KetuUCF

Hey Everyone! I need some advice... I've been an RN for almost 3 years now. I started in Mother-Baby, worked there for 9 months then got an offer to work in Public/Community Health which was closer to home, good benefits, and no weekends. I've worked there for 2 years now and I've decided it's time to move on and go back to the hospital. Some ask why I went into public health, but it gave me a different experience from being in the acute care setting and I've learned so much from the providers that I've worked with, which will help me a great deal when I decide to pursure my long term goal of becoming a Family Nurse Practitioner, since I will have contacts hopefully to precept with. At the health department, I did a little bit of everything from Family Planning, Maternity, Primary Care for Peds, Adults, and Geriatrics, Immunizations, and STDs. As I was looking for positions to go back into the hospital, I was debating between going back to Mother Baby or to do something completely different such as Med Surg. As a new grad I was so afraid to go into Med Surg because of the stories I've heard and I really just had no interest in working there. But now with more experience, I realize that I don't want to "pigeon whole" myself in only working in Community Health and Mother-Baby. True, as an FNP I would prefer to concentrate on Women's Health, but I feel that the experience I will gain in Med Surg will help me a great deal in giving Primary Care to women. I am both excited and a little anxious to start my new position on a Med Surg floor working night shift. It will definately give me more flexibility in wanting to go back to school versus working 5 days a week. The only worry I have is that I hate that I am going to feel like a new grad all over again especially since I've been out of the hospital for 2 years now. I was kind of surprised they didn't start me off in there new grad program, since I only have 9 months of hospital experience and not 12 months. I plan to brush up on my books to help prepare myself. My orientation is suppose to be for at least 6 weeks, and I am hoping if I need more time they will allow me to do so with my preceptor. But any advice to someone re-entering the hospital scene on a Med Surg floor? I would greatly apreciate any advice and feedback. Thanks! :)

1. What is your age? 26 yrs old 2. How long have you been a nurse? 1 yr & 1/2 3. Did you work as a CNA before becoming a nurse? Yes 4. If yes to #3, how long did you work as a CNA before becoming a nurse? 3 years 5. If no to #3, do you wish that you had? N/A 6. Regardless of whether you worked as a CNA prior to becoming a nurse, do you believe working as a CNA prior to nursing better prepares you to be a nurse? Feel free to elaborate on your response. Yes, because I feel that there are many nurses out there that don't appreciate the work that CNAs do everyday for us. Many of us nurses don't have the time to complete basic nursing care for our patients due to the demands of documentation and other responsibilities. I'm proud to have worked my way up from being a CNA and now recently becoming an RN. I feel that I have the skills necessary to do basic nursing care where as I know some of my classmates that were not CNAs do not have those skills.

I know my friend didn't get accepted, Jasmine. That's why I was reading this thread in the first place to fiind out the first day of school/orientation because I know not everyone accepts and that if she contacts the school of nursing that day maybe she could take someone else's spot that decides nursing isn't for them or that they want to go to another school.

Congrats to all of you that got accepted into the Accelerated Program at UCF! I was in the Accelerated Program and graduated in 2008. This program was NOT easy. You guys will definately need and rely on each other for the next year and a half. You will barely see your friends or family. Some of you in committed relationships will break-up and maybe even divorce unfortunately. Most of your time will be spent studying, attending class and clinicals. But in the end, you will learn what you need to know to pass the dreadful NCLEX and you will build lasting friendships with your fellow classmates. The first semester, the summer, seemed to be the hardest for me. It was so fast paced with papers, group projects, community work, tests, etc... I remember the first week feeling like it was a month and I cried everyday becuase I felt so overwhelmed with the amount of work we had to complete, and I was not the only one who felt like this. In the first 2 weeks I think 2-3 people dropped out. Even in the very last semester a student dropped out and it was not because she was failing, but she felt nursing wasn't for her anymore. Some of the professors you will LOVE and others you won't like so much. Ask questions when you don't understand the material and study with your fellow classmates as much as you can, that helped me A LOT. If it were not for the help of my classmates I don't think I would have passed a few of my classes. The second semester, rumor had it, that "Adult I" seems to be the most failed class in the program. In my class we had at least 5 students fail and have to be placed in the Basic Program. (4/5 continued on and graduated in the Basic Program) Pathophysiology and Pharmacology were also difficult classes for myself. Working: I quit my job before I started the program due to me living so far away from UCF. (I lived in Kissimmee, near Poinciana). If I had worked and lived close to the campus I wouldn't have quit. But I spent much of my time driving to school and to clinicals. But at the end of the 2nd semester (Dec.) I applied for a position as a Nurse Tech and I was able to work 8-12 hrs per week. I know the program doesn't highly suggest working, but if you notice on this forum, many new nurses lately, are unable to find positions since most jobs want you to have 1 year of hospital experience if not more. Maybe if you have a job on a unit already as a Nurse Tech the Nurse Manager may be impressed with your work ethic and want to hire you as a GN (Graduate Nurse). I wish you all success in completing the Accelerated Program at UCF! If you have any questions, just let me know and I will try to answer to the best of my ability since I graduated almost 2 years ago.

Yes, I will be in the clinic setting. The Healthy Start program sounds interesting. Maybe something I'd want to look into if I get bored at the clinic. I've always wanted to do School Health and be the nurse at the school since I enjoyed substitute teaching K-5, and thought it would be neat to be around young kids again, but not in a hospital setting. Man, there are just so many choices to tap into. Can you tell me a little bit more what your job responsibilities included in school health? Yeah I've heard about not getting any pay raises. Right now I'm happy with the salary that they offfered, it's a little more than what I made at the hospital, but the other nurses warned me that I won't get a pay raise for a long time. I'm not so happy about that, but if I'm happy with my new position than I think it'll be worth it cause the hospital just stressed me out so much. I know every job has stress, but I just wanted to try something new since I worked in the hospital for 3 years as a tech and now almost a year as an RN. Anyhow, thanks for your advice, I greatly appreciate it, SunshineBaby. Anymore suggestions from others I would greatly appreciate as well.

Hey Everyone! (I welcome anyone's wise input & encouragement) I just wanted some advice on this new position that I accepted with the county health department in my area in Kissimmee, FL. I graduated last year in August (can't believe it will almost be my one year!) and I passed my boards in October. I accepted a position at Winnie Palmer Hospital, which is a hospital solely for Mothers & Babies. I started working in the postpartum/mother-baby area which I like because of all the teaching, but not sure if I really like the hospital setting. Plus, this position was at least an hour away from home, whereas the new position is about 15-20 min away. Due to personal matters at home and the rising prices of gas, I decided to accept a position with the county health dept., which is really under the FL DOH (Dept of Health). I will mostly be working in the Maternity area, but will probably also train to do Primary Care, Family Planning etc in case there's a shortage. I'm not sure what my specific duties are since I haven't started yet, but I am really excited and nervous at the same time to start something new, but I also feel like I'm at the bottom of the todem pole since I'm the newbie learning the way they do things differently from the hospital. Anyhow, I'm willing to take the risks cause I like the schedule, 8am-5pm Mon-Fri with the possibility of one day of extended hrs, paid holidays, good health insurance benefits, help to pay for at least 2 classes each semester for continuing education, since I want to go back for my Masters, and vested after 6 years for the retirement plan. Any advice from some experienced nurses as to what to expect working for the DOH within the maternity area or in public health nursing? Will my eight months experience in mother-baby help me, even though sometimes I still feel like I'm brand spankin new from nursing school? :uhoh21:

oh and i also wanted to share an article from dukehealth about how more research is going into banked blood and that it may not be as effective as researchers once thought it was, here's the link to see where i got the info, but i copied and pasted the article below for those that are interested to read and become more informed about since medicine/nursing is always changing. -ketuucf http://www.dukehealth.org/healthlibrary/news/10149 banked blood loses ability to deliver oxygen to tissues by duke medicine news and communications about this article article details published: oct. 8, 2007 updated: oct. 9, 2007 for journalists reporters & producers can visit duke medicine news and communications for contact information. [color=#1d4f9f]contact duke medicine news and communications related content services [color=#1d4f9f]blood conservation on other web sites youtube [color=#1d4f9f]banked blood doesn't deliver oxygen: watch a video produced by duke medical center news office a [color=#1d4f9f]video clip of jonathan stamler is available. durham, n.c. –almost immediately after it is donated, human blood begins to lose a key gas that opens up blood vessels to facilitate the transfer of oxygen from red blood cells to oxygen-starved tissues. thus, millions of patients are apparently receiving transfusions with blood that is impaired in its ability to deliver oxygen, according to duke university medical center researchers, who reported the results of their studies in two separate papers appearing early on-line in the proceedings of the national academy of sciences. they also found that adding this gas back to stored blood before transfusion appears to restore red blood cells' ability to transfer oxygen to tissues. these studies go a long way toward answering a major problem which many physicians are beginning to appreciate – blood transfusions with banked human blood may do more harm than good for a majority of patients, according to the researchers. over the past five years, many studies, including some performed at duke, have demonstrated that patients who receive blood transfusions have higher incidences of heart attack, heart failure, stroke and even death. while it is known that the banked blood is not the same as blood in the body, the reasons behind blood's association with worse outcomes have not been well-understood. the key to the current findings is that nitric oxide in red blood cells is crucial to the delivery of oxygen to tissues. nitric oxide keeps the blood vessels open. the new studies demonstrated that nitric oxide in red blood cells begins breaking down almost immediately after red blood cells leave the body.

Hi Everyone, I am a new nurse that is one of Jehovah's Witnesses and I know many don't agree with our beliefs on not accepting blood transfusions, but I do appreciate those that want to to try to understand why we do not accept blood transfusions and that at least respect our wishes on not accepting a transfusion. I have a personal experience in this in which my mom had placenta previa, hemorrhaged and was forced into getting a transfusion and ened up aquiring Hepatitis B from the transfusion and is still suffering from the disease's affects today. I will not go into detail about how she got the transfusion. Anyhow, I decided to post from the official website of our religious organization, www.watchtower.org to try to explain our beliefs on blood transfusion. We also have a couple videos on this called "No Blood--Medicine Meet the Challenge", "Transfusion-Alternative Strategies Simple, Safe Effective", & "Transfusion-Alternative Health Care Meeting Patient Needs & Rights" I pasted the link here as well for those that just want are interested in viewing them. http://www.watchtower.org/e/vcnb/article_01.htm http://www.watchtower.org/e/vcae/article_01.htm http://www.watchtower.org/e/vcnr/article_01.htm I am not going to debate on who is wrong on right because I personally feel that everyone has a right to what they want to choose to accept or refuse when in comes to healthcare/medicine. Plus this message board is not for this, but we all can learn from each other. Anyhow, hope this helps. -KetuUCF JEHOVAH'S WITNESSES THE SURGICAL/ETHICAL CHALLENGE Physicians face a special challenge in treating Jehovah's Witnesses. Members of this faith have deep religious convictions against accepting homologous or autologous whole blood, packed RBCs [red blood cells], WBCs [white blood cells], or platelets. Many will allow the use of (non-blood-prime) heart-lung, dialysis, or similar equipment if the extracorporeal circulation is uninterrupted. Medical personnel need not be concerned about liability, for Witnesses will take adequate legal steps to relieve liability as to their informed refusal of blood. They accept nonblood replacement fluids. Using these and other meticulous techniques, physicians are performing major surgery of all types on adult and minor Witness patients. A standard of practice for such patients has thus developed that accords with the tenet of treating the "whole person." (JAMA 1981;246:2471-2472)

I totally can relate to feeling anxious before going in to work. The day before I go to work I'll just get this sick feeling in my stomach and I'll wake up every couple of hours the night before. I am working days and I've only been there since the end of October. I thought I would love going to work, but I don't. I am gonna stick it out for at least a year and see how it goes, plus I'm also thinking about going to nights if they will let me. Postpartum in the day time is really hectic and crazy. I like being busy because it makes the day go by faster but I feel like I'm so rushed to do everything and the computer charting sucks. By 5pm I am rushing to catch up before the night shift gets in. I've tried getting a good routine but there seems to be so many distractions that I can never finish what I've started. I now dread going to work, I like the acuity and the area I'm in, but it's just soo busy for me. I hope I will be able to switch to nights and it will be a better fit for me and then I will try to find a part-time position at an OB/GYN office and see if I'd like it better.

This is a great thread. I just passed my boards in October and started working last week. My first two days on the Mother-Baby (postpartum) unit were crazy and really fast paced. I thought I knew what I was getting myself into, but I guess not. There's so much to do in such little time. Thankfully I have a pretty good preveptor, but sometimes I feel so rushed to do everything for my patients. We only had 3-4 patients at a time, but had to prepare for discharges, new admissions, teaching, and of course making sure that the newborns were doing okay as well. I really wanted this job and fought for it and now I'm having some doubts. I already feel so anxious and queasy thinking of going back to work again. But then again I know it was only my first 2 days so I need to just tough it out for the next year at least and see what happens. My preceptor says I'm doing a good job so far and that when I feel so overwhelmed and feel like crying that I just need to take a deep breath, calm down, and do my best. I cannot even imagine how it will be like when I am on my own. I have 12 weeks to be with a preceptor. I plan to read this thread to get any advice and get some support since I am not the only one that feels so stupid and doesn't know everything about nursing. If only this first year could hurry up already like everyone else has said.

Congrats to hikari!!!

Full-time variable at ORMC is three 12 hour shifts, which means you're paid 36 hours every week or 72 hours each two weeks. Whereas being just full-time is working 80 hours every to weeks or 40 hours each week. At FL Hospital you can work 36 or 40 hours per week, just depends on the position you accept and how many hours the unit needs you to fill. I just got my paperwork for my benefits at ORMC and they offer a PPO and an HMO. On my unit at Winnie, my manager said once I accrue PTO(paid time off) I can take a week or two weeks off in about six months. At FL Hospital you can accrue PDO(paid days off is how they call it) as well, and you're eligible to use it the first full pay period after your 91st day on employment. But keep in mind other nurses maay have seniorirty to take the actual days off ahead of you. Earlier I said that FL GNs were starting at 21.20, I was wrong. I am getting this from my GN paperwork from FL Hospital, it's actually 21.44, but I denied the offer and took the one at ORMC which is 21.45. At FL Hospital, all full-time employees are required to take off 136 hours (approx. 17 eight-hr days) before the end of the payroll year to year. FL Hospitals insurance plan has a Plan A and a Plan B for health insurance. Plan A doesn't have a deductible and is more expensive it's 32.97 bi-weekly for the employee only and 11.16 bi-weekly for Plan B which has a 500 deductible per covered person/1000 per family per year. They also offer Dental insurance, Vision insurance, & short term and long term disability, life insurance, cancer & other diseases insurance, and a flexible spending account for medical, dependent care-daycare, and adoption assistance. For retirement they contribute 2.6% of your wages to retirement account following the end of the calendar year. The Adventist Health System will also match 50% of the first 4% of wages you contribute to the AHRP (Adventist Health Retirement Plan). The plan's vesting requirement is 5 years of vesting service. If you want more info call the benefits service center at 407-767-6990 or 1866-289-6990. Going back to ORMC the HMO is 26.99 bi weekly (Employee only) if you make 30,000 to 60,000 per yr. The PPO is 44.56 bi weekly (Employee only). The Dental PPO that has a $25 deductible is 6.14 bi weekly for employee only. The Dental PPO with a $50 deductible is 12.43 bi weekly for employee only. The Dental HMO is 6.95 bi-weekly, no deductibles. They also offer a Vision plan, Life Insurance, a Retirement Savings Plan (6 year vesting) and will match $.50 on the dollar up to your contribution of 6%. Under the PTO plan at ORMC, you decide with approval from your supervisor, when and how you will use your PTO hours, like I mentioned above on my unit. ORMC also offer Short & Long Term Disability, Pharmacy plan, and a Flex Spending account: a healthcare flexible spending account and a dependent daycare flexible spending account. If you want more info call the benefits office at 321-841-8623. Hope this helps! -KetuUCF:heartbeat

PureLifeRN, Florida Hospital actually pays less than ORMC. FL Hospital is offering new GNs $21.20 per hour and ORMC/Orlando Health is offering $21.45 per hour. Plus the diffferential at ORMC is more as well, it's 8.00 added when an RN works nights, whereas at FL Hospital it's a percentage of 15% to 18% of your base pay. -KetuUCF:heartbeat

Hey Everyone! I've read the previous postings and they were really comforting to read. I'm a new nurse here, just passed the NCLEX 2 weeks ago and I got my dream job on a Mother-Baby unit. I was told that the ratio is about 1:5 to 1:6 (couplets) and that it gets pretty busy, that the nurses are on their "skates" the whole day shift. Anyhow, I start general hospital orientation next Monday and afterwards I will start the real orientation on my unit. I am so excited but nervous at the same time because I'm new and of course don't know everything there is to know about nursing and mother-baby (of course I'll never know everything). Anyhow, I am a lil' scared of the patient load and new moms asking me questions about things that I have no clue the answers are, but I am definately willing to learn from reading and learning from other experienced nurses on my unit and here on this thread. If you have any suggestions on books (I'm already going over my OB book back from school) that I should read, or if you have any other advice please relate any helpful info. Oh and if anyone can post what they use for their report sheet for both mother & baby, that would be awesome, thanks! -KetuUCF:heartbeat

Hello Everyone! I just graduated this past Ausgust on the 2nd from an Accelerated BSN program in Orlando. I took my boards on the 9th of October and passed with 90 questions. I also got two offers to work, one was on OB High Risk and the other at a closer hospital for a little bit more money on Mother-Baby which is my first passion. So I took the better offer and I start on the 27th of this month. I am so excited and nervous because I am going to be at a new hospital with new staff, but I will be at the bottom of the totem pole. Best wishes to all the new grads out there and starting their new role as registered nurses. -KetuUCF:heartbeat

Florida Hospital new GNs start at $21.20 per hour and Orlando Health new GNs start at $21.45 per hour (this doesn't include differentials for working evening or the weekends), I know because I got offers to work at both hospitals. I decided to take the offer at Orlando Health, specifically Winnie Palmer Hospital for Women & Babies because it pays a little bit more and it's closer to my home in Kissimmee. KetuUCF:heartbeat

Hey Vadee, got your message, I don't have PM, but I am glad to of relieved some stress with my posting. Hang in there, study hard and you should pass. Remember it's only a test, it doesn't define who you are as an individual, no one asks people if they passed the NCLEX the first time around (or at least I've never heard anyone ask this). There's an 85% chance of you passing the first time around. All you can do is try your best. KetuUCF:heartbeat

Hey flipflop, I just graduated from the Accelerated BSN class this past August from UCF. I was at first interested in L&D, but now have found that I prefer Mother-Baby (postpartum) instead. I am hoping to get a job at Winnie Palmer Hospital, but I know both hospitals are willing to take new grads into L&D if they have positions available. I have been persistent about getting into Mother-Baby and had an interview this past friday and I am hoping to get a call from HR within the next few days. My advice is if that's where you want to be, be persistent in trying to find out the names of the nurse manager and asst. nurse manager to get an interview. I would also try to contact the specific HR recruiter as well. This is what I did and hopefully it will pay off in the next few days. You can also try to start working as a tech on this floor so you can get your foot in the door. KetuUCF:heartbeat

In the downtown Orlando, FL area, the two major hospitals are offering $21.20 per hour and the other $21.70 per hour for a BSN (Dayshift). I am hoping to take the one that pays more since it is also closer to my parent's home in Kissimmee. But honestly, I wish it was more! One of the hospitals has a great differential for nights, but I am not crazy about working 3rd shift. It is not a percentage, it's a flat rate of 8.00 added to the base pay from 11pm-7am and the midshift differential I believe is 4.00 from 7pm-11pm. These differentials are all at the hospital that pays 21.70 per hour. Hope this helps someone! KetuUCF:heartbeat

Congrats to Hands and Heart on passing the NCLEX!!!! I'm honestly so happy all the studying for school (I was in an Accelerated Program for 2nd degree students, it was really intense) and the NCLEX is done and over with and I can finally move on with my nursing career. Thanks Jadu1106! KetuUCF:heartbeat

I passed the NCLEX today!!! I took it yesterday at 800am in FL, we have fast results. I had a total of 90 questions. (2 SATA + 1 Calculation) I didn't have as much infection control as I thought I would, only a few. I mostly had priority, teaching, and medications! Honestly to those that will take it in the near future, this is what I did to study.... I took a review class called the Miller Review (It's only here in Orlando.) If you live here, I HIGHLY suggest you take her course the webiste is http://www.millerspnreview.citymax.com/ she uses the Saunders book. She lectured and pointed out what was important. So I would definately read & study the content from Saunders, do some questions from their CD, but once you start scoring 75% or more, I would go to higher level questions like NCLEX-3500 or NCSBN. If you're scoring less then that, go back and read over the content to see what you're not understanding. I did the NCSBN website for 3 weeks exactly before the test and some of my questions were similar on my test, not exact. In the beginning, I was doing poorly on NCSBN, but by the end I wasn't missing as much questions. What I feel helped me a lot is I wrote down every wrong question and rationale I got on NCSBN in a small notebook. I wrote down about 200 questions and 100 other facts or info that I thought would be important. I read that material, reviewed lab and calculations the day before my exam to refresh my memory and I also made my own document of important facts on this thread that I thought would help. I would try to complete at least 100 to 150 (maybe even 200) questions each day during the week and at least 50 questions on Saturdays & Sundays. Do this for a month and you should increase your chances of passing, that's what I did. Believe me it's not easy doing this, I hated completing questions everyday, I was soo tired of it. To help motivate me when I didn't want to study anymore, I took a sheet of paper and I wrote my full name 3 times in big letters and wrote RN after each time. Whenever I felt discouraged or didn't want to continue studying, I would look at my dresser mirror and see my name with the initials RN after it, and it somehow helped motivate me to continue, cause I wanted those initials soo badly. Here I am, officially proud to be an RN, finally. This was my first time taking the exam, I graduated in August (took a couple weeks off to regenerate my brain and started studying nonstop afterwards). On my actual test, some of the questions I knew the answer right away, but I still read the other options, re-read the question and made sure my response matched. Yet, on some questions (especially the ones on meds) I had NO IDEA (keep in mind, you will not know everything on this exam) what the answer was. I would literally stare at the screen what felt like 5 to 6 minutes and I was like man I have no clue. But then, I would try to focus my attention again on what was being asked, narrowed it down to 2 and finally picked one and moved on the next. I did take a 15 minute break (used the restroom, did some jumping jacks to energize me, prayed and ate a snack) at question 65 came back and got nervous at near 75 thinking it would shut down, but it kept feeding me questions. In my head I thought, ohh no I am gonna have all 265, I cannot do this. But then I realized I needed to continue on, when I least expected it, it shut off at 90. To all those that are about to tackle this exam, it isn't easy, you have to study diligently, but you can succeed. If I did, you can. I wasn't the brightest of the bunch in my class. I got mostly Bs, & C's in school. Each semester I was praying that I would pass, and I got through it, so you will too. Best Wishes!!! -KetuUCF:heartbeat PS: I forgot, I also did questions in the Prioritization, Delegation book, the Alternate Questions Book from Saunders and I also did use the Hurst Review on top of the Miller Review. The Hurst review is good, she pointed out some of the same things in the Miller Review.

No problem jessieka, I'm new to this and didn't know how to PM you back, I hope I pass too!

Facts for the day... A child with t-tubes can only swim if he/she wears earplugs, water should not enter the ears and the child should not put their heads under the water Fosomax should be taken 1st thing in the morning with 6-8 oz of PLAIN water at least 30 min before other foods or meds. Client needs to be instructed to remain in an upright position for 30 min following the dose to facilitate passage into the stomach and minimize irritation of the esophagus Cyclosporin (Neoral) inhibits normal immune responses. Clients receiving this are at risk for infection. INH (isoniazid) can also cause peripheral neuropathy (extremity tingling and numbness) Contraindication to cardioversion is digoxin use 24 hrs beforehand Wellbutrin should be started at 100mg BID for 3 days and then increased to 150mg BID, if used to treat depression, can take up to 4 weeks to see results, doses should be administered in equally spaced time increments throughout the day to minimize risk of seizures SE of Clozaril is extreme salivation Elderly clients are at risk for developing confusion when taking Tagament, a drug that interacts with many other meds 1st step in delegation is to DETERMINE the QUALIFICATIONS of the person to WHOM ONE IS DELEGATING, so ASK about PRIOR EXPERIENCE w/ similar clients Xanax is a short-acting benzodiazepine useful in controlling panic symptoms quickly, therefore short-term relief can be expected NSAIDs for arthritic use should be taken 1 hour before or 2 hours after meals, it results in a more rapid effect of the med Oral anticoagulation agents (Coumadin) are contraindicated in pregnancy SE of Prozac are diarrhea, dry mouth, weight loss, and decreased libido SE of aminophylline are restlessness and palpitations, nurse needs to intervene Clients with GERD need to avoid eating 2 hours before going to sleep and an upright posture should be maintained for 2 hours after eating to allow for stomach emptying Hospitalized patients, especially those on antibiotic therapy are at high risk for getting C. difficile Remember pain is whatever the client says it is Autonomy- individuals must be free to make independent decisions about participation in research without coercion from others While assessing the vitals in a child, the RN should know the apical HR is preferred until the radial pulse can be accurately assessed at 2 years of age A newborn is expected to lose 5-10% of birth wt in 1st few days post-partum d/t changes in elimination and feeding Blood sugars... premature neonate= 20-60mg/dl neonate= 30-60mg/dl infant= 40-90mg/dl ~KetuUCF:heartbeat

Facts for the day: Parents with a child that has sickle cell disease need to be taught that the child needs to AVOID OVERHEATING during physical activities because fluid loss caused by overheating and dehydration can trigger a crisis In developmental dysplasia, it produces a CHARACTERISTIC LIMP in children who are walking Clients with BPH have overflow incontinence with FREQUENT URINATION in small amounts day and night Pneumonia causes a marked increase in interstitial & alveolar fluid, therefore, consolidated lung tissue transmits BRONCHIAL BREATH SOUNDS to OUTER LUNG FIELDS During seizure activity, it is a PRIORITY to note, and then record, WHAT MOVEMENTS are seen because the diagnosis and treatment often rests solely on the seizure description PERSISTENT COUGHING in a child discharged after a tonsillectomy should BE REPORTED to the primary care provider because it may indicate BLEEDING ( don't just think frequent swallowing) Process of dying w/ a client that is Hindu: RN should plan that after death, a Hindu priest will pour water into the mouth of the client and tie a thread around the client's wrist, family is particular about who touches the body, cremation preferred, last rites carefully prescribed Process of dying w/ a client that is Mormon: Cremation discouraged, elders may be w/ the client during process of dying and no last rites are given Process of dying w/ a client that is Islamic: family must be w/ client during process of dying and family must be the only ones to wash the body after death Process of dying w/ a client that practices Judaism: body is ritually cleansed and burial occurs as soon as possible after death RNs should limit visitors with a client that has decreased adrenal function because any exertion, physical or emotional places additional stress on the adrenal glands, which could bring on an Addisonian crisis Client with trigeminal neuralgia, the RN should offer small meals of high calorie soft food to promote more nourishment and less chewing Separation anxiety is most evident from 6 months to 30 months of age Fluorosis, a condition in which teeth have a chalky white to yellowish staining with pitting of enamel d/t repeated swallowing of toothpaste with fluoride or drinking water with high levels of fluoride Breast engorgement in newborns occurs in both sexes as a result of withdrawal of maternal hormones after birth (normal occurence) Glaucoma and prostatic hypertrophy are contraindications to use Congentin because it is an anticholinergic drug Clients taking Thorazine should avoid direct sunglight d/t sensitivity Scenario- If RN is working for a Poison Control Center and parents say that their child has drunk drain cleaner (alkaline), the RN would suggest parents to have child drink orange juice (acidic) to neutralize the substance Enjoy my helpful facts, couple more days till I take the big test...:typing -KetuUCF:heartbeat

No problem shinyblackcar! Glad it's helping someone.