Summer Days, BSN, RN 5,814 Views
Joined: Jul 28, '13;
Posts: 202 (40% Liked)
; Likes: 137
I concur with the OP. It sounds easy on paper but the lab portion of those classes will have you spinning rollercoaster style. I'd say you split two classes in the Spring & the other 2 during summer. Good luck
Welcome to nursing, where your shift starts with a 89 yo pt on a cardiac monitor running normal sinus rhythm, alert & oriented x 4. Labs were collected right at change of shift. 30 min later, lab calls you with critical lab values of lactate 5.4, potassium 6.0, wbc 18.0 positive UTI. You page the doc. Pt is now running sinus tachycardia between 140 - 160s. Orders are in. You are executing them. Just then you hear hyperacute stroke being called on your other pt. Your third pt is 30 min away, the secretary just informed you....I hope you get the picture I'm painting here. It's complete chaos but we navigate and manage it everyday.
Ideally, your nursing responsibility will focus on the system(s) in which the critical lab value affects. With regards to UTI, you will continue to assess urine for sediments, odor, & color. Assess VS & compare with pt's baseline. How old is the pt? In the elderly assess mentation for we know they present with confusion in active UTI.
For hypocalcemia, look up in your text book. What does calcium do? When a pt has low calcium, how do they present? The symptoms they present with will be your focus for monitoring. Are s/s improving or worsening?
Hope that helped. Good luck
Are you referring to IV antibiotics? In most hospitals, IV antibx comes to the unit already reconstituted by pharmacy. So inquire with your pharmacy, they are your best friends
It will entirely depend on what kind of a studen you are. While others could work full time and attend nursing school, some cannot even fathom the thought of it. I would tell you to go thru the route of no debt at all. With that comes the warning that doing both will leave you with few hours to study and feeling exhausted all the time. But if you are a diligent student and plan well you will make it thru. Do keep one job though. Good luck
Sounds to me you worry excessively. Some worry is ok, too much negatively impacts you. When was the last time you stopped worrying and actually did something fun, something unrelated to nursing school. Even the brain needs a break. You could be the best student ever. But when the brain is constantly tired, you perform poorly. This is an indicator you should perhaps step away from studying for now. Find something you love to do and do it. Spent time with friends and family. Incorporate some exercise. Endorphins have been known to boost morale. Then 2-3 weeks before school resumes, resume study and begin by studying your favorite topic. Have a study plan and check off completed tasks as you go along. All the best.
Not sure what the assignment is. By definition, health assessment will go from head to toe. As you assess, you are to note what's normal and what's abnormal for each body system then report your findings. If your assignment asks for focussed assessment then you would assess further what the pt is presenting with, which in this case is celiac dz. Utilize look, listen, and feel as you go down head to toe. For example, look at the head, do you see anything out of the norm? When you palpate the head, do you feel any masses? Proceed this way for each body system and ask questions for any abnormality. Your findings become the health assessment. Hope this helped. All the best.
Pt: I am an intelligence analyst. I search and find information on people, even info people think cannot be found about them. What's your name again, nurse?
Me: (Very wide-eyed) Um (insert first name only).
I agree with the above poster. It's good you mentioned epidural. What are the risks for epidural? You could start with that. Look up in you drug guide & you will have plenty of "risk for" care plans to choose from.
So I read the Davis drug guide and I found what you stated. I compared it to another drug guide & it states peak time is 2.5 hours. It could be a typo by Davis. Otherwise my first thought was that it takes a week before the effects of Clozapine is felt.
It would be nice if you show us your work first. But really it isn't that hard if you give it a thought. Pretend I'm the LVN. " Summer Days, please insert a foley catheter for Mr. English in room 123 by 0900 and report back to me when completed. Can I get a read back?"
And it can be especially true for the pt with morbid obesity or one with ESLD with distended abd.
I studied differently. I used 4 books to study. Davis Q&A for the nclex rn, Saunders comprehensive review, Lippincott's Q&A review for the nclex rn & Nclex RN Q&A made incredibly easy. Pre-lecture, I would do 100 questions from incredibly easy for the corresponding topic to be lectured in class the week ahead. Then I'd read the rationales, both wrong & right , typing what I felt was important. Next, I read the corresponding chapter from Saunders review book, adding to the notes I took from the rationales. Armed with this, during lecture, I fairly knew what was being lectured. I also brought my questions to class. Post lecture, I did 100 more nclex questions of the corresponding chapter from both lippincott & davis, compiling more notes. It was these compiled notes that became my bible. For the weekly exams, I went from 15/20 to 18/20 or 19/20. That's when I knew this system worked for me.
If you do have summer holidays, I suggest you find a system that works for you. All the best, cheers.
Hint: what is our major worry with a pt who is vomiting? What is the pt losing and how could this affect the labs?
Here you go. I think one of the links are for those in CA only. The rest can apply to nursing students nationwide. Good luck
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