CRNE Prep Group in Toronto or Ottawa - October 2011

[SashaD]

Hey everyone, I was wondering if there are any people who want to start a CRNE (Canadian Registered Nurses Exam) Prep group or study group, whatever you may call it.

I just graduated and am scheduled to write in October. The reason why I wrote Toronto or Ottawa, is that I presently work and live in Toronto, having just graduated from Ryerson. I make it back home to Ottawa on the weekends, so am planning on hardcore studying in both cities!!!!!!

If we make a group, we can compile CRNE questions and go over material together. Any ideas would be very helpful. I heard the test is really hard now, and I personally know some people who have failed. Let me know, we can start as soon as July!

Sasha

[joanna73, BSN, RN]

A middle aged person who is ventilator dependent with bacterial pneumonia probably shouldn't leave after 5 days even with antibiotics. A teen with HIV for which they now have great drugs, even though he has cellulitis could probably leave after 48 hrs. That's my rationale.

[r.u.serius]

For me,the best client for discharge is one who had a chronic condition and is most familiar with their care. Client A is most likely stable &could continue medication therapy at home.

[S.m.a.r.t]

it's been great reading all your earlier discussions, and i was able to discover some helpful tips prepariong for the exam in less than 2 weeks.

my answer to the last question is b-the diabetic patient.

rationale is based on that:

patient a: based on his hx will need further close monitoring, and bacteria pneumonia usually takes 7 days - 14 days for most treatments.

patient b- first and foremost this patient has been living with diabetes for 10 years therefore has adequate understanding of the condition. yes, the pt might be at risk for dehydration and electrolytes imbalance, electrolytes in a young adult can be managed in 24 hrs and a new antibiotics can be prescribed without even any admission. admission was probably to run tests and administer iv. in an elderly person, it's a different case.

patient c- the first key word is elderly*** second is all the diagnosis comorbities***.. this patient cannot be sent home.. he is at a higher risk based on the combination of his health hx, and recent diagnosis will aggravate symptoms of his pre-existing conditions. close monitoring is required.

patient d- the hiv patient is always immunocomprised (age and medication not relevant). having any form of infection even as much as a mild cold puts their immune system at risk. acute cellulitis is like a war attack on them. antibiotics have to be administered cautiously and with close monitoring.

[S.m.a.r.t]

So.. is there anyone from edmonton area here, or anyone writing in calgary??

[landyfree23]

this is the type of questions that usually give nursing students lot of trouble. it has the potential to mess up your timing. my advice for people taking the exam is to skip this question and take it at the end.

now this is my take on the question:

1) these patients all have a history of some type of chronic conditions.

2) when looking at which patient is the most stable for discharge, one must consider both the potential for complications and the length of time since admission. if one uses these criteria, the patient with pneumonia appears to be not only the most stable but almost the one with the least potential for complications. do not get fooled by the fact that this patient is presenting with a respiratory condition. he has probably received 5 days of antibiotic treatment and his airway is somewhat protected (chronic ventilator patient).

3) the patient with type 2 dm with antibiotic induced diarrhea is not as stable as it may look. first being on antibiotic means that he has an infection. we all know what infections do to diabetes control: it raises the blood glucose level significantly and it increases insulin requirements. in addition, dehydration (from diarrhea) in the setting of elevated blood glucose has the potential to send the patient into dka (diabetes ketoacidocis), which is a serious condition. this patient cannot be discharge 24 hours after admission. he needs rehydration and blood glucose control.

3) steven-johnson syndrome is a life threatening condition with high mortality that would require at a minimum a week of observation and treatment. this patient cannot be discharge on the same day that he was admitted.

4) the patient with hiv is immunosuppressed. therefore leg cellulitis raises the potential for sepsis. this patient will need longer treatment than 48 hours.

in conclusion, the correct answer is option a.

[pavu]

hi i m confused in this question:

if chest tube got disconnected/break. what to do?

1) immerse in sterile water

2)clamp it

i google a lot about it but some says clamp and some says never ,never clamp...

please help i m wriiting exam on this 5 oct.. second time...so i am so scared of exam.....

[NotReady4PrimeTime, RN]

Put the end into a bottle of sterile water. This question has been asked and answered here already somewhere.