Fundamentals(1986)

Hi everyone, I used to be a nursing student and was in a RN program for 3 semesters. However I had to leave because of some issues. I am trying to get back in. I am however looking for a job at a hospital, but as a student, I currently have no certifications. Also, some require to be actively in a nursing program, but I am not anymore at this moment. Are there are titles in the hospital that I can get a job as that will aid me in the nursing program? I want a job that will help me in my nursing career. I believe everything Ive seen such as the nursing assistant, CNA and etc all require certifications. Thank you all for your help. Any information is appreciated. -Fundamentals(1986)-

Hi everyone, I started my second semester of the nursing program this previous tuesday and we are already having a test next week. First semester with Fundamentals was very hard and difficult and I am just curious how hard second semester is compared to first semester. And also, how hard is the Mental health lecture class? any tips or suggestions?

I'm more of a some A and B student. and for me.. I passed nursing first semester with lots of intense studying it was a totally different scenario for me. and im really excited to go to second semester on jan 19. What i can say is.. it requires a lot of studying. the majority of my class were stressed out because of the amount of the material being covered over each test. the test has very little to do with memorizing like what is required for A&P, pharm, patho, micro and etc. Its all situation type questions and you have to understand in depth in order to answer the question. there might be 2 questions being right, but 1 might be MORE right. Sample questions helped me a lot. So try to get a book with sample questions. good luck and congrats on the acceptance =DDDD

yes i can. i was planning to print out my text messaging record and my incoming/outcoming record to show them if this deliemma gets carried away. i hope nothing serious happens

I recieved an email saying I was "blocked" due to test taking irregularity. During finals i accidently had my cellphone on me when i walked into the testing center. The phone did not ring during the test or anything because i turned it off when i was group studying with my friends before the final. After i took the final i walked out of the testing center and went to grab my keys and realized i still had my cellphone with me. I was really happy with my grade so i wanted to let my friends know about it. So.... as i was talking out of the center. i pulled my phone out. They held me back and wrote up my Student ID, cell phone number and course number. and says its up to the teacher about what happens to me. i talked to my teacher the day after and told her my incident. she said it was ok and to not worry about it. The test was on Dec 7. i talked to her on dec 8. and now today, the 11th. i received the email from the dean of nursing saying im "blocked". I did NOT cheat whatsoever. i wouldnt risk being kicked out by looking at a cellphone during a test. everyone that takes the computerized test are facing the wall so our backs are facing the staff members. it would be hard to cheat if anyone attempted it. i need advice on what to do. what to say. etc. i dont want to get kicked out when i know i didnt do anything unethical.

bumpbump

I have a major careplan project that requires 3 careplans and 3 pathophysiology statements. I have completed 3 careplans and 1 pathophysiology statement and I am having a problem trying to figure out 2 more medical conditions to write pathos on. I dont need anyone to write out any patho statements for me or anything .. I just need opinions to point me in the right direction to think of 2 more patho statement topics. About the Pt Pt was climbing up a ladder and slipped because the ladder was wet, his right leg was caught in one of the slots and twisted so it fractured his right tibial lateral condyle and another fracture at the head of the fibula. He has already had his surgery and if I remember right (which i should know ), I think he has bolts and screws to attach and put things together, I DONT THINK he had a knee replacement. But the doctor DID tell him that he might end up getting arthritis because of the injury. He also has a history of hyperthyroidism and hypercholesterolemia. Abnormal labs are increased glucose and decreased platelet. The hospital careplan says Primary diagnosis: Rt Tibial Plateau Fx (so a fracture at the top of the tibia) problem #1: altered musculoskeletal function problem #2: altered vascular function problem #3: ALTERATION IN COMFORT problem #4: alteration in skin integrity problem #5: altered neurological function problem #6: high risk for DVT problem #7: Risk for injury My Careplans 1.) psychosocial careplan about "Fear/Anxiety R/T body functioning AEB verbalization of feeling anxious 2.) top priority careplan about "Risk for ineffective tissue perfusion R/T peripheral pooling of blood associated with decreased activity" 3.) Collaborative careplan about "Thromboembolism R/T venous stasis associated with decreased activity, positioning during, following, and after surgery." My pathophysiology statements 1.) Osteoarthritis 2.) ?? what about patho on Fracture? or specific fracture of the tibia? 3.) ?? and no idea here

I think the head instructor should not have done that. It was only the 1st careplan. We go through 3 careplans every week. If it were a major care plan... it probably would be reasonable for the intructor to deal with this like that. If it was the head instructor that treated you like that, and if I were you, I would go to the dean and tell him/her everything that you just said in here.

Why didn't I think of a drug book before... sigh. Thanks Dolce, I appreciate it. I found my answer and thanks for the quick reponse. "Interactions are - May inhibit diuretic reponse. Use together cautiously." My minds like scrambled eggs right now as you can tell . Sorry for the embarassing questions :imbar. Thank you jak, i will definitly look up into the CHF. and thanks for you input about Tylox. That cuts a portion down knowing its an opiate :) I will research in the drug book for further answers. Thanks you two for inputs!

Im having a test 3 tomorrow and im very confused with 2 things. Maybe you guys can help me . Please! any inputs would be great for the test, im really stressed out about it. Well.. here it goes. 1. I'm still quite not thorough over Lasix :confused:.... because, I cant figure out how Lasix interacts with Ibuprofen and i heard we had to know about that "/. I know Lasix is a diuretic a it promotes loss of potassium from the body during urination, and Ibuprofen being an NSAID, it does not depress the CNS or the bladder system in any way like how opiates do. Ive been reading back and forth trying to figure out it interacts but i have no clue. 2. And what precautions to take when you are on Tylox. Its an opiate i THINK and i'm reading that we need to watch out if the pt has asthma, hypotension and seizures. ANY input would be great. Hopefully someone will answer before i have to go in for test 3

Im not doing so well.... I really want to be a nurse to set a good example for nurses, heal patients, and maybe be able to teach in nursing school. I do good in memorizing classes such as A&P Patho Pharm Micro and math classes like Chem, got all A's and B's but I dont test well in Fundamentals. I studied hard on my first 2 tests and both are below 70. I am not able to critical think, and know which important assesment goes first. Clinicals is going good so far, Check-offs are going good so far, but I think Fundamentals is going to kick me out of nursing school . i have a Test 3 this monday-thursday. And im studying hard as usual, hopefully i will do good because im starting to lose motivation because its just disappointing to study hard and to recieve grades like this..

I got a 60 on my first Fundamentals test. For that first test I studied powerpoints made from the lecture teacher, the study guide she made us and read the chapters. After that I knew I had to buckle down if I were to do good on my next test. Well my 2nd test was today and I got a 64. I read every chapter, SUMMARIZED each one onto microsoft word so I can review them without reading all the chapters over agian. Did the practice questions behind each chapter, and reading the rationals. Even did MORE questions on a a study guide book that BELONGED to the lecture book. Read powerpoints. Studied my own study guide along with 2 other students study guides. I even went to a study group before the test 2 to review the study guide with them. I was able to answer questions we all made up. They ended up making 80+. There must be something I'm doing wrong. How did you guys study for the test? Any tips? I dont want to be kicked out of nursing school because I really want to graduate. Plus I dont want to be kicked out of 1st semester either.. seems embarrassing. I think my problem is, I see two answers that could possibly be right and I choose the wrong one. Or, I'm just not good with situational problems. I A's and B's in Pharm Patho and Anat, but studied 2x 3x 4x hard for fundamentals test. Studying so much and then recieveing a 64 really puts me down and lowers my self-esteem alot.

Not doing good:sniff:, didnt do well on my first fundamentals test, and second one is right around the corner on friday and i do not feel prepared. I wish it was more like anatomy or patho or pharm where its just memorizing. I cant apply nursing process correctly to situational type questions. i would have to do everything in real life hands on in order to use critical thinking, i cant apply it to paper:sniff:. And even with the check-offs, i sometimes past first attempt, but the majority is on the 2nd attempt, 1 was even third..... everything is going downhill and im feeling discouraged and losing motivation and determination. . i hope i do well on the second test, it will boost my self-esteem.

i still got 3 and half semesters to go

Wow Darcicat and Mi Vida Loca. All of the answers you guys picked were right.... I am very impressed. Those are excellent rationales and make complete sense. I wish I can think like that "/ Here is what went on in my mind and I'll use question 43 as an example. I picked B for my answer. For answer A, I knew being fired for not documenting once was a bit extreme so I knew it wasnt the right answer. And for answer B, I took as, the faculty found out that the nurse forgot to document and therefore was filed for negligent care which seemed like it would happen in a hospital setting. For answer C, I thought the client ratted out the RN to the faculty but it didnt seem like a big issue. As Darcicat said about the client never seeing his or her chart, I never knew they never see it. And I didnt understand D at all whatsoever. So thats why I picked B =(. I feel as if... I HAVE to have had experience in the hospital in order to know some of these questions. For question 25 "A client voiding after cath removal is very important information, vitals can change so much so quick it's something that can be looked in the chart to see what they were but you will be doing your own vitals anyway, and those vitals were in the normal range. The clients demeanor is great info but again can change and you will reasses" This is also very good thinking and never even bothered to cross my mind "/ And also There was one question about a client diagnosed with Hepatitus Mellitus and it was asking what I should do: Wash between toes and dry it, soak in warm water, and forgot the other 2 answers. I didnt know we had to know what Diabetes Mellitus was, it wasnt in our fundamentals book neither in our study outline. To tell you the truth I dont know anything about any diseases.. And agian, thank you everyone for the replies and especially Darcicat and Mi Vida Loca thank you very much for taking the time to do each question. These helped me understand the questions a lot. I will post up the rationales that were given so anyone reading this can compare. 1. A nurse forgot to document care provided to a client and returns the next day to complete the documentation. Upon review of the nurse's progress notes section of the record, the nurse sees that a space was left for her documentation. What should the nurse do? A. document in the space provided. B. draw lines through the space and sign her name C. leave the blank area alone and document at the end of the section, out of sequence. D. write and explanation of why she didn't document in the blank area and draw arrows to her entry about the client's care. RATIONALE 1) A space should never be left for another nurse to chart. Blank spaces require a line through it. The nurse should state. "Late Entry" 8. An example of a task that can be delegated to an unlicensed assistive person would be: A. documenting nursing process on the nursing notes. B. Taking vital signs every 15 minutes on a patient receiving a blood tansfusion. C. administering routine tylenol to a patient. D. a routine physical exam of the patient. RATIONALE 8) An unlicensed person may take vital signs every 15 minutes. Even if the patient is recieving blood. The RN is responsible for assessment of the vital signs. The RN remains accountable for the delegated act. 14. The RN is planning the assignments on a client-care unit of the hospitol. The nurse checks to see which nurse and nurse aids are scheduled to work the shift. Why did the nurse do this? A. to make sure the work is evenly distributed. B. to give the nurses extra time to document. C. to plan for a meal break. D. to match the clients needs with the knowledge of the staff. RATIONALE 14) It didnt give me a rationale for this one but the correct answer is D 25. Which type of information would be the most informative and should be given in a shift report? A. vital signs are BP 120/80, pulse 72, respiration 16 B. Client is alert and in good spirit. C. chest x-ray taken 2 days ago and was negative. D. client voided 400cc of yellow urine 4 hours after the urinary catheter was removed. RATIONALE 25)Data needs to be significant and relevant. In this case, this was an evaluation of client's voiding after removal of the foley and emphasis is on safety. 43. You are working as a home health care nurse and forgot to document that you changed your client's catheter. This would most likely result in which of the following? A. being fired from your job. B. an incident report filed agianst you for negligent nursing care. C. a client complaint. D. appropriate reimbursement for services being denied. (i didnt understand this answer) RATIONALE 14) It didnt give me a rationale for this one either but the correct answer is D