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alf314888

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  1. Your candidate performance report will be the most important resource in your preparing to retake the exam. It will give you a break down of your strengths and weaknesses. The candidate performance report is designed to help you succeed when you take the exam for the second time. So you've taken the NCLEX and failed. You are probably feeling discouraged and tempted to entertain thoughts about your lack of worthiness as a student and a future nurse. Don't wallow in self defeat. Remember the first anatomy class you took? Remember how many times you thought you were going to fail? Or maybe you did fail and had to retake it. If you didn't give up then, don't give up no
  2. There is this program online, Kaplan, that will help you not only review, but help you break down the questions. At the beginning, they even have a schedule broken down for you. So it turns out you do a section or a few chapters each day. Btw, if you dont pass you get your money back! Half my nursing class used this program and those half have passed!
  3. My nursing unit has it's share of overweight nurses and I'm now battling some weight gain for the fiirst time, but.. Our cafeteria serves pretty crappy food, so I usually try to pack my lunch. I am really surprised at how bad (both healthwise and quality wise) our food is. We are getting a salad and sandwich bar soon, and I can't wait. Right now, all we get to choose from for lunch and dinner is two entrees, 4 sides, a dessert, and a soup. Triple meal buyers (B, L, D) tend to buy one entree for lunch and the other for dinner, no matter what is served, just for variety. Breakfast is the same 8 items every day. We work 12 hour shifts so those who don't pack a lunch may eat 2 or 3 bad meals in a day. Recently, our unit director served us a breakfast meal of fried bean burritos and breakfast tacos. Ugh. They were awful, but free, fast, and available. We don't get much time for lunch (30 minutes) and are often so busy we just tend to grab what is lying around. Usually that is not very healthy. We do eat a lot of frozen dinners. Another thing that happens is that the (wonderful) patients and their families bring us things as thank-you gifts. They bring us pizza, cookies, cakes, and donuts most often. No one ever sends us a fruit plate. It's all too easy to toss down a few cookies or pizza slices when you are rushed. I'm actually afraid to go into the nurses lounge between mid November and late January. I went in one day during the holiday season and found one box of donuts there already. Then some nursing students brought us two more boxes, then a patient's family member brought us two more. Then someone brought us cookies, then a basket of chocolates, then an Italian Cream cake- all in 1 day! It can be very difficult to not partake in these gifts, particularly on a very busy day. Today, I walked 4.4 miles at work. This was an average-busy day. If you can work well with a team, then you should have no doubts
  4. heres what i came up with so far: 1. the electric shock has caused organ damage, due to which the heart is not functioning properly so the bp is fluctuating, and due to that reason he has been placed on life support. 2. "without a durable power of attorney or living will in place, the health care system has no choice but to resuscitate the patient and keep him alive by artificial means unless he is brain dead and saving him is hopeless." 3. 4. health care system 5. 6. as he is on a ventillator..so there are no other options, dnr, dni 7. in my opinion, if the family is not facing a financial disaster and if there are chances for his recovery then they should wait for some more time, dnr, dni 8.
  5. Mr. R seems to have had a living will, but his wife seems to have the durable power of attorney, which is what Mr. R didnt want. But in the event the patient is incapacitated, the health care professional may disclose personal information if in his judgment is impaired and they do what is in the best interests of the patient.
  6. mr. r., a 42-year-old architect, is comatose in the critical care unit as a result of an electrical shock accident. mr. r. is catholic but does not attend mass, whereas his wife and children, ages 20, 18, and 14, attend often. mr. r. is on a ventilator, and his condition is deteriorating. he has been placed on vasopressor agents, which are required to maintain his blood pressure at 90/60. mr. r. has told his wife that he never wants to be placed on life support. when the youngest child was visiting her father, she was certain that she felt him squeeze her hand. the family is attempting to make a decision about withdrawing life support. medical insurance will cover the medical bills. what is mr. r's main health problem? what is the ethical problem in mr. r's case? what additional information can you gather from mr. r's family and his care team? who is the decision-maker for mr. r? what ethical and moral principles are involved in mr. r's case? are there any alternative options for mr. r? what decisions can be implemented at this point? the last step in ethical decision making is to modify and evaluate actions. what would you expect to need modifications in the upcoming weeks/months?

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