im Wrong? PLZ tell me

I've looked at #3, and I believe that what they are going for is that when you do a VITAL ASSESSMENT, you are searching for not only the pain level, but all possible CAUSES. We are being taught that part of your assessment of vitals INCLUDES a pain scale assessment.


In the Digoxin question, they are asking specifically what inotropic means, not the whole effect of the drug.


It makes sense that you would overthink those. You just mentioned that you were aiming for Doctor, and I feel that could be quite suitable for you since doctors are more sternly clinical in their thought. Nurses must go a step further and be abstract about the way they think. Not so much "Educate about all of the possible toxicity symptoms" but more of "What education is *most* beneficial to my client?"

I hope that makes sense or that I'm not speaking out of turn. I wish you the best, and congrats on Med School!

I would not have been so angered if only the "right" answers were explained in full rationale.

Beleive me, I understand. The expectations aren't always laid out. I'm having the same problem at my school.

Thanks for the input. I just decided to jump straight into Dr now because apparently my instructors made it clear that-yes, critical thinking is needed, but your thinking further & deeper than a nurse would.

I think your thought processes are just highly factual and scientific. Which is not a bad thing! But you have to be able to judge what's really being asked. If a patient starts asking what they will do with their dog while they are in surgery, they may actually be asking "Am I going to be ok".

best way to put it is a baseball metaphore- Im up at bat. The entire field is Nursing & Patients. I hit the ball over the fence (homeRun). Where the ball went is great but does no good if the patient cant reach it (understand things).

that's a great metaphor! I might share that with a few people I know.

As for the Digoxin -Inotropic Question- It is true it is stateing its an Inotropic. Yes it does not say whether its Positive or Negative Inotropic because that is irrelevant info because All in all, both my answer & theirs are right. Both are the Inotropic actions. Digoxin simply can not work without decreaseing the HR to what ever extent the doseage is. Do you concur?

it is true that Dig slows heart rate and strengthens contractions. But is that what the question was asking? The question was asking "what is its INOTROPIC action"
And Im glad you are still willing to discuss this. Because I can guarantee you that med school will do the same thing.

(Im not worried or furious with these questions any longer but I do enjoy the debate of these)

Wonderful! Because an unexpected outcome of this discussion is that I am reinforcing some knowledge that I'm currently gaining. We had been talking about Dig in class, but this discussion has helped me to remember it's properties better. I learn by talking.

Here's the scoop. They are right and you will not be. Period. Learn how to take the tests by testing yourself constantly. There are plently of websites that offer testing, probably your books came with NCLEX style questions, there are tons of books with NCLEX questions. If this has been a problem for you in the past, you'd better change your tactics and soon. You spent a lot of time sending that post and being angry. Being angry is not going to open your mind to learning. Start over. Take a deep breath and learn how to take tests. Good luck you can do it!

I didnt read your entire post cause it made me dizzy, however just looking at the first question is telling me your problem. You have to think by applying and not by memory.
I dont know what theory you are following in your program but the first thing I was taught in my Nursing program was to follow OREM's Theory. If you followed OREMS Theory you would see that FOOD is third in hierarchy of Needs and must be satisfied before "Halo around lights/objects etc."
So yes, You might have read that Halo around objects is one of the side affects (thats relating it to what you memorized), but applying the material to a theory is what you should focus on and had you done that you would have seen that a Poor Appetite would have been the answer without doing any further research.