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:

anyone update us on new changes on bsic life support please..thanks

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Specializes in Cardiac/Telemetry.
my answer will be c. patient who will be given packed RBC's coz all RN's are trained for blood transfusions whichever area we are in..

That would be my answer too, but I see the others' rationales, so I'm confused too. :lol:

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That would be my answer too, but I see the others' rationales, so I'm confused too. :lol:

yeah, im confused..because a patient with post laporotomy can ambulate immediately?the question wasnt so specific how many days post op is patient???so i dont know..

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Blood transfusions: patient can change on u without NOTICE anytime : allergic/hypersensitivity reactions. VERY UNPREDICTABEL PATIENT. And, RN is suppose to stay at the bedside for 15 minutes to assess and monitor the patient for going into any kind of dangerous compromising situation. So, if the RN has 5 patients and 1 patient is receiving blood transfusions, ask another nurse to cover for you for those 4 patients for the first 15 minute of blood transfusion, so that you can solely stand at the bed side monitoring the patient closely. P.S. We have to remmeber we are dealing with BLOOD.

While we are at it:

Assess Vital signs every 15 mins first hour and then every thirty mintues. Is this information correct? Someone verify please. Thanks.

Hence, I will hesitate to assign this patient also like other guys.

Yeah, sometimes the questions are confusing guys. We just have to find a way to simplify it I guess.

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anyone update us on new changes on bsic life support please..thanks

Yes please. Thanks.

I read somewhere in forum :

Adults 30:2

That's all I know :uhoh21: I didnot verify it. Thanks.

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ANTEPARTUM: Pregnant mom

GTPAL

G - Gravida (number of pregnancies)

T - Term ( 40 week)

P - Preterm (less than 40 week)

A - Abortion ( less than 20 week = gravida; more than 20 week = Para)

L - Living births (number)

My question:

A - Abortion ( less than 20 week = gravida; more than 20 week = Para)

Para would fall where in this forumla? Para meaning number of births given. So where would we count this number in? Anyone has got idea please? Thanks.

------------------------------

FYI:

TPN : Total parenteral nutrition: risk for air emboilsm.

Air embolism: PLace clien on left side lying position. Rational: to trap air emboli in right atriium heart and stop it from travelling into lungs.

Question: If u suspect air emboilsm in ur patient receiving TPN, what would you do first?

A) Administer oxygen

OR

B) Call the physician?

Which do u think is correct?

Saunders cd answer: Call physician first and then administer the o2 prescribed. (ABC not applying here) Hm...

Pregnant mom: Side lying position. Rationale: To take pressure off the vena cava and help with blood circulation. Do not lay them on SUPINE.

thanks

Someone please do answer the question on GTPAL. I will really appreciate it. hanks.

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Blood transfusions: patient can change on u without NOTICE anytime : allergic/hypersensitivity reactions. VERY UNPREDICTABEL PATIENT. And, RN is suppose to stay at the bedside for 15 minutes to assess and monitor the patient for going into any kind of dangerous compromising situation. So, if the RN has 5 patients and 1 patient is receiving blood transfusions, ask another nurse to cover for you for those 4 patients for the first 15 minute of blood transfusion, so that you can solely stand at the bed side monitoring the patient closely. P.S. We have to remmeber we are dealing with BLOOD.

While we are at it:

Assess Vital signs every 15 mins first hour and then every thirty mintues. Is this information correct? Someone verify please. Thanks.

Hence, I will hesitate to assign this patient also like other guys.

Yeah, sometimes the questions are confusing guys. We just have to find a way to simplify it I guess.

but moments a psychiatric nurse is an RN too able to monitor patient adverse reaction and can able to inform the doctor..???thanks

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parity or para means number of births past 20 weeks whether the fetus was born alive or not..

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Specializes in ICU.

tips i got from saunders book as i was reading:

  • use the abcs—airway, breathing, and circulation to direct you to the right answer….(keeping in mind that it will not always be the correct answer and that vital signs are a major part of assessing oxygenation and circulation)

  • check maslow’s hierarchy (ensure physiological before psychological)

  • determine if you need assessment or intervention before reviewing answer choices

  • visualize the question as you read it…. see yourself in that situation and determine what you would do… (helpful for some questions… not really good for pharmacology questions)

  • when two answers are completely or somewhat opposite…. one is likely to be the answer (not always)

  • when two answers are somewhat similar or alike then they both can be eliminated (not always).

  • words like: only, always, vigorously, never, strict, immediately, absolute, may key you in to the right or wrong answer depending on the question (not always).

  • think of the answer before looking at the answer choices if appropriate.

  • remember the nursing responsibilities: assessment, diagnosis, planning, implementation, evaluation

  • remember safety, safety, safety!
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Specializes in Operating Room.

i was taught that, when an RN is floated to another unit, they must be given the patient with the most expected outcome (LVN rule) since it isnt their field of experties. I know the psych nurse is an RN, but seriously, what kind of experience would she have with giving blood and observing for s/s of any type of reaction with this patient? especially if she has been out of floor nursing for awhile. i would assign her to the lap chole patient who is to be ambulated. the procedure has expected outcomes that we can anticipate on compared to giving blood.

my 2cents

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i was taught that, when an RN is floated to another unit, they must be given the patient with the most expected outcome (LVN rule) since it isnt their field of experties. I know the psych nurse is an RN, but seriously, what kind of experience would she have with giving blood and observing for s/s of any type of reaction with this patient? especially if she has been out of floor nursing for awhile. i would assign her to the lap chole patient who is to be ambulated. the procedure has expected outcomes that we can anticipate on compared to giving blood.

my 2cents

ok then i agree..thanks

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but moments a psychiatric nurse is an RN too able to monitor patient adverse reaction and can able to inform the doctor..???thanks

Yes Micha. But I was doing this question on cd and it specifically said, the RN should stay by the pt's side for 15 minutes asking another RN to take care of her patients for those 15 minutes. That must mean, blood transfusion case is pretty serious requiring it to be delegated to the RN from the floor rather than the float nurse.

Like Jenny said, u can delegate the post op lap ambulating patient (as per question, no complications) even to the nurse aid.

Sorry, I don't know how to explain. I do understand ur frustration. I'm there many times through the week-weeks. I hope someone else will be able to explain it to u better.

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