Archana Shrestha BSN, RN

ICU Registered Nurse

ICU RN

Nurse

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All Content by Archana Shrestha

  1. Archana Shrestha

    Difference between Type&Cross and Type&Screen

    Archana Shrestha replied to Lynn4875's topic in General Nursing

    These two are different in the hospital I work. A type and screen are ordered if a blood transfusion is likely but not sure, while a crossmatch order indicates to the transfusion service that a...
  2. Archana Shrestha

    How long is it reasonable to leave someone NPO for?

    Archana Shrestha replied to blondy2061h's topic in General Nursing

    It is a very good question. The facility where I am currently working have the Protocol of providing Supplement/ replacement fluids if the patient is kept NPO. Also, frequent assessment is done for...
  3. Archana Shrestha

    Diluting Ativan?

    Archana Shrestha replied to Guest838984's topic in Emergency

    Immediately prior to intravenous use, Lorazepam Injection USP must be diluted with an equal volume of compatible solution. When properly diluted the drug may be injected directly into a vein or into...
  4. Archana Shrestha

    Mnemonic for blood flow through the heart?

    Archana Shrestha replied to Iridescent Orchid's topic in General Students

    Drawing a square and dividing it into four boxes as of 4 quadrants of heart and then remembering all the landmarks. Landmarks will fall into their place. In Google, the mnemonic you can find is Toilet...
  5. Archana Shrestha

    Tracheostomy Care/ Suctioning Documentation

    Archana Shrestha replied to shrimpchips's topic in Nursing Student Assistance

    Tracheostomy suctioning can be performed with an open or closed technique. Open suctioning requires disconnection of the patient from the oxygen source, whereas closed suctioning uses an inline...
  6. Archana Shrestha

    How long does it take to get ATT for NCLEX

    Archana Shrestha replied to manurse06's topic in NCLEX Exam, Programs

    3 to 4 weeks is the duration of time it takes to receive your ATT (authorization to test), and then you can schedule to take your NCLEX examination. Many factors are responsible for the delay, and it...
  7. Archana Shrestha

    Nursing Care Plan (Post-op) Hemicolectomy

    Archana Shrestha replied to mariakate004's topic in Nursing Student Assistance

    We must go according to the nursing process first. Assessing the patient is vital. I usually follow Maslow's hierarchy approach for assessing my patient. The possible nursing diagnosis and the...
  8. Archana Shrestha

    Did you use UWorld? What are your strategies?

    Archana Shrestha replied to Happy Life's topic in NCLEX Exam, Programs

    I passed my NCLEX-RN on July 2021. My sources were UWorld, and Archer for my Question practice. And for the content part, I partly followed Saunders's 8th Edition, and the best I can suggest is...
  9. Archana Shrestha

    Toradol IM Injection.

    Archana Shrestha replied to nursesearl's topic in Emergency

    Ketorolac tromethamine (Toradol injection) relieves moderate-to-severe pain in adults, usually after surgery. It is in a typical class of NSAIDs and reduces pain, fever, and inflammation (swelling)....
  10. Archana Shrestha

    The correct answer to the dreaded "What is your weakness" interview question...

    Archana Shrestha replied to CC Wisconsin's topic in Job Search, Interview, Resume

    This is the trick question, and you must be prepared for this one before the interview. I have recently interviewed for the RN as an ICU nurse, which is one of the most challenging questions. I was...
  11. Archana Shrestha

    Can 2% lidocaine be given IM?

    Archana Shrestha replied to newnursealice's topic in General Nursing

    The difference between 1% lidocaine and 2% lidocaine is only the dilution and concentration, which means Lidocaine 1 % represents a 1:100 dilution. That means 10 mg: 1 ml. 2ml of the solution will...
  12. Archana Shrestha

    Fecal Disimpaction

    Archana Shrestha replied to Brenda F. Johnson's topic in General Nursing

    There are various reasons and also some disease conditions causing constipation and most of them can be resolved by taking laxatives. In cases of severe constipation, digital removal is ordered by the...
  13. Archana Shrestha

    Can you still give give furosemide if pt bp is 90/60(order is to hold it if for bp <90/60)

    Archana Shrestha replied to Newnurse1256's topic in General Nursing

    According to the textbook, it will say yes to furosemide in this scenario, but as for the hospital setting before making any decision the key thing in this matter is to check the blood pressure of...
  14. Archana Shrestha

    How long did it take you to take the NCLEX?

    Archana Shrestha replied to whatwasithinking75's topic in NCLEX Exam, Programs

    My computer shut off at 75 questions in 1 hour 30 minutes, and I passed it on my first attempt. I referred UWorld and Archer for the question practice. And the content I listened to was Mark K....
  15. Archana Shrestha

    How to calculate NG tube replacement.

    Archana Shrestha replied to lola_b123's topic in General Students

    A nasogastric (NG) tube is a thin, soft tube made of plastic or rubber placed into the stomach through the nose and throat. It provides food or medicine to the gut for people with difficulty eating or...