Latest Comments by Biggirl4

Biggirl4 755 Views

Joined: Mar 15, '05; Posts: 13 (0% Liked)

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    Hi, I'm going to be relocating to California in August of 2005. I am currently living in Milwaukee, Wisconsin. Can someone kind of fill me in with some info on how to go about applying for licensure by endorsement for California. I am looking to reside in the Fresno or Cental Valley area. what are some of the local hospitals in that area for Registered Nursing? What are some nice places to rent in these areas? I graduated in May 2004 and I have worked for maybe 5 months in the cardiac telemetry unit and kidney transplant unit. Also, what are some of the pay ranges? I would greatly appreciate any information that you have to offer.

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    Quote from lliu0082000
    hi biggirl,

    i don't agree with you the answer is #3. because the pt with diuretic therapy, when the condition is improving; first look is urinary output is with normal limits and the answer is #4.

    i don't get why you chose #3.

    can some one tell me more and i want to understand.

    thank you



    ex: a pt is being treated for heart failure with diuretic therapy. which of the following best indicates to the nurse that the pts condition is improving?
    1. pts weight has remained stable since admission.
    2. pts systolic bp has decreased
    3. there are fewer crackles heard when auscultating
    tthe pts lungs
    4. pts urinary output is 1500cc's per day

    the answer is #3(rationale: crackles are due to pulmonary edema and a decrease in crackles is a sign that pulmonary edema is decreasing. #1 pts weight should be decreasing,#2 is a distractor bp should decrease but may be due to other causes, #4 a distractor, pts urinary output is within normal limits
    remember abc's: airway, breathing circulation
    i hope this helps you, let me know :spin:

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    Quote from lliu0082000
    hi biggirl,

    i don't agree with you the answer is #3. because the pt with diuretic therapy, when the condition is improving; first look is urinary output is with normal limits and the answer is #4.

    i don't get why you chose #3.

    can some one tell me more and i want to understand.

    thank you



    ex: a pt is being treated for heart failure with diuretic therapy. which of the following best indicates to the nurse that the pts condition is improving?
    1. pts weight has remained stable since admission.
    2. pts systolic bp has decreased
    3. there are fewer crackles heard when auscultating
    tthe pts lungs
    4. pts urinary output is 1500cc's per day

    the answer is #3(rationale: crackles are due to pulmonary edema and a decrease in crackles is a sign that pulmonary edema is decreasing. #1 pts weight should be decreasing,#2 is a distractor bp should decrease but may be due to other causes, #4 a distractor, pts urinary output is within normal limits
    the answer is #3 rationale, you are thinking of the question in terms of what the diuretic does, the question is asking you what is a s/s that the pts pulmonary edema is improving. it is not asking you what the diuretic is supposed to be doing or how you know that the diuretic therapy is working. most heart failure begins with the left ventricular failure and progresses to failure of both ventricles. if pulmonary edema is not treated, death will occur because the patient is literally drowning in their own fluids. what is the main s/s of left sided heart failure pulmonary edema(adventitious sounds caused by accumulation of fluid in the lungs).

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    Quote from nivek21
    Can anyone give me advice on what to do the night before the NCLEX. I want to relax and get a good night's sleep before the exam. The last time I took the NCLEX, I was up half the night from anxiety. So for anyone who has taken the NCLEX, can you tell me what helped you. :uhoh21:
    I agree with the others. Do something that you enjoy and have not done in a long time. what ever you do, do not touch any books or anything to do with the nclex exam because this will only increase your anxiety about what you do or do not know. get a good night sleep and go into the testing center with the attitude that I know I can do this. :angel2: best of luck on your exam, I am praying for you.

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    Quote from janetrette
    i took 75 questions on monday 3/29/05.

    i am so scared. i feel like it's a 50/50 chance of passing. either yea, i'm too smart or that i'm too dumb that the computer gave up on me!!!

    one more day and i will know the result.

    i feel so nausea just thinking about it!
    I wish you the best of luck with your exam. keep me posted, and be proud of youself because you have accomplished alot. :chuckle

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    Quote from janetrette
    i took 75 questions on monday 3/29/05.

    i am so scared. i feel like it's a 50/50 chance of passing. either yea, i'm too smart or that i'm too dumb that the computer gave up on me!!!

    one more day and i will know the result.

    i feel so nausea just thinking about it!
    Don't beat yourself up. the nclex does not test how smart you are it tests how you apply the knowledge that you have learned. the way the test is designed you can know every bit of information on each of the subjects tested but the key to passing is knowing what they are asking you and how to apply it. It is not like when we were in school and the questions were straight forward, the nclex is designed to see if you can pull the needed information from what they are giving you.The nclex is based on an ivory tower world where every condition affects every person in the same way, but we all know that this is not the case. You cannot use the real world knowledge on the test. You take the infomation that they give you at face value. they give you a scenario and the hardest part is that there is no one correct answer, but you have to pick the best answer. just graduating from the RN program is a significant accomplishment. I flunked my first nclex exam and had to retake it and finally passed. My advice is to keep your confidence and know that you can do it, even if you have more than one attempt at it. Never give up.

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    :redlight: Maslow's Hierarchy: the main two to focus on are physiological needs and Safety & Security.

    Physiological needs- food, water, oxygen, shelter, rest, sex,
    temperature, elimination
    Safety & Security- Physical (what is threatening the pt.)
    Psychological (knowledge and understanding,
    What to expect)
    look at your answer choices and eliminate all the psychological answer choices. Physiological needs must be met first! Can you apply the ABC's (airway, breathing, circulation, cardiac). if an answer involves maintaining the airway, or breathing problems, it is the correct one. if the answer pertains to the cardiovascular system that would be correct. if the ABC's don't apply ask yourself what is the highest priority? this is your answer.
    Ex: A pt is being treated for heart failure with diuretic therapy. which of the following best indicates to the nurse that the pts condition is improving?
    1. pts weight has remained stable since admission.
    2. pts systolic BP has decreased
    3. there are fewer crackles heard when auscultating
    tthe pts lungs
    4. pts urinary output is 1500cc's per day

    The answer is #3(rationale: crackles are due to pulmonary edema and a decrease in crackles is a sign that pulmonary edema is decreasing. #1 pts weight should be decreasing,#2 is a distractor BP should decrease but may be due to other causes, #4 a distractor, pts urinary output is within normal limits

    Look for hints in the wording of the question stem: most, first, best, initial essential, vital, immediate, highest, priority, indicate that you must establish priorities.

    Further teaching is necessary: indicates the answer will contain incorrect info.

    The phrase client understands the teaching indicates the answer will be correct information.
    The phrase most accurate: indicates that more than one answer will sound good. You may see expected words in an answer choice that is not correct.

    if you come across a question that you are unfamiliar with or you do not know what the question is asking you, read the answers to obtain clues, then try to reword the question using the clues.

    Prioritization: who would the nurse see first? who should the nurse transfer from the unit during a disaster? the nurse would always see the patient who is least stable FIRST (condition may be life threatening, or moving pt may cause further harm), ABC's apply. the nurse would always transfer the patient who is most stable (condition is not life threatening and outcome is predictable).

    PRIORITIZING USING ABC'S
    Ex: The client with a diagnosis of cancer is receiving morphine sulfate 10 mg subcutaneously every 3-4 hours for pain. when preparing the plan of care for the client, the nurse includes which priority action?
    1.monitor the clients temperature
    2. monitor the urine output
    3. encourage the client to cough and deep breath
    4. encourage increased fluids

    The correct answer is #3(rationale; use the abc's, morphine suppresses the respiratory reflex).

    PRIORITIZING USING MASLOW'S HIERARCHY
    EX: The nurse is reviewing the plan of care for a pregnant client with a diagnosis of sickle cell anemia. which nursing diagnosis, if stated on the plan of care, would the nurse select as receiving the highest priority?
    1. Anxiety
    2. Ineffective individual coping
    3. Altered Body Image
    4. Fluid volume deficit

    The correct answer is #4(rationale: the physiological needs come first! Options 1, 2 & 3 are eliminated because they are all phsychological and physiological needs are first! Always eliminate the psychological needs.

    Nursing Process: Assessment & Implementation
    The nurse should ALWAYS ASSESS first! then implementation. Implementation is done after assessment.
    Ex: The nurse is teaching a client with diabetes mellitus about dietary measures to follow. The client expresses frustration in learning the dietary regimen. the nurse would initially:
    1. Identify the cause of the frustration
    2. continue with the dietary teaching
    3. notify the physician
    4. tell the client that the diet needs to be followed

    the correct answer is #1 (rationale; The initial action is to identify the cause of the frustration,assessment is the first step, options 2,3 &4 are implementation steps of the nursing process.)

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    Quote from letina
    Hi, I just replied in your other thread :chuckle Just one more question.....
    Did you get any of the new format questions? If so, how many?
    I had two select all that apply and one IV calculation question. :wink2: wish you the best, when you go to take your test just relax and repeatedly tell youself that you can do this!

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    Quote from letina
    CONGRATULATIONS!!

    Can I ask - how many weeks of the ncsbn online course did you 'buy'? And how helpful was it in relation to the types of questions on the exam? I believe it is ncsbn who set the exam questions so just wondering if you noticed any similarities between the practice tests and the real thing?
    this courses questions are tailored exactly like they are on the state board test. i paid for the 3 week course. if you don't have alot of time then i would suggest that you take the 5 week course. you really do have to go online to study everyday. It covers every body system and the disorders and what the nurse should be assessing for. each section is followed by a pretest and a word jumble. it really makes you think. it is a very in depth course. Good luck! keep me posted.

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    Quote from letina
    Just interested to know, what did you do differently this time around? Did you study differently?

    Good luck to you, keep us posted
    I took the 3 week course through ncsbn.org it costs $49.00 for 3 weeks, and I also used my Saunders nclex review book and the kaplan book on how to read the questions and pick your answers. for 1 month this was all that I did. The course was very good and was of great benefit to me I would recommend the ncsbn.org course to anybody who is having difficulty passing their boards. Their questions are very similar tho the state boards. :angel2: best of luck! keep me posted.

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    I found out today that I passed my NCLEX-RN exam. Thanks for all of your prayers. the first time i did not pass with 265 questions. the second time i passes with 75 questions. for those of you who are struggling to pass this test try taking the NCSBN course and also study from the Kaplan and Saunders nclex review. These were a really big help to me. Best of luck to all of you, keep trying and you will succeed.

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    the first time i took the nclex-rn was in february 2005, i failed with 265 questions. i just took the nclex-rn yesterday and the computer shut-off at 75 questions. now i am on pins and needles waiting on the results to be posted.

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    Just wanted to say hi to everyone and to wish them much success in whatever tasks they are trying to accomplish.



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