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gaajr1 RN

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gaajr1 has 1 years experience as a RN and specializes in med-surg.

gaajr1's Latest Activity

  1. It's the same in California too! Good luck and don't loose hope. Meanwhile if you can update your certifications etc. so you have an edge over others.
  2. Hi! Like some of them mentioned, I would recommend taking Kaplan's online Qbank. It has 1200 and odd q's which you could practice from. The best part is the NCLEX screen and question format is almost the same. In my opinion this takes away 25% of the stress. You have been preparing for NCLEX from the day you started nursing program. What's imp is the strategy involved in answering the q's. Do follow the "decision tree" in Kaplan Qbank...helps a lot! It may take time to get a hang of it but then becomes second nature. Good luck!
  3. We have to interpret lab values of a preterm infant and I'm not finding any guideline to go by. I have diagnostic lab manual for an adult but not for infants. I searched the web but couldn't find anything. I'm wondering if anyone knows of a good web site for I have to interpret hematology and chemistry values. Really appreciate any help, thanks a lot!
  4. gaajr1

    OB med calculations

    Thank you Daytonite, I did check that site but needed some practice problems.
  5. gaajr1

    OB med calculations

    Hello everyone, Does anyone know a site to practice OB med calculations? I would appreciate any help. Thanks a lot!
  6. Our instructors want to know how a particular drug works in the body (action), why is the patient getting it and what are the imp s/s seen. Also, if there is a drug interaction what is it that you have to be aware/do before giving the meds. Example, if your giving Digoxin you check the HR, K level etc.You may be very good at memorizing but also make sure you understand the action of the drug, that way, you also reason out the expected s/s. Also learn the endings of the drug class. I don't understand when you say, "most of the drugs on the MAR are the very first time I've ever seen them". From what I gathered you go the night before and get your patient info. I'm confused, however by the time you go next morning there could be some changes in the patients MAR. If you don't recognize the drug there is nothing wrong in looking over the drug book. Don't take it to heart if your nurse wants to do her assessment first. Remember ultimately she is responsible for that patient. Instead take it as a learning opportunity and observe the nurse. Any problem you have at the clinical site talk to your instructor. She is the best person to guide you. Lastly, remember we are students and learning things at every step. Good luck!
  7. gaajr1


    http://www.northshore.org/healthresources/encyclopedia/bioterrorism/hf045600.aspx above is a link which gives all the info
  8. gaajr1

    When do we learn how to start an iv

    I'm in second semester(med-surg, ob and peds) but towards the end of my first semester we studied everything about IVs; this semester we will be practicing in lab and actually starting an IV during clinical.
  9. gaajr1

    systolic heart failure

    ghillbert, thanks a lot for the explanation. I think it makes more sense to me now.
  10. gaajr1

    systolic heart failure

    Daytonite, it is basically going back to Starling's law, right? As you said the cardiac unit does take timeto sink in, that's why I started to read and trying to understand as much as possible. Thanks for your help.
  11. gaajr1

    systolic heart failure

    I was reading about types of heart failure and when I came to systolic ventricular dysfunction, there is a part I did not understand. I did not have a lecture yet but would really be grateful if anyone could please explain it to me? I thought of waiting till lecture but it's just bugging me, for I know for sure I'm a bit confused!! Here it is directly from the book: "Systolic heart failure results when the heart is unable to contract forcefully enough during systole to eject adequate amounts of blood into the circulation. Preload increases with decreased contractility, and afterload increases as a result of increased peripheral resistance. The ejection fraction drops from a normal of 50% to 70% to below 40%. As the ejection fraction decreases, tissue perfusion diminishes and blood accumulates in the pulmonary vessels. Manifestations of systolic dysfunction may include symptoms of inadequate tissue perfusion or pulmonary and systemic congestion." The part in bold is what I'm confused with. From what I understand preload is the stretching of the myocardium at the end of diastole, just before contraction and the stretching is related to the volume within the ventricle. So, how does preload increase in this case? I know there is something I didn't get straight, please explain. Thanks!
  12. gaajr1


    Thanks Daytonite and S.T.A.C.E.Y for your suggestions. You are right S.T.A.C.E.Y, I think I was biting more than I could chew. Though I was following the same sequence I was moving on too fast. Thanks a lot for the advice.
  13. gaajr1


    One of the assigned chapters for reading before starting the semester is "Dysrhythmia", ECG etc. While studying various types of dysrhythmia, I was making sure I understood the normal physio before studying the pathophysio of it. But I have come to a point where I'm really confused and feel there is something I'm not doing right. I would really appreciate if anyone has pointers/tips on how to study these concepts.
  14. gaajr1

    first nursing test: FAILED

    It's that time of the year...first test! I have mine on Mon in 10 chapters and have been preparing from day one. I'm trying my best to stay calm (even went for a workout) but the first test jitters are just different (fear of the unknown)! In a way, I want to get it over with so I know where I stand and what I should do in future.
  15. gaajr1

    got 74% on first test!!=( VERY discouraged

    Starfish1, I'm not an expert in giving you advice in this area for I have MY first test on Mon in 10 chapters. Some of the suggestions our instructors gave us are: Read the chapters before you go to the lecture (I have done that and I feel I understand better). Record the lecture, come home and while listening to it make notes, highlight the imp points and anything that the instructor emphasized. Now, if you don't want to WRITE, it is a good idea to record all the points. This will give you a chance to listen to them while driving, cooking or anything else you are doing. Know your key terms. This will help you apply to any scenario they give. Read your text, 2/3 times. Helps a lot! Answer as many questions as possible. Clarify any questions with your instructor promptly and don't wait till the last minute. Study everyday. I am following it deligently and just want the first test to be over. This will help me analyze if I need to do anything more/ differently. Just do whatever works for you. Hope this helps and good luck to you.
  16. gaajr1

    Fundamentals of Nursing by Carol Taylor

    nyemt195488, I hope your wrist heals fast. I'm sorry I'm unable to help you. Daytonite, as always "hats off to you"! Inspite of all that's going on, you are always there helping us in everyway you can. Just can't thank you enough! My prayers are with you, take care.