April 2008 NCLEX test takers, COME ON IN!

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Per the request of janina08 ;) I've started the April NCLEX takers support group. When do you take it? What are you using to study? Would anyone like to review any of the systems/meds that he/she feels weakest on? Let's keep each other in our prayers and good thoughts as we go through one of the biggest experiences of our lives. :) :nurse:

Specializes in NICU.

CONGRATULATIONS to EVERYONE WHO PASSED!

Help me analyze this question from Kaplan please:

A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate post op period, which of the ff actions if performed by the nurse is best?

1 restart the IV above the level of the graft

2 take BP on the right arm

3.elevate arm above level of the heart

4. check radial pulse of the left arm q4

answer is number 2. to prevent complications. how come? I still cannot grasp the rationale. Is it because taking BP at the left arm will cause complication so take it at the right? *sighs*

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Specializes in School Nursing.
CONGRATULATIONS to EVERYONE WHO PASSED!

Help me analyze this question from Kaplan please:

A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate post op period, which of the ff actions if performed by the nurse is best?

1 restart the IV above the level of the graft

2 take BP on the right arm

3.elevate arm above level of the heart

4. check radial pulse of the left arm q4

answer is number 2. to prevent complications. how come? I still cannot grasp the rationale. Is it because taking BP at the left arm will cause complication so take it at the right? *sighs*

yes, we cannot take bp, put IV or any procedure to the affected extremity.That is why we need to take the bp on the unaffected arm.

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Specializes in Cardiac/Telemetry.

A client has a bovine graft inserted into the left arm for hemodialysis. During the immediate post op period, which of the ff actions if performed by the nurse is best?

1 restart the IV above the level of the graft

2 take BP on the right arm

3.elevate arm above level of the heart

4. check radial pulse of the left arm q4

answer is number 2. to prevent complications. how come? I still cannot grasp the rationale. Is it because taking BP at the left arm will cause complication so take it at the right? *sighs*

When you have a dialysis pt, you have to be very careful with that graft. It is their only means of eliminating the wastes that are swimming in the body that their kidneys cannot eliminate. Immediately post op (again, think ABCs) you want to know how that pt's vital signs (especially blood pressure) are adjusting to that foreign entity in their body. You would never start an IV in the affected extremity because you run the risk of puncturing the graft and the vessels that the graft is using. I'm not sure why you would elevate it, and you would check the pulse (though, I'm not sure if it's q4 hrs), but even then, it wouldn't be the IMMEDIATE action taken by the nurse. You need to make sure that the pt is stable and that there aren't any complications due to the implementation of the graft. Hope that helped, and correct me if I'm wrong. :) (I'm still learing myself. ;))

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just read the posts of those who passed.

congrats!

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hey, guys!! i posted my last message last april 22(philippine time) before i went to manila for my exam.. i had to stay there the night before the exam since our house is quite far from the testing center.. on the night before my exam, i cant sleep!! and there i was crying in the bed.. my boyfriend who is with me cant sleep either.. and he's trying his best to make me laugh but i cant.. it's past 12 midnight(my exam will be 9am), i left the house and did some walking..hahaha.. while im holding my ipod and hearing the song, "lead me lord".. after that, i came back to go to sleep, i wore a rosary and the next thing that i knew, my alarm was already ringing(it's 5 am, u see i didnt get enough sleep)..

okay before i got out of the bed, i said a prayer.. i thanked the lord for the beautiful day, i know im already blessed for all the things that i have. but i will be more blessed if he'll enlighten my mind before my exam, then i asked him to guide me, give me strength, courage and determination.. and asked the holy spirit to guide me..

i reached the testing center at 7 am, so i was too early for my 9am exam.. so my boyfriend and i just went to mcdonald's near the testing center to have my breakfast, and there i was yawning :yawn: a lot! omg!! my boyfriend is telling me to drink coffee.. i told him i dont want because i might get nervous..hehe

at 8:30, we went to the testing center, and i was shocked because the examinees are already lined up. so i hurriedly went there.. ehehe.. and yeah, im at the end of the line so last to be admitted also.. i patiently wait while relaxing myself..

and when i entered the room,i prayed again..

and start answering my exam..

if you'll practice answering questions everyday, then when you take the actual nclex,you'll feel that you're just answering one of those practice tests..

i had 75qs

8 sata

8 meds

1 computations

and d rest was almost prioritization

finish the test in 2 hours

after the screen turns blue, i had these goose bumps:uhoh21:.. omg! it's finished. what have i done?? and the thing is i cant recall the questions anymore..

and so after the exam, we just went to eat and we got back to our house for me to sleep because i feel so sleepy.. at 6pm, i woke up and there, i can now remember all the questions.. as i just found myself crying.. i find some of the questions easy, so im thinking, is it easy because im not doing good in previous questions so the computer is giving me easy questions?!!

this morning, i left manila to go back to our province where i left my laptop,

upon arriving here, i checked the nm bon's website, and there i find my name with my license number!!!!!!!! oh my god!! thanks for all the blessings!!:bow::bow::bow:

i passed!!!

thanks to suzanne! :heartbeat:heartbeatur plan really works!!:yeah:

and of course to my april family, now mave, my dream came true, you can now put the word "passed" after my name.. hehhehe:chuckle

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Specializes in Psychiatric Nursing.

congratulations ianjel!!! :yeah::yeah::yeah:

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Specializes in Cardiac/Telemetry.

and of course to my april family, now mave, my dream came true, you can now put the word "passed" after my name.. hehhehe:chuckle

It would be my pleasure. :) CONGRATULATIONS!!!!!!!!!!!!!!!!!!!! :yeah:

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Specializes in Cardiac/Telemetry.

april test takers schedule:

april 1st:

imignior (took it 3/29=congratulations!!!!)

april 3rd:

kano (congratulations!!!)

jtejas

april 7th:

genny0616 (congratulations!!! :yeah:)

laurakfels (congratulations!!! :yeah:)

npeltier (congratulations!!! :yeah:)

[color=olive]april 8th:

janina08 (congratulations!!!! :yeah:)

rnbymay08 (congratulations!!! :yeah:)

april 10th:

ms.h

april 12th:

ailedeck

april 14:

chichimitchi (congratulations!! :yeah:)

supernurse08 (congratulations!! :yeah:)

ibethandysa (congratulations! :yeah:)

april 15th:

faeriwand

latueno (congratulations!! :yeah:)

april 16th:

icyblue

moments (congratulations!!!! :yeah:)

[color=olive]april 17th:

craveme

louimed5 :icon_hug:

april 18:

pinkroyalty18

or2ca (congratulations!!! :yeah:)

april 19th:

rose143

[color=gray]april 21st:

mave (congratulations!!! :yeah:)

bryjah (congratulations!! :yeah:)

april 22nd:

rizapride

teresab930 (congratulations!!! :yeah:)

avalere2474

april 23rd:

ianjel (congratulations!!! :yeah:)

zackjabeen

april 24th:

malachi39

april 26th:

mrstip905

trimedu

april 29th:

ron134

april 30th:

ethenmon

deliciouscandii

waikiki

ilovetiggerdear

undecided/did not say date/waiting for att:

hopefulrn82

stacy14

lvlytxn (congratulations! :yeah:)

pinaigie

bigglesnurse

kimkevant

pinky22

lola4525

sccc07grad

a2008

wedny2006

youcan

lizbiz

jasminebynight

enobong

clarissa

mrslean709

mischa2busrn :icon_hug:

mreyes1014

stevejizobs (congratulations! :yeah:)

prettynix (congratulations!!! :yeah:)

fyi: soon, i'm not going to have enough room for the smilies, so i'll be "borrowing" the smilies for the rest of the people. *grins*

good luck malachi39 on your nclex today!!!!!!!!

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Specializes in School Nursing.

:ancong!::bow::bow::nurse:

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I can't believe I passed the NCLEX-rn!!! I graduated in the Philippines 12 years ago and never worked for 8 years!!!I answered 265 questions:p!!! Thank you guys!!!!

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Specializes in Clinical Nursing and OR Nursing.

:ancong!:ianjel & adengdeng!

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Specializes in School Nursing.

IANGEL and Adengdeng,

:yeah::yeah::yeah::ancong!:

Super PINAY RNS

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