Phillygryl LPN

Does anyone know of a refresher course for an LPN who has been out of the field for a few years! I live in the Philadelphia, Pennsylvania area

Problems, Problems!!! I hope someone can shed some light. I am in the Pediatrics rotation. I will be taking an exam and my teacher said know Fetal circulation. We are on a break so I am a little lost. I can't afford to wait, because when we get ...

Has anyone on this board gone to Helene Fuld college of Nursing? If so, what was your experience?

Does anyone have any tips on how to clear clogged feeding tubes? Almost everytime I come on the floor the feeding tubes are clogged!! Any easy to unclog them?

I have a case with a client who has Soto's Syndrome and Mental Retardation. I do not know why, but this client gets very agitated and bites the back of his hands (knuckles) and his lower arms. Is there anything that would help prevent this. I don'...

Snow Bunny: I really am not trying to be hostile toward Helene Fuld, or maybe I am. I just think they provide inferior education. By the way, I graduated from LIU in 1976 and pursued an MBA in 1980. When I was in undergraduate school, it was all ...

Dear Snow Bunny: You are living in a dream world!! Yes, from what I can understand and from what I observed when exams are given at Helene Fuld, they take extreme precautions NOW because they know a lot of cheating goes on. The facts, however, will ...

In the description of Lantus, I have read that (1) It can be given irregardless of food intake and (2) It works over a 24 hour period. I just had a client go into a diabetic coma because of administration of Lantus. The client had a fingerstick of...

Yes, some of the clients in this facility get large doses of insulin 70/30 bid, but the one person I am thinking of is severely overweight and can apparently handle the insulin. This client is about 150 lbs and has fingersticks that can be as high a...

Several of the clients in the facility where I work are insulin dependent and regularly have blood sugar readings in the 300's and above. What kind of care will I have to give them in the future, they get insulin coverage 4 times and day and a dose ...

It is an assisted living facility and the diet is not the greatest, in fact no matter what is served to the clients, they can leave the facility to go and get whatever food they want to eat!!!

I work in an assisted living facility! A client there who needs knee surgery but is refusing it has Hepatitis C. A chronic user of pain medication and a former IV drug abuser gets 500 mg of Tylenol and 50 mg of Trammadol q 6 hrs. She also has prn or...

Is it appropriate for a client to have and order for Vicodin q 6 hrs and an order for Percocet q 8 hrs and concurrent orders for prn motrin and tylenol prn. The client just had eye surgery for cataracts and she has a history of CHF and COPD, In any...

Can anyone direct me to a website that would help me understand what vital signs indicate? For instance a client in the assisted living facility where I work had a reading of 75/42 hr 76. She has Parkinson's and is 68 years old. I sent her to the ...

Another client in the facility was on Vicodin q 8 hrs prn in addition to the tylenol 325 prn. She had surgery for cataract removal and the doctor ordered additionally Percocet q 6 hrs prn. One of the nurses gave the client the Vicodin at 7 am ...

I have to call back and find out about the client myself!! The client is non verbal but thankfully the assistant who takes care of her observed her exagerated body movements. No syncope and since she doesn't talk she cannot express how she feels!!!

A while ago on the MSN webpage, they were talking about belly fat. The article stayed that excess fat in the belly was a bad sign healthwise and that it was more dangerous than excess fat in other areas of the body!!! Anyone know the reason for this...

What would you do, if a patient came to the nurses station and said they feel weak? The patient has a history of diabetes! I did a fingerstick BS was 140. They have a history of CVA! The vitals were 130/80 82 20. Would you do any other assessm...

Is there a required time lag between smoking and application of a nicotine patch? For example, can a patient smoke cigarettes all day then come in the nurses station and say, I don't want to smoke anymore please give me my nicotine patch? The dosag...

Would someone please explain the different types of immunity, i.e., passive artificial, passive natural, active natural etc. I know Iga is passive natural and that the child receives this type of immunity from the mother and that it is good for a fe...

So what is a vaccination? IgM?

Does anyone have any suggestions as to where I can get questions on the nursing process. I am studying the book and have answered some questions, but need further clarification!! The questions seem to help

Does it really matter if you turn the glucometer on before the client does a fingerstick or not. Anyone know of any links that give you the correct use of a glucometer?

Does anyone have any strategies to get a patient who has a psych history and who is also a diabetic to take their medication. I know that according to the Patient Bill of Rights they can refuse to take their medication. Her fingersticks are ok, but...

The thing about the school is this, they throw the work to you. I would venture to say, that most of the people who graduate cheat. By that I mean, they share care plans, assignments and study from old tests. If you are not fortunate enough to be ...