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All state and Central government Nursing exam preparation
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* Maharashtra's Most Experienced Teachers
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When a client's chest tube is removed, what should the nurse have ready to place over the wound?
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A client suspects that she is pregnant. She reports two missed menstrual periods. The first day of her last menstrual period was August 3. Her estimated date of confinement would be
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A nurse is preparing a patient for a lumbar puncture. Which laboratory test should be ordered before the procedure to compare with CSF results?
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Which of the following commonly causes infections after splenectomy
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Glycosylated hemoglobin %, indicating a good control of diabetes
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According to WHO guidelines, latent TB infection need NOT to be ruled out in:
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An adult male is suffering from HIV. Recently he had sex with a lady. Which of the following tests is important in knowing whether the lady is infected or NOT:
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Vancomycin – Key Points
🔹 Drug Class
Glycopeptide antibiotic
Bactericidal
Works by inhibiting bacterial cell wall synthesis
🔹 Main Use (VERY IMPORTANT )
Serious Gram-positive infections
Especially MRSA
Endocarditis
Osteomyelitis
Sepsis
Pneumonia (hospital-acquired)
👉 PO (oral) vancomycin is used for:
C. difficile infection (acts locally in gut)
🔹 Route Trick for NORCET
IV → systemic infections
PO → C. diff only
IM route ❌ (causes tissue necrosis)
⚠️ Major Side Effects (HIGH-YIELD)
Nephrotoxicity
Monitor serum creatinine
Risk ↑ with aminoglycosides
Ototoxicity
Tinnitus
Hearing loss
Red Man Syndrome (VERY COMMON QUESTION)
Flushing
Red rash on face/neck/chest
Hypotension
Caused by rapid IV infusion
👉 Prevention:
Infuse over at least 60 minutes (very imp)
Slow infusion rate
🔬 Monitoring
Monitor trough levels
Normal trough: 10–20 mcg/mL
Check kidney function
Monitor I/O
🚨 Nursing Interventions
Infuse slowly
Assess hearing changes
Monitor urine output
Encourage fluids (if not contraindicated)
Do NOT mix with other drugs in same IV line
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NORCET-10 Important Dates*
📰 Notification Released: 24-02-2026
📝 Online Application Starts: 24-02-2026
⏰ Last Date to Apply: 16-03-2026 (till 5:00 PM)
NORCET Preliminary (Stage-I CBT):
11 April 2026 (Saturday)
NORCET Mains (Stage-II CBT):
30 April 2026 (Thursday)
Age Cut-off Date: 16-03-2026 (last date of application)
