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Ryan Glass

@ryan__glass

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🧠 NCLEX GRIEF & LOSS CHALLENGE! The Kübler-Ross model describes common emotional responses people may experience when facing loss. Can you recognize the stage from the patient’s behavior? 👀 Comment A, B, C, or D before checking the answer! 👇 . . . . . . . . . . ✅ Correct Answer: C — Bargaining Rationale: During the bargaining stage, a person may attempt to negotiate or make promises in hopes of delaying or changing the outcome of a loss. A patient might say: “If I can just have a little more time, I promise I’ll change.” 🧠 Remember the 5 stages: D — Denial → “This can’t be happening.” A — Anger → “Why is this happening to me?” B — Bargaining → “If only…” / “Please give me more time.” D — Depression → sadness and recognition of the loss A — Acceptance → acknowledging the reality of the situation 💡 NCLEX tip: The stages do not necessarily occur in order, and a person may move back and forth between them or not experience every stage. 📚 Save this for your NCLEX psych review! #NCLEX #NCLEXRN #NCLEXPrep #NursingSchool #NursingStudent PsychNursing Grief KublerRoss MentalHealthNursing NursingExam NCLEXQuestions FutureRN by @ryan__glass
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2 months ago
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🧠 NCLEX MENTAL HEALTH CHALLENGE! Delirium and dementia can both cause confusion and cognitive changes, but their onset and course are very different. Can you identify the key difference? 👀 Comment A, B, C, or D before checking the answer! 👇 . . . . . . . . . . ✅ Correct Answer: B — Delirium has a rapid onset Rationale: Delirium typically develops acutely—over hours to days and often fluctuates throughout the day. A major hallmark is impaired attention and awareness. Dementia (major neurocognitive disorder) generally has an insidious, progressive onset over months to years. Attention is often relatively preserved early in the disease. 🚨 NCLEX priority: New, sudden confusion should never automatically be attributed to aging or dementia. Look for an underlying medical cause such as infection, medication effects, electrolyte disturbances, hypoxia, or metabolic abnormalities. 🧠 Memory trick: DELIRIUM = develops rapidly ⚡ DEMENTIA = develops gradually 🕐 Another key distinction: delirium is often reversible when the underlying cause is treated, whereas many common causes of dementia are progressive and irreversible. 📚 Save this for your psych NCLEX review! #NCLEX #NCLEXRN #NCLEXPrep #NursingSchool #NursingStudent PsychNursing MentalHealthNursing Delirium Dementia NursingExam NCLEXQuestions FutureRN by @ryan__glass
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2 months ago
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🧠 NCLEX MENTAL HEALTH CHALLENGE! Personality disorders can look similar on an exam, so focus on the hallmark pattern of behavior in the question. Which disorder is associated with unstable relationships, impulsivity, and an unstable or poor self-image? 👀 Drop your answer A, B, C, or D before checking below! 👇 . . . . . . . . . . ✅ Correct Answer: B — Borderline Personality Disorder Rationale: Borderline personality disorder is characterized by instability in interpersonal relationships, self-image, emotions, and behavior. Patients may demonstrate impulsivity, intense mood changes, fear of abandonment, and a pattern of idealizing and then devaluing others (“splitting”). 🧠 NCLEX memory trick: Borderline = everything is on the BORDER of unstable → relationships, emotions, self-image, and behavior. Quick cluster reminder: Borderline is Cluster B — the dramatic, emotional, or erratic cluster. 📌 Save this for your psych NCLEX review and send it to a nursing student! #NCLEX #NCLEXRN #NCLEXPrep #NursingSchool #NursingStudent PsychNursing MentalHealthNursing PersonalityDisorders BorderlinePersonalityDisorder ClusterB NursingExam FutureRN by @ryan__glass
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2 months ago
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🩺 NCLEX CENTRAL LINE SAFETY CHECK! A central line dressing provides a protective barrier against microorganisms. If that barrier becomes wet, loose, or non-occlusive, infection risk increases. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: C — Remove and replace the dressing Rationale: A central venous catheter dressing that becomes damp, loose, visibly soiled, or no longer occlusive should be replaced promptly using aseptic/sterile technique according to facility protocol. Simply reinforcing a compromised dressing does not restore an appropriate protective barrier. 🦠 Central lines carry a risk for central line–associated bloodstream infection (CLABSI), making proper dressing care essential. 🧠 NCLEX Tip: Think wet, loose, or soiled = change the dressing. Don’t just tape over a compromised central-line dressing. 📚 Save this for NCLEX review & follow @ryan__glass for more practice! #NCLEX #NCLEXRN #NCLEXPrep #NursingStudent #NursingSchool CentralLine CLABSI InfectionControl NursingEducation FutureRN by @ryan__glass
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2 months ago
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🫁 NCLEX CHEST TUBE CHECK! Chest tubes can be confusing because bubbling and fluid movement can mean very different things depending on which chamber you’re assessing. Knowing what’s expected versus what signals a complication is key. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: C — Tidaling with respirations Rationale: Tidaling in the water-seal chamber—fluid rising and falling with respirations—generally indicates that the chest tube system is patent and responding to changes in intrathoracic pressure. ⚠️ Continuous bubbling in the water-seal chamber usually indicates an air leak and should be investigated. Absence of tidaling can occur if the lung has fully re-expanded, but it can also indicate an obstruction or kink, so it isn’t automatically evidence of proper function. 🧠 NCLEX Tip: Tidaling = expected. Continuous bubbling = suspect an air leak. 📚 Save for NCLEX review & follow @ryan__glass for daily practice! by @ryan__glass
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2 months ago
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💊 NCLEX PHARMACOLOGY CHECK! Vancomycin is a powerful antibiotic used for serious infections, but careful monitoring is important because excessive drug exposure can increase the risk of toxicity. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: A — Peak and trough levels Rationale: Vancomycin drug levels have traditionally been monitored to ensure therapeutic concentrations while reducing toxicity risk, especially nephrotoxicity. Trough levels have historically been emphasized more than peak levels. 🧠 Important update: Current vancomycin guidelines favor AUC-guided monitoring for serious MRSA infections rather than routinely relying on peak and trough targets alone. Kidney function, including serum creatinine, should also be monitored. 📚 Save for NCLEX review & follow @ryan__glass for daily practice! by @ryan__glass
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2 months ago
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⚡ NCLEX ELECTROLYTE CHECK! Chvostek’s sign is an important assessment finding associated with increased neuromuscular excitability. Knowing how to distinguish it from other findings can help you recognize electrolyte disturbances quickly. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: B — Facial twitching when tapping the cheek Rationale: A positive Chvostek’s sign occurs when tapping over the facial nerve causes involuntary twitching of the facial muscles. It is classically associated with hypocalcemia and increased neuromuscular excitability. 💡 Don’t confuse the signs: Chvostek = cheek/facial twitching Trousseau = carpal spasm after BP cuff inflation 🧠 NCLEX Tip: Think “Chvostek = Cheek.” 📚 Save for NCLEX review & follow @ryan__glass for daily practice! by @ryan__glass
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2 months ago
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🩺 NCLEX ENDOCRINE CHECK! Cushing’s syndrome results from prolonged exposure to excess cortisol. Think about how increased cortisol affects fat distribution, blood pressure, glucose, and the immune system. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: C — Moon face and truncal obesity Rationale: Excess cortisol causes characteristic central fat redistribution, leading to truncal obesity, a rounded “moon face,” and often a dorsocervical fat pad (“buffalo hump”). Patients may also develop hypertension, hyperglycemia, muscle weakness, thin skin, easy bruising, and increased infection risk. 🧠 NCLEX Tip: Think Cushing = too much cortisol → glucose, BP, and central body fat tend to go UP. 📚 Save for NCLEX review & follow @ryan__glass for daily practice! by @ryan__glass
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2 months ago
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🫁 NCLEX INFECTION CONTROL CHECK! Tuberculosis is a major NCLEX isolation-precaution topic. Knowing whether an infection requires contact, droplet, or airborne precautions can make these questions easy points on exam day. What’s your answer: A, B, C, or D? 👇 Comment before checking! ⬇️ ANSWER + RATIONALE BELOW ⬇️ . . . . ✅ Correct Answer: C — Airborne precautions Rationale: Active pulmonary or laryngeal TB can spread through tiny airborne particles. The patient should be placed in an airborne infection isolation room (negative-pressure room), and healthcare personnel should wear a fit-tested N95 respirator or higher-level respiratory protection. 🧠 NCLEX Tip: Remember MTV = Airborne Measles Tuberculosis Varicella 📚 Save this for NCLEX review & follow @ryan__glass for daily practice! by @ryan__glass
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2 months ago
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🚨 NCLEX PHARM CHECK! 💊 A client taking valproic acid develops abdominal pain, jaundice, and vomiting. Which lab should the nurse prioritize? 👀 ✅ Answer: A — Liver function tests (LFTs) Valproic acid can cause serious hepatotoxicity. Jaundice, abdominal pain, nausea/vomiting, unusual fatigue, or loss of appetite can signal liver injury. Monitoring AST/ALT and other liver function indicators is essential. 🧠 NCLEX Tip: Valproate → think LIVER + PLATELETS + PANCREAS. Did you get it right? Drop your answer below 👇 #NCLEX #NCLEXRN #NursingSchool #NursingStudent #Pharmacology ValproicAcid PsychNursing NCLEXPrep NursingExam FutureRN by @ryan__glass
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2 months ago
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🧠 NCLEX Practice Question #22 Alzheimer’s disease causes progressive changes in the brain—but do you know which structural finding is associated with it? Drop your answer A, B, C, or D before checking below! 👇 . . . ✅ Correct Answer: A — Cerebral atrophy and ventricular widening Rationale: Alzheimer’s disease is associated with progressive loss of brain tissue (cerebral atrophy). As brain tissue shrinks, the ventricles become enlarged/widened. 💡 Remember: Brain tissue ↓ → Ventricular space ↑ Did you get it right? 🧠👇 Follow @ryan__glass for daily NCLEX practice! 🩺📚 #NCLEX #NCLEXRN #NCLEXPrep #NursingSchool by @ryan__glass
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2 months ago
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💊 NCLEX PHARM CHECK A client taking lithium develops nausea, diarrhea, blurred vision, and a coarse hand tremor. What complication should the nurse suspect? 👀 Drop your answer A, B, C, or D below ⬇️ ✅ Answer: A — Lithium toxicity 🧠 Rationale: GI symptoms combined with neurologic changes such as coarse tremors and blurred vision are concerning for lithium toxicity and require prompt evaluation. 📌 NCLEX Tip: A fine hand tremor can occur as a common lithium side effect. A coarse tremor, especially with GI or neurologic symptoms, is a red flag for toxicity. Follow @ryan__glass for more NCLEX practice 🩺📚 #NCLEX #NCLEXRN #NursingStudent #NursingSchool #Pharmacology Lithium PsychNursing MentalHealthNursing NursingExam FutureRN by @ryan__glass
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2 months ago
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