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We are not looking at single number HR:107. It is the fact that the client's admitting Dx is Alcohol Withdrawal and with that being said, we have to consider the presenting Sx as a diagnostic criteria. In this case, tachycardia is related to the autonomic hyperactivity-- we will eventually see grand mal seizures if not treated. We are also looking at the fact that binge drinking rarely causes DT and therefore we can safely assume that his electrolyte may have some abnormalities from the chronic alcoholism. You would want to prevent Wernicke's encephalopathy in this case.

It wouldn't hurt to take general chem, physics, and organic chem I+II. These are the main classes you need to fulfill the requirements of a PA school.

You can give beta blockers to clients with HTN. Beta blockers are excellent agents, however, the downside to it is the bradycardia. So what might be the nursing intervention be? Monitor the heart rate. Also any widening of the qrs or prolonged QT interval is not a good sign. Also you should not give beta blockers to diabetics since it can mask the sympathetic response from hypoglycemia. Ace inhibitor cause coughing and it is a common side effect that clients c/o. Just remember the 'pril' at the end for all of these meds. They can also cause hyperkalemia. How? The process is extremely complicated but keep it simple ACE inhibitors prevent conversion of angiotensin I to angiotensin II preventing aldosterone formation. This causes the reduction in NA reabsorption and retention in K+. ARBs are closely related to the ACE; however, the mechanism is on AT II instead of the ACE. Coughing is minimized since the receptors are on the vascular system instead of the endothelial lining of the lungs. Hyperkalemia is still a side effect.

Take a breather and focus on staying calm and getting at least 8 hours of sleep.

You can work in the ER in either profession; however, some states may not allow you to work in the ER either case. The two professions have similar responsibilities but the main difference is the model of practice. PA follows the traditional medical model and NP follows the nursing. PA does have far more clinical hours in comparison to the NP, but the NP may have more autonomy. Figure out what you want now since PA requires classes that are not offered in the nursing program.

You could be ahead and start reading in advance.

What exactly are you having difficulty in? Remembering the class? Actions? Side effects?

tattoos are no longer as taboo as they once were; however, if your employer has a policy and procedure on it I would be careful.

Hurst is a little too easy for some reason

Body aches are vague. There are no other indications of ACS. Also even if if it is ACS mortality rates are 4%. Mortality rate of DT IS 5-15% depends on ICU setting.

It is not about timing in this situation. The reason why the PT/aPTT are not abnormal is because the client does not have the lupus anticoagulants. If the client had SLE or other phosholipid abnormalities it would alter these particular lab values. This is a good diagnostic criteria to rule out other differential diagnosis. The hypercoagulable state does not change the way treatment should be considered. The client should be on anticoagulants and further testing should be indicated.

Your professors are not going to test you on the minute details. Now if your professors are using test bank questions there is no point in reading anything since most test bank questions are word for word. Just go over your highlights and study nursing interventions.

I would also choose 1 considering the person is experiencing acute etoh withdrawal. Safety is a concern and without further Tx, the client is likely to experience delirium tremens. Client 3 is obviously exhibiting early signs of Sickle Cell Crisis and should be triaged accordingly (Urgent not emergent).

How were the level of questions? Were they difficult or easy? A friend of mine just passed with 75 and said majority of the questions were tough. Then again it is subjective. Good luck.

I am currently using the HURST review and their videos does not seem to be comprehensive as I thought it would be. It does help as a refresher, but I believe that Saunders can do the same thing if not better. If you core content is what you are lacking, I would definitely study saunders; however, if it is test taking strategies I would focus on answering as much questions as possible and get the hang of how to answer them. I have been told that the Qbank questions are harder than the actual NCLEX.