March 2008 NCLEX support group

ava'smomRN · Jan 15, 2008

just a question ... can NA's give enema's and tube feedings???

in NCLEX world yes. but as i learned with KAPLAN, it will be stated in the question that the NA is doing so. the question will ask what the NA is doing that is wrong or right related to the procedure. i haven't seen an assignment question, where the nurse would assign that to an NA however.

also in NCLEX world, vital signs are considered assessment and the nurse should obtain them. especially if the patient is a new admission. also vital signs should always be written out, never write VSS. give actual numbers

pinksunRN · Jan 15, 2008

thanks so much miss jkm and igmirnor for your initiative:) so far my weakest topics on saunders are renal and cardio...do you have tips on these topics???

miss jkm -maybe you can add or subtract...
this is in relation to assigning patients to lvn, na, float, nurse
lvn- should be assigned a stable patient with predictable outcomes-[color=#595959]they usually report directly to physicians and rns, and are usually responsible for taking vitals and monitoring in-and-out volumes, treating common like bedsores, and preparing or performing several procedures such as dressing wounds, bathing and dressing, and giving enemas.
na- should be assigned standard unchanging procedures[color=#595959]nursing aides, also known as nursing assistants, geriatric aides, unlicensed assistant personnel, or hospital attendants, perform routine tasks under the supervision of nursing and medical staff. they answer patients' call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. aides also may provide skin care to patients; take temperatures, pulse, respiration, and blood pressure; and help patients get in and out of bed and walk. they also may escort patients to operating and examining rooms, keep patients' rooms neat, set up equipment, store and move supplies, or assist with some procedures. aides observe patients' physical, mental, and emotional conditions and report any change to the nursing or medical staff.-
float rn- should be assigned an lvn's assignment when working on f loating. (ie, maternity nurse floating to med/surg)
rn- always soley responsible for assessment, monitoring, teaching and nursing judgement. these things can never be delegated.[color=#595959]. they are the primary point of contact between the patient and the world of health care, both at the bedside and in out-patient settings. rns perform frequent patient evaluations, including monitoring and tracking vital signs, performing procedures such as iv placement, phlebotomy, and administering medications. because the rn is much more regular contact with patients than are physicians, the rn is usually first to notice problems or raise concerns about patient progress.[color=#595959] rns also develop the day-to-day nursing care plans both in hospital, and for care after discharge by families and visiting nurses.
any questions????? feel free to add examples and other notes, or whatever????

igmirnor · Jan 16, 2008

Hi OR2CA,

I too find Cardio tough... i have suggested that we do chapter by chapter revision.... i think since we have a month and half to go till March... maybe we could make a list of topics to revise..and use whatever book we have to revise that particular topic... and share mnemonics , tips etc...

ava'smomRN · Jan 16, 2008

hello future nurses! just checking in. i will try to post some info in cardio and renal. i actually enjoy both topics. i will try to post what i know straight from my head... it will be a way for me to recall what i know and what i dont know, others can feel in. be back later:)

Kellied1983 · Jan 17, 2008

Hey guys! I will try to do the same. I am reviewing cardio and renal now as they are not my strongest points. I swear some days I feel ready to walk in and take on this thing and other days, like today, I feel like I need about four more months! My nursing school has a 97% pass rate on the NCLEX, I pray nightly I'm not in that 3%! Hope you all are getting a lot of studying done and I'll pray for all of us tonight!

igmirnor · Jan 17, 2008

Hi Guys,

Just check this out... maybe a little too much detail but I found a few classifications and tables useful .....its about cardio meds

http://www.indstate.edu/mary/N645/mod7.htm

islandprincess08 · Jan 17, 2008

hi! thanks for the thread! I haven't received my eligibility letter. I submitted my application last Oct.'07. Then BON said it will take 3-4mos. before I can have my eligibility since I'm a foreign graduate nurse (I just came from the Philippines 5mos. ago). I'm hoping that it will come until Feb15,'08. I'm now doing Suzanne's review plan. Then I just enrolled in Kaplan's Complete for International Nurses. I'll start on their classroom program on the 26th. I hope I made the right decisions. 'Coz I'm planning to take the NCLEX-RN on March.

Good luck to everyone! God bless!

lokipr · Jan 17, 2008

Hi every one,

Im Mary from PA and Im scheduled to take the test this comming March 28th. I took it in November and I failed and now Im doing the Kaplan. Im really nervous because I do the review questions and I get a 55- 58% sometimes less or more. They say that you are ready when you get at least 67%. I hope Im ready by that time.

Wich to all you fellow nurses that are taking the test in March.

islandprincess08 · Jan 17, 2008

Hi
I had done a brief review with the second edition of Saunders.... doing a more detailed one right now with the fourth edition and ...no I haven't completed that... maybe a fortnight more...

hi igmirnor! I'm using the Saunder's 3rd edition. I just from you that there's already the 4th edition. I hope that it will be fine for me to use the 3rd ed. thanks! good luck!

igmirnor · Jan 17, 2008

Hi lovelessbutlovely,

I think the 3rd and 4th edn are similar as far as content goes... a lot of pictures ,illustrations have been added and also some additional points to content... but either is just fine... are you doing the Suzanne plan too??

ava'smomRN · Jan 17, 2008

Hello! I am going to post what I know about myocardial infarction. i hope i can be of help to someone. if i leave anything out, or post wrong info please let me know. here goes

Myocardial Infarction aka. heart attack, MI

caused by necrotic heart tissue, as tissue dies, lactic acid is produced which causes pain.

MI pain radiates to neck, shoulder, arm and is unrelieved by nitro

on arrival to hospital patient should have EKG, Labs ( lactic acid, troponin, ck-mb), aspirin (morphine, nitro), oxygen

Tpa is indicated only if time of onset of MI symptoms are known. time limit is 3-6 hours from start of MI

common complications of MI are dysrhtmias and heart failure

post MI patient should be on bedrest, receive o2 and morphine.

thats all i can remember right off the top of my head. i will review my notes and try to post more info

MRSLEAN709 · Jan 17, 2008

i know its still kind of early.... but there has to be some March test takers????

Yeah Im one of the march takers now that I have to retake the test 3rd time now.I thought Ihad passed but I didnt,sucks,Ill be checkin g back:o