April 2008 NCLEX test takers, COME ON IN!

rose143 · Mar 20, 2008

hi to all!im new here.. i just got in.....im going to take nclex rn exam this coming april 19..i took last sept. and i failed..it's really hard for me..i subscribed ncsbn right now n hope it will help me..but im so curious about suzanne's tip..can somebody tell me how to do it? ..im kind of feeling hopeless ... i dont know where to start..help me pls........

chichimitchi · Mar 20, 2008

one reason could be that the causative agent is a virus.. which means that ur WBC count will be depressed..

about the positioning.. i think its right lateral to promote passage to the intestine since the stomach is on the left side.. :nuke:

jenrn2008 · Mar 20, 2008

Rose, welcome to the group! I will be testing on April 14th and I am nervous too... With regard to Suzanne's plan, check out the sticky under the Students- 2008 version of Suzannes tip. But just too let you know... if you are taking the test on April 19th, you may not have time to complete her program....

:mad:

chichimitchi · Mar 20, 2008

hey guys.. i found this article about infection control/disease precaution in hospital that i think is really helpful.. its kinda long but its very good :nuke:

http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdf

chichimitchi · Mar 20, 2008

guys.. after going thru that article that i previously posted, i really think that it would help all of us in understand EVERYTHING about Transmission-Based Precautions and infection control.. is strongly suggest that u guys check it out :specs:

janina08RN, RN · Mar 20, 2008

To the ones tha came out with flying colours and are new proud Rn's --- Many many congratulations to you.
To the ones, waiting for your results --- I sincerely hope and pray, you all made it and will soon see RN before your name.
And to all of us trying to see a light at the end of the tunnel and trying to keep our focus and eyes on the PRIZE --- I pray to our Father in Heaven that we all will make it, and come out with flying colours and can also experience the joy and happiness when we will see RN infront of our name on our BON sites.
-------
GI question:
After tube feeding, how would you position your pt.? Right lateral posiion or left lateral position? Give your rational for it.
My answer: left lateral because that is how the anatomy of stomach is for he retention of the contents in the stomach. For facilitating gravity work with stomach.
Saunders answer: Riht lateral position.
Which one is correct?
Isn't stoach like curved outward toward your left side? so it should be left lateral position? What is your answer guys? thanks

I remember an instructor in our class saying that to retain food in the stomach or to facilitate passage of food to the stomach you have to position the patient on their right, and to facilitate evacuation or passage of stool, position the patient on their left. has something to do with the anatomy and the intestines...:wink2: just doublecheck on it though.

MMARN, BSN, RN · Mar 20, 2008

Alright, so the votes are:

Neuro

Respiratory

Cardiac: 4

Endocrine: 1

Renal: 1

Integumentary/Burns

OB: 2

Peds: 1

Reproductive

Meds: 4

Lab Values

GI

Musculoskeletal: 3

Immunodeficiency disorders

Priority/Delegation: 2

We will start with cardiac and its meds some time this afternoon. :)

Now next question:
with inflammaion, it's natural that your WBC's will go UP. SO,
In appendicitis: since it's inflammation, Your leukocyte value goes up hence leukocytosis.
Now, in Hepatitis, it's LEUKOPENIA.
Hepatitis is also inflammation so why is leukocytes low in hepatitis? Do you guys know? Thank you guys. Happy studying.
Also, When I try to go back to my bookmarked questions on Saunders CD trainer, it gives me wrong answers. I dono't know what's wrong.

I am doing question 815 on Saunders CD study mode and it talks about Appendicitis and an incerase in leukocytes with a shift to the left.... I don't remember learning that in school and I looked it up in Saunders book didn't see it! anyone have any clue? :uhoh21:

I read somewhere that it has to do with immature WBCs that are considered a "shift to the left" because they're not mature enough to actually help the immune system. I wish I could remember exactly what I read, but that's the rationale I got from one of the questions I did. It says that the spleen, which helps in immunity, shifts to the left because of the immature WBCs. Do any of the mods know??

avalere2474 · Mar 20, 2008

hi,

thank you for answering back, i secheduled my test for april 03, i might changed ti i am still weak in psych, peds, can ylu please help on priority and delegations , forgot to mention that i'm and pn . I took the nclex back innov and i failed. I was se depressed, i want to pass this time.

I have kaplan, saunders cd, exam cram,sprighouse,nclex made easy, i do a lot of practice questions.

Thank please reply....

MomenTs · Mar 20, 2008

Alright, so the votes are:
Neuro
Respiratory
Cardiac: 4
Endocrine: 1
Renal: 1
Integumentary/Burns
OB: 2
Peds: 1
Reproductive
Meds: 4
Lab Values
GI
Musculoskeletal: 3
Immunodeficiency disorders
Priority/Delegation: 2
We will start with cardiac and its meds some time this afternoon. :)
I read somewhere that it has to do with immature WBCs that are considered a "shift to the left" because they're not mature enough to actually help the immune system. I wish I could remember exactly what I read, but that's the rationale I got from one of the questions I did. It says that the spleen, which helps in immunity, shifts to the left because of the immature WBCs. Do any of the mods know??

Hi :)

I guess, I thought about this yesterday and this stood out the most in my mind prolly, so in my dream, I dreamt about shift to the left and what Genny was talking about. And today, I bumped on the "shift to the left" question - What a conincidence, God willing. So this is what I found out:

When it says shift to the left, yes like Mave said, it has to do with the immature neutrophils (wbc's). When there is a large amount of immature neutrophils OR increased number of bands (I don't know about bands myself), it will be shift to the left in the paradigm. Now when there is large amount of mature neutrophils, it will be shift to the right.

This shift to the right/left has to do with differential count. Differential count indicates total number of WBC's in your body.

To sum up: Left shift means - infectious process going on. Genny and I saw the question with Appendicitis rigiht?

Now Right shift means - Pernicious anemia and tissue breakdown. I do not know the rational behind this one.

Source: Saunders CD.

This is what I got from my understanding. If I typed wrong, someone please corret us. Thank you. Thank you to God that I bumped on the same problem today again, if not, I'd still be wondering what it was or even forget about it totally. Although, Mave's post would have helped me understand it also.

MomenTs · Mar 20, 2008

Moments,
I am not sure why your computer is doing that..... have you tried just closing it and opening it again (I'm sure you have :nuke:), My bookmarks are working.
According to my Medsurg book (Lewis, 6th ed, pg 1118), leukopenia probably is caused by spenomegaly (since blood backs up from the portal vein into the spleen) with liver cirrhosis. You will also have anemia and thrombocytopenia for the same reason. The large spleen leads to increased removal of rbc's from the circulation.
I have no idea about the positioning either. I would have said left lateral since that is the anatomic flow.... I am not sure.
Genny

And with the shift to the right we see in conditions like: Pernicious anemia and Tissue breakdown.

It could have to very well do with removal of rbc's from circulation?

MomenTs · Mar 20, 2008

I do not know how large number of mature neutrophils in your blood and shift to the right is connected? ? ? Thanks

malachi39 · Mar 20, 2008

Hi I am taking my PN boards on 24th April, guess what it happens to be my birthday too. I would like to have any helpful tips, I am currently doing my RN:scrying: :bow: