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If you type in heart sounds on google you can find all sorts of stuff. My best advice is to listen, listen, listen to real people that is the only way to really learn. When you are in clinicals let all the nurses know that you would like to hear diffrent heart sounds and let them know you are having problems with the apical rate. You will find many are understanding and will direct you to patients to listen to. To really learn how to count heart rate listen to your dog or cat becuase they are super fast like 120 plus.

Bounce and spongy becuase they do bounce back. Go and see your instructor ask her to physically show you so you know. Your instructors are there to help not just torment you, took me a while to figure that one out.

There are so many oppurtunities for someone with a nursing career, beside working on the floor. You could be a nurse recruiter for a hospital, drug rep, work for a drug company in another capacity, insurance adjuster. There are so many options. You and your friends may be burned out! I did after 5 years of school, I took a break becuase I couldn't even say the word nurse, I hated it and anything to do with nursing. Now after a year I am getting my LPN license and looking into schools to finish my last semester of my BSN. I had to step away becuase I lost focus of why I was there, why I wanted t be a nurse and started doing just enough to get by. In short, I was becoming a danger to my patients becuase I was so burned out. It is okay to break away from your orginal plan and take a break if needed.

Go talk with your financial aid office before you fill out anything. My first semester I had to write a letter becuase I had worked full time the year before, I had to explain that I no longer had that income and I got my full grants and loan. You may have to legally file for seperation, I don't know. Go talk with the aid people they can guide you in the right direction, that is what they are there for. Good Luck!!!!!

Reading NCLEX based questions are my best advice. You have to learn to be a critical thinker and this is hard for some people. You are a awesome husband to help her with all of this!!!!... She can also take a test that determines what type of learner she is, usually the academic resource center has this test. I am a hands on learner so I rocked clinicals with A's every semester, but I struggled in class becuase I don't do well in a lecture hall. I would tape my lectures with a tape recorder, also take my lap top to class becuase I can type faster than write. Anyone that she needs to learn, with DNA I turned tennis balls of diffrent colors into parts of DNA. It also helped me when I would have a patient in clinicals I could then relate everything with that disease with a real live person. She may try case studies they could help. Don't let her focus on grades becuase she will go crazy. good luck and thank you for supporting her in this.

I would stick with risk for stuff like Infection as mentioned in pp. Put goals directed towards her care giver since she Pt is at decreased mental capacity. I know if I had a plan in mind my teachers would help me especially if I had specific questions about my plan, if someone went in hoping for the teacher to give them a starting point they left empty handed. Lean on your instructors, they are there to help.

I would of chosse Administer O2 also, because you are going to follow your ABC's. I would put that in my reasoning along with the possibility of the epidural migrating. But we were drilled on following the ABC's, hope it helps!!!! Jamie

Check with your state nursing board. I did my education in Arkansas but now live in Oklahoma and both states require that you have completed Foundations, Psych, Med-Surg, and Maternal-Child. I had to turn in transcripts, letters from my school, it is actually quite a few hoops I had to jump thru. But check with your state, becuase everyone is diffrent. GOOD LUCK!!!!! Jamie

I am guessing I need to focus on fluids and electrolytes, but what do you suggest?

THANKS EVERYONE!!!! I was in school for my BSN and had to move before my last semester to another state (husband's work) so I have applied for my LPN based on my BSN schooling and they finally approved it, I have been working on it a year, so I'm rather rusty on my knowledge since I haven't used it in that long.

Can anyone tell me if there are alot of lab questions on NCLEX-PN. I can not get the norms stuck in my head, and I'm worried it may make a diffrence. Thanks, Jamie