kocurik77

The only thing I can recommend is Kaplan. I took mine test 01.13.2011 and I am still waiting for results ( 48 business hours ). The computer shut off at around 76 questions and I am hope I passed. The last question before it shut I answered correctly ( 100% positive ). I am from Europe and English is my second language. I took the test for the first time. Kaplan has a diagnostic test online. If you do it under 60% it means you should review. If above you just need to work on strategies and questions. I was doing questions everyday ( at least 100 questions a day ) for 1 month and some before. I know Kaplan isn't cheap but to pay several times for test is even more expensive. I paid around 450$. I do not try to make advertisement Kaplan, but it is what helped me. Good luck to you :)

thyroid is gone, but half-life of T4 is about a week

Does anybody know why there is sodium loss rather then retention in polycystic kidney? I don't get it, because the symptoms are also hypertensia and oliguria. I have tried to find the answer but I am confused:uhoh21:. please

I need your help guys. from Lippincott's review : pt. with chron. glomerulonephritis is in permanent salt-loosing state, therefore the Na level is on the low end of normal level I though that in glomer. is decreased urine output, Na levels higher, risk of hypert. and " no added salt to foods " diet. Can anybody explain .... thanks:)

Here is a page with animations and explanations from American Heart Association ( hopefully it is not an unapproved site ), just select topic. maybe it will be helpful http://medmovie.com/mmdatabase/MediaPlayer.aspx?ClientID=65&TopicID=0 good luck:up:

glucose tolerance test - 3 days before test pt. has diet with at least 150g carbohydrates - fasting 10-12h before test - withold morning insulin or oral hypogl. ( for pt. with dm ) - sample is drawn for baseline - normal 70 - 110 mg/dl - high-glucose drink - blood samples a30 min. - 30min ( fasting ) 110-170 mg/dl - 60min 120-170 - 90min 100-140 -120min 70-120 -2h postprandial -2h after igestion or injection of glucose >200 confirms dg. ( saunders 4th edition )

Hi love2banurse, it is hard to say. It depends on how you feel. You are lucky to feel prepared sooner than your exam date. May is not too far though, so if I were in your shoes I would spend it doing some more questions. Just to make sure to pass this time. It also depends on what is your score when you make test. I've heard the actual NCLEX test is more difficult than tests from review books. But you've already gone through it, you know better than me ( I am waiting for CGFNS report to be sent to board, have no idea when I take exam. hopefully this year:rolleyes: ) Whatever your decision will be I hope for you. Good luck

Could anybody answer my question please? Why do we ensure that child has voided before IV administration of potassium? thanks

It's true and practical. The problem is that if it is correct answer for NCLEX. I have read that if you want to pass you need to think NCLEX while answering question.

I believe it's O2 first ( A,B,C - airway, breathing, circulation ).

i apologize if i violated term of service and linking to unapproved site. here are my five for today: nclex answers - 1) if you have never heard of it, nobody else probably had, so don't choose that answer. 2) if your pt. is unstable don't choose reassess in 15 min. he might be dead in 15 min - don't delay treatment. find first question that will kill or harm pt., secondly that will delay treatment and eliminate those. if there is something you can do before calling doctor, do it ( pick that question ). sometimes to call the doctor may be the only right option. 3)maslow's hierarchy : physiologic needs - a) maintaining airways and respiration b) maintaining circulation c) nutrition and elimination d) sleep safety needs - when no physiological needs exist, safety takes priority - mainatining safe and secure enviroment for pt. and nurse 4) communication - focus on pt. feelings first 5) teaching and learning - motivation and readiness - assess if pt. had previous experiences or any information first

inotrope alters force or energy on contraction - positively ( positive inotropic agents ) - increase strenght of contraction - negatively ( negative -//- ) - weaken contraction calcium in muscle cell affects inotropic state - positive inotropes - increase level of ca - increase myocardial contractility and support cardiac function ( im, cardiogenic shock, decompensated congestive heart failure, cardiomiopathy ) - negative i. - decrease -//- - decrease contractility and thus workload ( angina ) - positive inotropes usually! work by releasing ca, but some of them can manipulate it's level by different mechanisms. cardiac glycosides rise level of ca by inhibiting na/k pump ( leads to incr. level na and that leads to incr. level ca ) positive inotropic agents - cardiac glycosides ( digoxin ), catecholamines ( dopamine, dobutamine, epinephrine ) negative -//- - beta blockers, ca channel blockers, class ia and ic antiarrhytmics i think the difference between most of inotropes and glycosides is in the way they make more ca available for heart muscle. http://en.wikipedia.org/wiki/inotrope

I believe BP and HR first, because according to Maslow's hierarchy physiological needs are first and then safety ( prevention of infection from open wound ). You have the knowledge, but there are some rules you need to folow when all the answers look right. This helped me a lot. Good luck :)

Here is a list of topics of interactive health tutorials http://www.nlm.nih.gov/medlineplus/tutorials/ , the tutorials are basics, but it can help to watch or listen to something while you are having a break from reading or answering questions . I havent read all posts so it is possible that someone has already posted it;).

child undergoing cardiac catheterization - priority nursing dg. is - deficit knowledge ( parental ) related to cardiac. cath., not decreased cardiac output related to structural defect ! planning care for child before corrective surg. for tetralogy of fallot - priority nursing dg. - deficit knowledge related to upcoming surg. and postoperative events, not impaired gas exchange related to structural cardiac def. kawasaki disease - aspirin + iv gamma globulin - to reduce immune response - steroids contraindicated - increase aneurysm formation - dipiridamole to increase coronary vasodilatation and decrease platelet accumulation