Polican, RN

Mine turned off at 75 questions. I can't remember a lot of the questions. Everything was a blur. I do remember some SATA, prioritizing, delegation, management, confidentiality, only 1 math calc. I just pray to all the higher beings that I've passed so I don't have to go through this again. I should find out my results tomorrow afternoon like MikeyJ.

Thanks to everyone rooting for me!!! I will be praying to the NCLEX gods all weekend

gonna take the exam monday, sept. 22 @ 0800. everyone send good vibes my way.........

I am writing about a case study and need to know the difference between an arterial versus venous bleed concerning head injuries in toddlers. If anyone has any info, please let me know ASAP Here is the case study: T.S. is a 3 y.o. female brought to the ED after falling while on the playground. Her parents are concerned because she hit her head and she has not bee "acting right" after the fall. At this time, T.S. appears to be sleeping in her mother's arms. While performing VS, the RN notices that T.S. is difficult to arouse. Her vitals are: BP 80/55, HR 110, RR 24, T 98, O2 sat 96% (all WNL for a 3 y.o.) A CT of the head is performed and it is noted that she has a "bleed" in her head. After the CT, T.S. vomits 3 more times and is now lethargic. Her VS are: BP 70/40, HR 120, RR 14, T 98. :)

Thank you for the insight...I ended up moving directions with the NDx from chronic HTN in a postpartum Pt to elevation in body temp. Only because of her potential to seize. Here is my plan: Priority Nursing Diagnose Body temperature elevated above normal range R/T medications/anesthesia AEB oral temperature of 101.4 and rising postpartum. Outcome Goals J.R. will no longer show signs of elevated body temperature by September 26, 2007 AEB: 1. Maintaining body temperature below 100˚F. 2. Maintains BP ( 3. No signs of shivering or cold sweats. Interventions 1. Provide antipyretic medications as ordered. 2. Provide O2 therapy. 3. Control excessive shivering with medications. 4. Provide ample fluids by mouth or intravenously. 5. Explain treatment measurement and all treatments. 6. Provide Pt with extra blankets to eliminate shivering. Rationale 1. Elevated temperature can cause cellular damage, delirium, and convulsions. 2. Hyperthermia increases metabolic demand for O2. 3. Shivering increases metabolic rate and body temperature. 4. If Pt is dehydrated or diaphoretic, fluid loss contributes to fever. 5. Pts may be initially disoriented, requiring repeat explanations. 6. This will allow other vital signs a chance to stabilize and return to normal limits.

Chronic HTN in a postpartum Pt. I have no idea what to do for this Pt. If anyone has any advice, I would appreciate it.