SNtil11

why not just order it now? you can always take it somewhere else to have it engraved after you pass your boards. :) be careful it doesnt get stolen. nice stethos tend to get picked up by other people and mysteriously disappear on different units...

Hey! Congrats to you all! I am a student at CSULA - and you'll probably see me at your orientation! :) good luck!

ABCs come before Maslow's needs because without ABCs intact, you're dead, and if you're dead, safety isn't an issue. Also if he's got CKD, it's likely that the activity intolerance is more "impaired gas exchange r/t fluid overload" although "fluid overload" is likely it's own nanda (obviously if he has s/s). but open airway first, then breathing, then circulation (because circulation is no good unless the breathing is providing blood with oxygen). Hope that helps - good luck!

Thanks guys. I spoke with my instructor, and yes, the resistance is one sign. Another is that if you were in the esophagus you probably wouldn't be suctioning any secretions. And lastly, if you were entering the trachea, there is an initial cough reflex. If you were entering the esophagus, a gag reflex would be elicited instead. :) Thanks for the help!

I have a random question that came to me after I got home from clinical on Saturday. I helped my nurse perform suctioning on my peds patient (15 months). first question: the suction cath was inserted in the nose and down to the trachea: what kind of suctioning is this called? I never really thought about it when we were there since the order was just for 12 French deep suction. I would assume its called naso-tracheal? second question: if the tube is inserted in the nose and then down ... what's to say that we are suctioning the trachea and not the esophagus? i mean, NG tubes are inserted in the same manner, so how would we know?? any answers/ideas are much appreciated. thanks!

i'm a second year student and what I do is, on the top of my resume I put "Second year (6th quarter) nursing student with clinical experience in med-surg (3 quarters), labor and delivery, post partum, women's health, and currently in pediatrics. you don't need to list what skills you know, but stating it like this lets them know what you completed in school. hospitals are familiar with what schools teach in each quarter, so you only need to let them know what quarters you completed. :) hope that helps!

WHAT?!?!?! i'm bothered by that.

right - babies do lose heat because of heat loss secondary to immature thermoregulation... therefore the thermoregulation is the primary cause.

I am going to say B. Immature Thermoregulation, although the too answers are so similar. But it seems to me that heat loss wouldnt drop basal temperature so dramatically because the "thermostat" is set at it's normal range. if the thermoregulation mechanism is immature, then it's not regulating the temperature at normal. What's the answer?

yes, ranking will help you figure it out... but you also can't join, you have to be invited by your school's chapter. but as far as other HONORS SOCIETIES, your school may have a non-specific one (phi kappa phi) or there are other nursing organizations such as ATD - Alpha Tau Delta, and the National Student Nurses Association - NSNA. Good luck!

i'm a student nurse and this is what I take: ALWAYS - my stethoscope... and i hate having it around my neck, but it fits in the leg pocket of my scrubs.... in case you're looking for another place to keep it. i always have my pen light, a pen (i like the 4 color kind...less to carry around), highlighter (for my notes), ALCOHOL PADS, and a small pad of paper. on the medsurge floor, if passing meds, i would also always grab a 10ml saline syringe for IV flushes - just to have so i wouldnt have to run back and forth to the med room, also maybe (if needed) a spike (used in a needle-less method for med draws). Also, bandage scissors and clamps, as well as paper tape. Basically when passing meds with our instructor, she would stuff our pockets with supplies so we would always be prepared. just remember to empty supplies you didn't use back out! for peds i always carry a simple calculator with me b/c of med calcs... but at least for our hospital, there isn't a need for the rest of the stuff right now. :)

thanks for your help! I will check out the link right now. and yes, his GCS was 15 when coming in... so no probs there. :) Thanks for the explanation, it's making a lot more sense now :)

hey there - i have a question about my pt from last week, and thought you would be able to help. Pt. is 7 years old and was hit in an auto vs. pedestrian accident. let me start off by saying is is in very stable condition and probably at home and back at school - so no worries. I am just working on paper work... and patho write up. His H&P stated that the CT scan found subarachnoid hemorrhages that collected in the sulci and no fractures. It doesn't say hematoma, it says hemorrhages. Do these just stop and clear up on their own? he was fine with neuro checks, and his orders stated ok to ambulate... so... is this something that is not worrisome? I mean, it sounds scary, but from the report, and my shift with him, it seems as though its not a big deal and is something that will clear up on his own - am i right? he is on no other meds/treatments/or restrictions, just an abrasion on his back and the obvious scrapes and bruising. Any words from the wise on this? thanks!

hey there - i have a question about my pt from last week, and thought you would be able to help. Pt. is 7 years old and was hit in an auto vs. pedestrian accident. let me start off by saying is is in very stable condition and probably at home and back at school - so no worries. :) I am just working on paper work... and patho write up. His H&P stated that the CT scan found subarachnoid hemorrhages that collected in the sulci and no fractures. It doesn't say hematoma, it says hemorrhages. Do these just stop and clear up on their own? he was fine with neuro checks, and his orders stated ok to ambulate... so... is this something that is not worrisome? I mean, it sounds scary, but from the report, and my shift with him, it seems as though its not a big deal and is something that will clear up on his own - am i right? he is on no other meds/treatments/or restrictions, just an abrasion on his back and the obvious scrapes and bruising. Any words from the wise on this? thanks!

when your room looks like a war zone because you can only clean when you're on break, and once you're on break, cleaning is the last think you want to do. and you wait to do laundry until you run out of clean underwear! (please say i am not the only one.... come on.... admit it!)