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Duodenal Ulcer - Epigastric pain- 2 to 3 hrs. after eating - Food intake relieves pain - Melena - Abdominal pain/ tenderness Gastric Ulcer - Increase pain after eating - Pain relieved by vomiting - Hematemesis (vomiting bright red blood) Care for Client with Cleft-Lip: - feed infant with rubber-tipped syringe or bubble frequently - rubber tip can be placed at the side of the mouth to avoid the operative area and to prevent sucking on the tubing - infants with cleft-lip swallow excess air, so they require frequent bubbling - clean site with saline or hydrogen peroxide after feeding - position on back or side or in an infant seat- prevent trauma to suture line - hold infant in upright position

If Pearson said you passed, then you passed! Congrats Gian. Go out and celebrate!

Beat the beast, Meow2. Wish you luck!

Normal CVP: 3-11 cm of H20; >15= overload - apply dry, sterile dressing - change dressing, IVF bag, manometer and tubing every 24 hr. - pt. do Valsalva's maneuver when tubing is changed to prevent air embolism How To Measure CVP: - place the level of the manometer at the Right Atrium, the pressure reading will be equal to the pressure in the Right Atrium ** if the manometer is increase or decrease, the reading will be inaccurate - pt. should lie flat - reading should be taken at the highest level of fluctuation- seen during respiration Function of CVP: - measure effective blood volume and efficiency of cardiac pumping

Risk for Hypokalemia - pt. with Multiple Sclerosis on Prednisone (Corticosteroids) - pt. with Systemic Scleroderma with TPN - pt. diagnosed with Acute Ulcerative Colitis for Ileostomy Risk for Hyperkalemia - pt. with Type 1 DM with Diabetic Ketoacidosis - pt. diagnosed with Cirrhosis receiving Amiloride (K+ sparing) - pt. with hypertension receiving Captopril (ACE Inhibitor)

Good job! Congrats, RN!

Yahoo! Glad you made it, Matilda RN! Now it's time to pamper yourself and forget the books for the meantime. Try to breath and relax..inhale...exhale!!

Hurray! :biere::heartbeat:biere::yelclap: :heartbeat :yelclap: Another toast for the new RN!! Good luck on your career my dear

Where are you in Hawaii? I'm here in Hawaii, too :) Maybe I could help you out once I get my (+)result next week.

Matilda, it's your turn now. We had already done our part this morning. I wish you all the best and I'll pray for your success. I know you can do it, RN!!

oh my golly! i took my nclex exam today and it was horrible (for me). i thought my computer would shut off at 75 just like what it did from my 3 previous exams, but it went all the way around 160. i had tons of prioritizations, medicines, infections, assignments, 4 med calculations, and 4 select all that apply. is this a good or bad sign? geez, i can't wait to see my result.

Yehey!! Congratulations to you! :cheers:

woohoooo! congrats, rn!! what a relief on your part, yeah? now it's time to go partying...:biere::biere:such a wonderful thanksgiving present.

Good luck!! Sending my positive vibes over you.

Thanks. I'm testing in Hawaii.

Mimi, good luck to both of us. We do have the same exam date but mine starts at 0800. I'll include you in my prayers and those who're still waitin for their test. With God's grace we can do this!!

Congrats, Droopy, RN! It's time to celebrate...:biere::smiley_aa:beer:

Oh wow! It's time to partyyyyyyyyy! Congrats, ND, RN!! I hope I'll be on your shoes this week

Yehey! Way to go, RN. Now you can like nobody's watching!! I am so happy you nailed it. It will be my turn on the 18th and I'm confident I can do it, too.

Woohoo! Good job, RN!

That's awesome! Congrats, RN!!

I'm sending my positive vibes for your exam. Good luck and keep us posted when you're done, RN!!

Congrats, RN Jess. I will be retaking my exam on October 18th. Geez, 2 weeks to go!!

Okay, here are the reflexes I found from my NCLEX-RN flip notes Babinski- when stimulating outer sole of foot from heel upward and across ball of foot toward large toe, large toe dorsiflexes and toes flare Blink- when startled or quick movement is made toward eye, eyelids close Corneal- when cornea is directly stimulated, eyelids close Crawl- when placed on abdomen, arms and legs make crawling motions Extrusion- when tongue is touched, tongue moves forward out through the lips Gag- when stimulating posterior pharyn, choking occurs Grasp- when palm or sole of foot is stimulated at base of digits, fingers/ toes flex in griplike motion Moro (Startle)- when startled (noise, jarring), arms extended and abduct with fingers forming a C while knees and hips flex slightly, arms return to chest in an embracing motion Step (Dance) - when supported under both arms with feet against firm surface, feet will make stepping movements Pupillary- when retina stimulated by light, pupil constricts Rooting- when touching cheek or lips, head turns toward touch and mouth opens in attempt to suck Sucking- when object touches lips or is placed in mouth, sucking is attempted Tonic Neck (Fencing)- when supine with head turned to one side, extremities on same side straighten and extremities on opposite side flex Trunk Incurvation (Galant)- when stroking infant's back alongside spine, hips move toward stimulated side

Kaplan strategies book says you can't delegate assessment, teaching and evaluations to NA or LPN. I would choose 1 and 4 because it's a standard unchanging procedure, new or experienced NA can do it.