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Thank you for your input. I know, this questions is a real tangler. I mean I guess it all comes down to exactly what you mean by "best educate" and unfortunately I don't know exactly what they mean by that. My initial gut reaction was D because it was the most specifically true answer. I can see why C could be considered false. Whereas D can not be considered false. I could get sperm on my hand and not get an STD. One could also get sperm in their lady parts and not get an STD... if the male did not have an STD. I say that because it makes C seem like they are saying you always get an STD from just coming into contact with the sperm or lady partsl secretion. I guess in that sense I like "can be" instead of "are". Anyone else willing to chime in?

Hey there, I have a take come assignment and there is one question that I just can not decide one way or the other. It goes like this. Which of the following statements best educates the client regarding the transmission of sexually transmitted diseases (STDs)? A. Always have protected sex, and you will be safe. B. Be careful to avoid coming into contact with a partner's semen or lady partsl secretions. C. STDs are spread from person to person by coming into contact with their sperm or lady partsl secretions. D. STDs can be transmitted through any open sore that comes into contact with a partner's semen or lady partsl secretions. Now here's my analysis... A. NO. That's simply not true. B. NO. Good advise but does not take the educational form. It doesn't tell you why. It also just seems far too broad. C & D. I'm debating between these two. C can be true, but it is also false, in the sense that if you get sperm on your hand without an open would, you're not going to get an STD. Also, is there a difference between sperm from C, and semen in D. And I like D because it is more specific and points out that you can get an STD from more than just normal sexual contact with semen or lady partsl secretions, but it seems to limit the answer to only an open sore, which could leave someone believing that they are good to have unprotected sex as long as they don't have an open sore. Also, C says "are spread" and D says "can be spread". It seems like a "can be" statement just leaves out too much of the picture, whereas the "are spread" statement is more conclusive and definite. Can anyone help? I think this question is giving me an STD! Is that possible?

Working through a couple of very vague questions and wondering if someone might be able to give me some thoughts to prime my pump a little. First, a multiple choicer... A review of the data indicates a discrepancy between the measurement of a client's wound by the nurse (2cm) and the wound care team (3cm). The best initial action by the nurse will be to: A. leave a note for the physician pointing out the difference in the measurements B. notify the nursing supervisor regarding the discrepancies in the measurements C. contact the wound care team to discuss the discrepancy D. measure the wound to validate the nursing documentation Next, a real vague fill-in-the-blanker... As a nurse, practice and knowledge based on research or clinical experience is known as ____________________. I put evidence-based, but I'm not sure if that is right or if there is a better answer. Lastly, a T & F. The reason for seeding medical care and the client's expectations for the care are not necessarily the same. I put True. Any thoughts? Thanks in advance.

Ya, pretty much no one got that right and she said that she might drop that question from the quiz. I'm amazed by how many questions there are like that. We spend half of our time arguing about our wrong answers and justifying why we think they are probably just as right as the right one. On the upside, at least no one would have died from getting this one wrong!

Here's a question I got, and I'd like to know what you think. Following a head injury, the client has thin drainage coming from the left year. The nurse describes this drainage as: A. Serous B. Purulent C. Cerebrospinal fluid D. Serosanguineous Here's another... Which of the following interventions is mostly likely to minimize the cause of a pressure ulcer on the left buttock of a client who is comatose? A. Turn and position the client at least ever 2 hours B. Use a lift sheet when moving the client up in bed C. Change wet, soiled clothing as promptly as it is detected D. Keep the head of the client's bed elevated greater than 90 degrees Interested to see what you think.

They said the answer was D because like you said, activity intolerance has to do with insufficient energy and a rest would get him that energy. I thought active range of motion would help him develop that energy, but I guess not. Got to love these tricky ones. Thanks for the help though.

Hey there, I was wondering if I could get some quick help from some of you on one question for a take home quiz we got. Here it is... A client with a nursing diagnosis of activity intolerance has developed reddened areas on both heels and his coccyx. Which if the following nursing interventions will most likely have the greatest impact on this diagnosis? A. Ambulating him to the bathroom before returning to bed B. Encouraging him to change position every 2 hours while in bed C. Including active range-of-motion exercises in both AM and PM care D. Planning a rest period after AM care but before walking to the dining room for lunch Right now I am torn between B and C, but I think I would have to go with C because it is specifically asking what would have the greatest impact on the diagnosis of activity intolerance and even though changing position every two hours would protect him from developing pressure ulcers on his heels and coccyx I feel that measure would only indirectly affect his activity intolerance, though it would directly affect a diagnosis for risk of impaired skin integrity. However, the active range of motion seems to have a more direct impact on the activity intolerance than the 2 hour position change. You thoughts???

Hey there, The application for Fall 09 was due this April 8th. They have 16 openings that they give to level one students each semester. 4 more openings are given to people who are on a waiting list that have finished all the pre-requisite and core-requisite courses. The people who get those sixteen slots are determined by the GPA of the applicants in their four pre-requisite courses, (1) Human Anatomy, (2) English, (3) Chemistry, and (4) General Psychology. This fall they instituted a new guideline that give priority within those 16 spots to students who have completed 6 or more credits at that community college. Also, another note is that the current nursing director will be leaving shortly so things could change considerably after this fall. You just never know. So, the first thing you have to do is apply for admission into the college, then you have to have all your transcripts sent over, as well as appropriate test scores (AP, ACT, etc.) and then if you have completed the pre-reqs then you can apply to the program and see what happens. In state tuition rates were currently $124 per contact hour. $164 for out of state, and $84 for those in-district. Also, level II openings are 30 per fall semester and are only open to either progressing level I students or nurses who already have their LPN and want to get their RN. The latter receive preference over the former, but to date they have never turned away a continuing student. Hope that helps.

Hello there, I am also applying for a spot in the Fall 2009 Level I nursing program at Alpena Community College. I've been out of school for 10 years now and am hoping to get back in. I have all the pre-reqs and a good GPA. I'm currently not in the area and so I will have to move back there, but I was wondering when you (Michigan30) heard back from them regarding your acceptance into the program? They say we would hear by June 30th at the latest, but I'm just wondering when you were actually notified. Also, could you explain a little more how they do their acceptance for continuing students who want to go into the Level II program? If you complete Level I and get great grades, are you guaranteed a spot in the next opening of Level II? Is it possible you could do great in the first year and then have to wait a full year before you could get into Level II? Lastly, what's your take on the nursing employment situation in the general Alpena area? What did you think of AGH? What are the starting pay rates up there for LPN and RN? Thanks.