oonami

:clpty:i just found out through quick results here in colorado that i'm a newly :nurse:rn. this trick worked for me too. thank you suzanne & everybody for your helpful threads. last july 20 was my second time to take the dreaded exam, after almost a year of trying to talk myself out of fear of failing again. when i went out of the testing center after 96 items in almost 3 hours, i felt a total calm unlike before. and my husband gave me the 3rd degree as usual but congratulated me in the end; he even bought my favorite red wine to celebrate. i told him to wait for the results before anything else. now, he's telling me that his cop gut told him that i already passed:loveya: somebody here said that we finished all those years in nursing school so we can overcome this mere test. and if anything else fail, put your trust in god.

> noisy respirations and a dry non-productive cough are commonly the first of the respiratory signs to appear in a newly diagnosed client with cystic fibrosis (cf). cf is an inherited (genetic) condition affecting the cells that produce mucus, sweat, saliva and digestive juices to become thick and sticky which plug up tubes, ducts and passageways, especially in the pancreas and lungs. respiratory failure is the most dangerous consequence of cf. the uptake of fat soluble vitamins is decreased in children with cystic fibrosis. > for followers of chinese medicine, health is maintained through balance between the forcesof yin and yang. > nurses who are floated to other units should be assigned to a client who has minimal anticipated immediate complications of their problem. > raynaud's phenomenon = the most important teaching is to stop smoking.

> before electroconvulsive therapy, succinylcholine is given intravenously to promote skeletal relaxation. > the best technique in assessing the motor function of a client with a head injury is a gentle pressure on eye orbit. this is an acceptable stimuli only after progressing from lighter stimuli to more obnoxious. > a sudden change in mental status in any post-op client should trigger a nursing intervention directed toward further respiratory evaluation. pulse oximetry would be the initial assessment. if available, arterial blood gases would be better. acute respiratory failure is the sudden inability of the respiratory system to maintain adequate gas exchange which may result in hypercapnia and/or hypoxemia. > restraints are used to protect the client from harm caused by removing tubes or getting out of bed. in the event that this restricted movement could cause more harm, such as aspiration, then a sitter should be requested. :smiletea2:

q1. which action is most likely to ensure the safety of the nurse while making a home visit? a1. staying alert at all times and leaving if cues suggest the home is not safe. q2. the recent increase in the reported cases of active tuberculosis (tb) in the united states is attributed to which factor? a2. positive hiv infection currently is the greatest known risk factor for reactivating latent tb infections as well. q3. what approach is a priority for the nurse who works with clients from many different cultures? a3. the nurse must discover personal attitudes, prejudices and biases specific to different cultures. sensitivity to these will affect interactions with clients and families across cultures.

:weatherhot2:it's a beautiful day in the rockies! > incidence of the disease = the number of persons in a population who develop the disease during a specific period of time. > for the christian scientist, a mind cure uses spiritual healing methods. for the believer, medical treatments may interfere with drawing closer to god. > the major purpose of community health research is to describe the health conditions of populations. > when the station of -1 or -2 is present and the water breaks, the risk is greater for a prolapsed cord. > for clients with history of spontaneous pneumothorax problems avoid high altitudes, flying in unpressurized aircraft and scuba diving. the negative pressures could cause the lung to collapse again. :dancgrp:

God bless & good luck:wshgrt:

:thnkg:> fecal impaction or constipation can cause obstruction of the bladder outlet. bladder outlet obstruction is a common cause of urine retention in the elderly. > the most important aspect of home care for a child with acute spasmodic croup is to provide humidified air and increased oral fluids. moisture soothes inflamed membranes. adequate systemic hydration aids is mucocillary clearance and keeps secretions thin, white, watery, and easily removed with minimal coughing. > the use of steroids especially high doses over time increases the risk for osteoporosis. other risk factors are low bone mass, poor calcium absorption and moderate to high alcohol ingestion. > an effective reward-feedback system is most useful when given immediately. positive behavior is strengthened through immediate feedback, and it is easier to modify problem behaviors if the standards are clearly understood. > the swan-ganz catheter is placed in the pulmonary artery to obtain information about the left side of the heart. the pressure readings are inferred from pressure measurements obtained on the right side of the circulation. right-sided heart function is assessed through the evaluation of the central venous pressures (cvp).

Hi Melinurse! I'm out of the cave early & determined to slay the beast :sasq:this time...This thread :rckn: :tku:

>legionnaires'' disease -the respiratory status of a client with this acute bacterial pneumonia is critical. chest wall expansion reflects a possible decrease in the depth and effort of respirations. further findings of restlessness may indicate hypoxemia. if these occurred the client may then need mechanical ventilation. > a positive csf for meningitis would include presence of protein, a positive blood culture, decreased glucose, cloudy color with an increased opening pressure, and an elevated white blood cell count. > genital herpes simplex virus 2 (hsv 2) = dysuria, dyspareunia, leukorrhea and lesions on the labia and perianal skin. a primary nursing action with the focus of comfort should be to encourage 3 to 4 warm sitz baths per day to sooth the area and reduce inflammation. > diagnosis related group (drg) manual is the basis of prospective payment plan for reimbursement for medicare clients. > the client with meniere''s disease has an excess accumulation of fluid in the inner ear. a low sodium diet will aid in reducing the fluid. sodium restriction is also ordered as adjunct to diuretic therapy.

> cephalhematoma is related to pressure at the time of labor and birth. the condition resolves over a period of weeks to months. parental anxiety must be addressed by listening to their fears and explaining the nature of this alteration. caput succinidanium which is edema typically will go away within a few days. > the primary teaching for a client following an extracorporeal shock-wave lithotripsy (eswl) procedure is to drink 3000 to 4000 cc of fluid each day for 1 month w/c will aid passage of fragments and help prevent formation of new calculi. > alka-seltzer is an over-the-counter aspirin-antacid combination. aspirin, an antiplatelet drug, will potentiate the anticoagulant effect of warfarin and may result in excess bleeding. >stopping smoking is the priority for clients at risk for cardiac disease, because of the effect to reduce oxygenation and constrict blood vessels. > the goal of brainstorming is to gather as many ideas as possible without judgment that slows the creative process and may discourage innovative ideas. exploration of the nurses objections will encourage the generation of new ideas.

>levothyroxine (synthroid)- a thyroid supplement should be taken in the morning to minimize the side effects of insomnia. >chlamydial infections are one of the most frequent causes of salpingitis or pelvic inflammatory disease. > rhabdomyosarcoma is the most common children''s soft tissue sarcoma. it originates in striated (skeletal) muscles and can be found anywhere in the body. the clue is in the middle of the word and is “myo” which typically means muscle. > acetaminophen overdose- removing as much of the drug as possible is the first step in treatment for this drug overdose. this is best done by gastric lavage. the next drug to give would be activated charcoal, then mucomyst and lastly the iv fluids. > furosemide (lasix) causes a loss of potassium if a supplement is not taken. signs and symptoms of hypokalemia include anorexia, fatigue, nausea, decreased gi motility, muscle weakness, dysrhythmias

> contributing factors to seizures in children include those such as age (more common in first 2 years), infections (late infancy and early childhood), fatigue, not eating properly and excessive fluid intake or fluid retention. > digoxin increases ventricular irritability and increases the risk of ventricular fibrillation following cardioversion. > xanax (alpazolam) is a short-acting benzodiazepine useful in controlling panic symptoms quickly. > fluoxetine (prozac) commonly reported side effects are diarrhea, dry mouth, weight loss and reduced libido. > any client with singed facial hair has been exposed to heat or fire in close range that could have caused damage to the interior of the lung. this client is in the greatest danger with a potential of respiratory distress, note that the interior lining of the lung has no nerve fibers so the client will not be aware of swelling.

myocardial infarction - substernal chest pain, diaphoresis and nausea. decreasing the clients pain is the most important priority. as long as pain is present there is danger in extending the infarcted area. morphine will decrease the oxygen demands of the heart and act as a mild diuretic as well.

hospitalized patients, especially those receiving antibiotic therapy, are primary targets for c. difficile. of patients receiving antibiotics, 5-38% experience antibiotic-associated diarrhea; c. difficile causes 15 to 20% of the cases. several antibiotic agents have been associated with c. difficile. broad-spectrum agents, such as clindamycin, ampicillin, amoxicillin, and cephalosporins, are the most frequent sources of c. difficile. also, c. difficile infection has been caused by the administration of agents containing beta-lactamase inhibitors (ie, clavulanic acid, sulbactam, tazobactam) and intravenous agents that achieve substantial colonic intraluminal concentrations (ie, ceftriaxone, nafcillin, oxacillin). fluoroquinolones, aminoglycosides, vancomycin, and trimethoprim are seldom associated with c. difficile infection or pseudomembranous colitis.

hello everyone i'm back to reviewing :behindpc:with a vengeance... midamor (amiloride) is a potassium-sparing diuretic. it works by making the kidneys eliminate sodium (salt) and water from the body while retaining potassium. contraindication: *allergic to any ingredient in midamor *taking potassium supplements or potassium-sparing diuretics (eg, aldosterone, triamterene) *unable to urinate *have high blood potassium levels or kidney problems due to diabetes or other severe kidney disease adverse effect: hyperkalemia