggling with the NCLEX-RN/PN Exam prepare & pass it on their next attempt.
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05/02/2026

Chest tube removes air, fluid, or blood from the pleural space to help the lung re-expand and restore normal breathing.
Continuous bubbling in the water-seal chamber signals an air leak, while sudden absence of tidaling or respiratory distress suggests obstruction—assess immediately and intervene.

04/30/2026

Anorexia is severe food restriction with a distorted body image—these patients are underweight, bradycardic, and at risk for life-threatening electrolyte imbalances.
Bulimia involves binge-purge cycles with normal weight, but repeated vomiting leads to hypokalemia, putting the patient at high risk for cardiac arrhythmias.

04/29/2026

Suctioning is not routine—it’s a high-risk airway intervention, so always pre-oxygenate with 100% oxygen for 30–60 seconds and limit each pass to 10–15 seconds.
Apply suction only while withdrawing the catheter, use sterile technique for tracheal suctioning, and monitor for hypoxia, bradycardia, and dysrhythmias.
Suction only when indicated—when you hear secretions or see airway compromise, not on a schedule.

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03/14/2026

Leave your answer in the comments, let us know what you think!

Need more questions like this? Also comment YES to get a copy of our latest NCLEX Predictor study guide +14327415470

02/13/2026

Tuberculosis (TB) is an airborne infection caused by Mycobacterium tuberculosis that primarily affects the upper lobes of the lungs and presents with chronic cough (>3 weeks), hemoptysis, night sweats, weight loss, and fatigue—think airborne precautions + negative pressure room + N95 for NCLEX. Diagnosis is confirmed with 3 early-morning AFB sputum smears (induration, not redness, is read 48–72 hrs after Mantoux), and treatment is long-term RIPE therapy (Rifampin, Isoniazid + B6, Pyrazinamide, Ethambutol). Remember: Rifampin turns body fluids orange-red, INH causes hepatotoxicity and neuropathy, Ethambutol affects vision, and patients are noninfectious after 3 negative sputum smears with clinical improvement.

02/11/2026

Hepatic encephalopathy is a brain complication of liver failure caused by ammonia buildup—watch for early confusion and the classic asterixis (flapping tremor), which is heavily tested on the NCLEX.
Management focuses on lactulose (goal: 2–3 soft stools/day), correcting triggers like GI bleeding or infection, and prioritizing safety and mental status monitoring.

02/11/2026

Osteoporosis is silent until it fractures—know that hip, vertebral compression, and Colles fractures are highly tested, and prevention starts with weight-bearing exercise, calcium/vitamin D, and strict bisphosphonate teaching (upright 30 minutes after Alendronate).
On the NCLEX, prioritize fracture prevention, fall safety, and teaching patients to avoid forward flexion and heavy lifting to protect the spine.

02/11/2026

Peritoneal dialysis + cloudy effluent = think peritonitis, usually from a break in sterile technique; assess immediately and send the dialysate for culture before starting antibiotics. 🚨 Expect abdominal pain and fever, treat with intraperitoneal antibiotics, and monitor closely for sepsis (hypotension, tachycardia, altered LOC).

02/11/2026

Hemodialysis on the NCLEX? Think: palpable thrill + audible bruit, low potassium/phosphorus diet with fluid restriction, and watch for fluid overload or rising BUN/creatinine as signs dialysis isn’t working. 🚨 Hyperkalemia is deadly—peaked T waves = give IV calcium gluconate, insulin with dextrose, and prepare for dialysis.

02/05/2026

The NCLEX is a safety exam—always identify the “two-minute patient,” the one who could deteriorate or die within minutes without immediate intervention. If you can master prioritization, pharmacology, maternal, and mental health the right way, this NCLEX Predictor Study Guide is laser-focused on exactly what to expect on test day.

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