Purlple

I had to give a report to the nurse who LOVES to tell other nurses LOUD enough for everyone around what they need to learn or what had they missed. She herself missed an order to feed a patient for the WHOLE day, missed the culture results, and didn't chart all her meds she gave but had to say few times loud enough for everyone around "You learned something new today!". (She decide to teach me how detailed my charting had to be.) I always appreciate the teaching but not in this manner of telling everyone on the station ( a front of docs, CNA's, and other nurses) that she taught me something new. When I (quietly!) told her about the order to feed patient that she missed and missed cultures results (I mentioned it as a matter of fact info) on patient she just said "Go on!" like I am waisting her time and it was nonuseful information to her. GRRRR...... Unbelievable... Is it always the case if the nurse is older she immediately thinks she is doing better job? Or what is it?...

I had to give a report to the nurse who LOVES to tell other nurses LOUD enough for everyone around what they need to learn or what had they missed. She herself missed an order to feed a patient for the WHOLE day, missed the culture results, and didn't chart all her meds she gave but had to say few times loud enough for everyone around "You learned something new today!". (She decide to teach me how detailed my charting had to be.) I always appreciate the teaching but not in this manner of telling everyone on the station ( a front of docs, CNA's, and other nurses) that she taught me something new. When I (quietly!) told her about the order to feed patient that she missed and missed cultures results (I mentioned it as a matter of fact info) on patient she just said "Go on!" like I am waisting her time and it was nonuseful information to her. GRRRR...... Unbelievable...

I think the collapsed lung will cause deviation or shifting of the heart on one side because it will be an empty place there. Also, the other lung will shift as well. It may cause all sort of cardiac, circulatory (think about deviated aorta) and pulmonary problems. I think an open fracture does not necessarily mean patient has damaged artery even so it's bleeding. This is only my guess.

That's true about NCLEX questions. A lot of them ambiguous and we have to try to read into what would they really mean to ask. Also, just a thought...I checked Glasgow 13 and it can be as "inappropriate words" that gives you that score. If I had only one space in ambulance I would not use it for 70 y.o. with "inappropriate words" (could not be an emergency) but for 42 y.o. with a one lung injury.

Congratulations! :)

the nclex may not tie up with your experience well or so i was taught in nclex prep class. you need to think of it as an "ideal situation". the question is ... only lpn or only uap (no rns) because this is a delegation type qs. it does not have another choice. another way of saying, you need to delegate each to either lpn or uap.

I just found out I passed. Yeah............!!!

I passed!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

At first I was thinking - 3 y.o. old autistic boy but than the rational for most priority questions is that you act on acute illness first and then the chronic one. The blood pressure systolic 150 put him in Hypertension level 1 and risk for stroke. SO, I wasn't sure.

Did you feel you did OK about the test when you finished it? I had only 75 and I am not sure... Someone told me I supposed to feel how I did but I have no idea. I don't know if this a good or bad sign (I mean have no confidence about if that was good or bad). From what I understand 75 questions have to be very clear good or very clear bad.

OOoopsss...

It was one answer question (not filling in space type). It was worded as "to send" to get medical help. I re-read every question before answering and tried to visualise it. So, all of them were assessed (no pulse, Glascow 13, etc) and it's up to you (or soft of...) which one to send first to get help. I can't wait to get my results. I had so many priority and delegation that I can't simply check with a text.

I got 3 (garlic, ecinasea, herbal teaching) questions. I knew only answer for garlic. As well, I got a question about Progressive Relaxation Technique and how it properly done. Hmmm??? I read later that it is a specific muscle relax. technique.

I chose #2. My rationale was that he has a fair chance to be OK after a treatment and airway ahead of broken leg (#3). (I wasn't thinking about any patient helping others.) 70 y.o. may be in shock or has a confusion. As well, perhaps he has some other chronic condition (he is not young...) that make him unappropriate or confused. I think Glaskow coma score 13 means the patient may be just inappropriate which is not that uncommon for 70 but I am not sure in it.