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kcolly

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  1. OK, so the other day at work a co-worker was telling me I should join the Army Reserve and was telling about all the benefits and the sign on bonuses, as well as loan repayments. I have two degrees and alot of loans!! I don't have any problem with the training but I'm so scared of deployment. I've lived in the same state my whole life! Not only that I want to start a family soon and I love my job but having help paying my loans back would be a huge stress reliever. My co-worker has been in the army for 6 years and hasn't be deployed but what are the chances? Any advice would be greatly appreciated, this is a big decision and I need some more info before making a commitment. Thanks!
  2. That's not the good pop-up. It just means your results haven't been sent to the boards yet. If you see you account activity it probably says ready for delivery, you have to wait till it says delivery successful to be able to do the PVT. Mine took 24hrs to go through and by then it was already posted on my state boards website. Hope you pass! Let us know how it goes!
  3. If you bought the medsurg book by Brunner & Suddarth it comes with a CD and it has the Nclex 3500 for free. It's the same as the other two programs where you can customize the topics you want to be tested on and you just load it onto your computer. We had to get that book for our medsurg class, not sure if you used the same but just thought I'd let you know.
  4. If you feel confident and did well in school you should be ok. I studied for about three weeks and I was an average nursing student. I studied for about 3-4 hrs a day though. I used the La Charity book, Kaplan book, and Nclex 3500. I also used the HESI book my school gave us to review and refresh information i had forgotten. And if you feel unsure the week of you can reschedule then. Goodluck!
  5. I didn't use the Saunder's book to study but those sound like pretty good test scores. I think you should take tm off and relax, you should do fine Wednesday. Goodluck!
  6. Yes, get the book. It helped me with learning which patient to see/assess first and I ended up having alot of questions on prioritization with patients. Great Book!
  7. I just took the nclex this past Thursday and I passed with 75 questions, I was getting about the same score on Kaplan tests too. Like everybody else said try to relax, i know it's hard but if you stress too much over it your going to over think every question. As far as drugs go, I had two questions about drugs and they were fairly easy. Just know what class of drugs do. Here is some drug info I found on this website maybe it will help! Good luck! *Pharmacology - Know Indication/Action/Effect ⁃Prefix/Suffix *-ase = thrombolytic *-azepam = benzodiazepine *-azine = antiemetic; phenothiazide *-azole = proton pump inhibitor, antifungal *-barbital = barbiturate *-coxib = cox 2 enzyme blockers *-cep/-cef = anti-infectives *-caine = anesthetics *-cillin = penicillin *-cycline = antibiotic *-dipine = calcium channel blocker *-floxacin = antibiotic *-ipramine = Tricyclic antidepressant *-ine = reverse transcriptase inhibitors, antihistamines *-kinase = thrombolytics *-lone, pred- = corticosteroid *-mab = monoclonal antibiotics *-micin = antibiotic, aminoglycoside *-navir = protease inhibitor *nitr-, -nitr- = nitrate/vasodilator *-olol = beta antagonist *-oxin = cardiac glycoside *-osin = Alpha blocker *-parin = anticoagulant *-prazole = PPI's *-phylline = bronchodilator *-pril = ACE inhibitor *-statin = cholesterol lowering agent *-sartan = angiotensin II blocker *-sone = glucocorticoid, corticosteroid *-stigmine = cholinergics *-terol = Beta 2 Agonist *-thiazide = diuretic *-tidine = antiulcer *-trophin = Pituitary Hormone *-vir = anti-viral, protease inhibitors *-zosin = Alpha 1 Antagonist *-zolam = benzo/sedative *-zine = antihistamine *Pharm Facts *Digoxin- don't give if heart rate *-Don't give non-selective beta-blockers to patients w/respiratory problems (anything ending in olol) *-Vitamin C can cause false +ive occult blood *-Avoid the 'G' herbs (ginsing, ginger, ginko, garlic) when on anti-clotting drugs (coumadin, ASA, Plavix, etc) *-ASA toxicity can cause ringing of the ears *-No narcotics to any head-injury victims (increases chance of respiratory arrest) *-Mg2+ toxicity is treated with Calcium Gluconate *-Do not give Calcium-Channel Blockers with Grapefruit Juice *-Oxytocin is never administered through the primary IV *-Lithium patients must consume extra sodium to prevent toxicity (0.5-1.5) *-MAOI Patients should avoid tyramine: ⁃Aacados, bananas, beef/chicken liver, caffeine, red wine, beer, cheese (except cottage cheese), raisins, sausages, pepperoni, yogurt, sour cream. *-Don't give atropine for glaucoma - it increases IOP (dilates the eye) *-Don't give ant-acids with food -- b/c it delays gastric emptying. *-Don't give Stadol to Methadone/Heroin Preggo's -- cause instant withdrawal symptoms *-Insulin - clear before cloudy *-Don't give meperidine (Demerol) to pancreatitis patients *-Always verify bowel sounds when giving Kayexelate *-Hypercalcemia = hypophosphatemia (and vice versa) *-Radioactive Dye - urine excretion (mucamyst is used to protect the kidneys) *-Signs of toxic ammonia levels is asterixis (hands flapping) *-D10W can be substituted for TPN (temporary use) *-Dopamine and Lasix are incompatible *-Hypoglycemic shivers can be stopped by holding the limb, seizures cannot (infants) *-Common symptom of aluminum hydroxide (antacids)- constipation *-Thiazide diuretics may induce hyperglycemia *-Take iron with Vit C - it enhances absorbtion - Do not take with milk *-B1 - For Alcoholic Patients (to prevent Wernicke's encephalopathy & Korsakoff's synd) *-B6 - For TB Patients *-B9 - For Pregnant Patients *-B12 - Pernicious anemia, Vegetarians. *-Complications of Coumadin - 3H's - Hemorrhage, hematuria & hepatitis *-FFP is administered to DIC b/c of the clotting Fx *-Mannitol (osmtic diuretic [Head injury]) crystallizes at room temp - use a filter needle *-Antianxiety medication is pharmacologically similar to alcohol -used for weaning Tx *-Administrate Glucagon when pt is hypoglycemia and unresponsive *ASA and insulin interact with each other and cause Hypoglycemia *Glucagon decreases the effects of anti-coagulants. *-Phenazopyridine ( Pyridium)--Urine will appear orange *-Rifampicin -- Red-urine, tears, sweat) *-Hot and Dry = sugar high (hyperglycemia) *-Cold and clammy = need some candy (hypoglycemia) *-Med of choice for V-tach is lidocaine *-Med of choice for SVT = adenosine or adenocard *-Med of choice for Asystole = Epinephrine *-Med of choice for CHF is Ace inhibitor. (anything ending in Pril) *-Med of choice for anaphylactic shock is Epinephrine *-Med of choice for Status Epilepticus is Valium. *-Med of choice for bipolar is lithium. (0.5-1.5) *-Give ACE inhibitors w/food to prevent stomach upset *-Administer diuretics in the morning *-Give Lipitor at 1700 since the enzymes work best during the evening *-Common Tricyclic Meds - 3 syllabes (pamelor, elavil) *-Common MAOI's - 2 syllables (nardil, marplan) *Antipsychotic drugs ending in Zine can cause extrapyramidal effects: pseudo parkinsonism, akathisia, dystonia, tardive dykinesia. Tx EPS with Congentin, Benadryl, Ativan, Klonipin and Inderal *-TPN has a dedicated line & cannot be mixed ahead of time *-RHoGAM -- Given at 28 weeks & 72 hrs postpartum *-Do not administer erythromycin to Multiple Sclerosis pt *-Benadryl and Xanax taken together will cause additive effects. *-Can't take Lasix if allergic to Sulfa drugs. *-Acetaminophen can be used for headache when the client is using nitroglycerin. *-Dilantin - can not give with dextrose. Only give with NS. *Antibiotics with sulfa in the generic name: watch for ototoxicity and nephrotoxicity *Addison is skinny ( hypoglycemic, you get weight loss, you got weakness, and you get postural hypotn) Cushing is fat ( hyperglycemic, you get moon face big cheeks, and you retain a lot of Na and fluid) *-Never Give via IVP: *KCL *Heparin *Ibuprofen *Insulin *Dobutamine *ASA *Albumin *Acetaminophen *-Insulin: *Rapid: lispro - onset *Short: Regular - onset ½ - 1 hr. Peak: 2-3hr. Duration: 4-6 hr *Int: NPH or Lente - onset: 2 hr. Peak 6-12 hr. Duration: 16-24hr *Long: Ultralente - onset 4-6 hr. Peak: 12-16 hr. Duration: >24hr *V.Long: Lantus - onset 1 hr. Peak: None. Duration: 24 hr continuous *-Anticholergic Side Effects: *Can't See *Can't Pee *Can't Spit *Can't Sh*t *Hypocalcemia - CATS *Convulsions *Arrythmias *Tetany *Spasms & Stridor *Hyper Kalemia Causes: 'MACHINE' *Medicationa (ace inhibitors, NSAIDS) *Acidosis (metabolic & repiratory) *Cellular destruction (burns, traumatic injuy) *Hypoaldosteronism, Hemolysis *Nephrons, renal failure *Excretion (impaired) *Signs of increased K ' Murder' *Muscle weaknes *Urine - olyguria, anuria *Respiratory distress *Decreaed cardiac contractility *ECG Changes *Reflexes - hyperreflexia, or flaccid *Substance Poisoning and Antidotes *Methanol -- Ethanol *CO2 -- Oxygen *Dopamine -- Phentolamine *Benzo's (Versed) -- Flumazenil *Lead -- Succimer, Calcium Disodium *Iron -- Deferoxamine *Coumadin -- Vitamin K *Heparin -- Protamine Sulfate *Thorazine -- Cogentine *Wild Mushrooms - Atropine *Rat Poison - Vit K *-Parkland Formula: 4cc * Kg * BSA Burned = Total Volume Necessary *1st 8hrs - ½ total volume *2nd 8hrs - ¼ total volume *3rd 8 hrs - ¼ total volumes
  8. I felt like the books I used to study, La Charity: Prioritization, Kaplan, and Nclex 3500 were similar to the questions on the Nclex but the questions I got on the Nclex were very random. I didn't have the Saunders book but I heard it was helpful for studying for the Nclex. Basically, just be able to critically think you're way through topics, like I said I got a wide variety of questions and not many of the were straight forward like they might have been in Nursing school. Hope this helps!
  9. I had a couple that were easy, but for the most part I had no idea if I got them right. I had a couple that dealt with topics I hardly knew anything about but they mainly focused on what teaching should provide to a patient with a certain problem. Goodluck!
  10. After waiting 24hrs I finally found my license online!! I took the Nclex yesterday and it cut me off at 75 questions, I was relieved but then I started to panic! I thought what if I did so bad that it didn't need any more questions to fail me. I had 6 or 7 SATA questions, 2 med questions (make sure you know meds), and 2 med calc questions too. I had several prioritization questions, which had me second guessing the whole time if I picked the right one. My suggestions for studying for the nclex: La Charity book is great for learning prioritization and delegation, I did almost the whole book and it was great review for those type of questions. I also just reviewed with my HESI book that my school gave us and it refreshed alot stuff that I had forgotten. I also had the Kaplan book but I don't think it was as helpful as the Nclex 3500 which offered tons of questions and you could pick what topic you wanted to test yourself on. Overall, the nclex just wants you to think critically and it'll definitely throw some topics at you which you know nothing about. Just relax, take your time, and go with your gut! Goodluck to everybody!
  11. Thanks so much for the reply, guess i just have to wait it out.
  12. I've been waiting all day and everybody one here seems to have already got their good pop up already. I'm in WV and i know some people took it yesterday and they got the pop up right away. Just makes me nervous.
  13. So I took the Nclex today at noon, and I rushed home to do the trick only to find that my results are still waiting to be delivered so the trick won't work it just keeps telling me that the candidate currently has an open registration for the exam and can not create a new one. I've looked on my states board but nothing is there. Why is it doing this? Has anybody else had this problem I'm going crazy waiting!
  14. Just took my nclex and it cut off at 75 questions. I had 6 or 7 SATA, 2 maths, and several prioritization questions. I tried to do the trick but my results are still waiting for delivery. I hate waiting, I have no idea how I did, I got some really hard questions and some really easy ones. I just hope I pass.
  15. I'm taking my nclex tomorrow at noon! I'm nervous but anxious to get it over with. I've been studying for only about 3 weeks and I've been getting in the 70s on the majority of my test. I was told that being confident in passing the test is what got people through it! So goodluck to everyone taking it tm, and let's hope we all pass this dreaded Nclex and become RN!

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