art1stic

REVISED, disregard first post: XX Personal Statement XX Degree Objective: MSN-FNP My passion for helping people began when I was a young boy as I learned how much helping people impacts not only their lives but also enriches my own. Visiting my terminally ill grandfather at the hospital for the first time, seeing his frail, weakened state, gave me a sense of sadness and helplessness. I would always see members of the health care team, specifically the physicians, assessing my grandfather as if he were another task on their checklist, never acknowledging him or treating him utilizing a holistic approach. However I also recall other staff members would frequently visit him, wore different colored scrubs, and had an overwhelming desire to care for my grandfather. These individuals deeply cared for my grandfather, they fed him when he was too weak, turned him when he was aching, and gave him encouragement when he was approaching his final days. I later learned that these incredible individuals were nurses, and it was then that I realized that I wanted to become a nurse too. Twenty years later as a professional nurse working in the emergency room on Christmas day, we had an incoming call from XX fire department indicating a cardiac arrest case was soon arriving. Upon the patient's arrival, the paramedics had a look of despair, and seeing his lifeless body on the gurney, I knew he was deceased upon arrival. Seeing the patient's family grieve gave me deep insight of how nursing influences not only patient's lives but their families as well. I later learned that the deceased patient rarely visited a primary care provider during his lifetime; he did not have annual physical examinations and lacked management of his disease processes. He was oblivious to his risk factors. Had a nurse practitioner managed his care, it may have prevented an early death. Since that experience, I have made it my mission to dedicate myself to learn how to care for those who require primary care. I wish to provide comprehensive, holistic healthcare for patients of all ages, genders, cultures, values, and beliefs. I firmly believe that our nation's healthcare environment is becoming increasingly complex. By learning advanced nursing concepts at a graduate level, I can provide professional, compassionate, and culturally diverse care to these complex healthcare populations. I believe that there is a nursing shortage, and acquiring an advanced practice degree will help the primary care provider shortage. Becoming a student at XX will not only help me achieve my goals and aspirations of becoming a family nurse practitioner, but it will also contribute to shaping my nursing profession in a positive way. XX is a strong advocate in providing competent, responsible patient care through a biblical worldview. As a Christian, this school's mission is what will help shape me as a nurse, and as an individual to practice at a graduate level, and comfortably work in an advanced practice role. I believe in absolute faith that I can make a positive impact at XX which can help shape what it means to be a Christian Family Nurse Practitioner. This positive impact will result in impeccable patient outcomes, unremarkable application of nursing theory, serve as a leader in nursing, and implement evidenced based practices. By becoming a family nurse practitioner, I will improve the overall health of patients within the primary care setting, and surrounding communities.

Need some feedback prior to submission. Thank you in advance. -Eugene XX Personal Statement xx Degree Objective: MSN-FNP My nursing journey began as a young boy who learned how much human beings could make a positive impact in the lives of others. Visiting my terminally ill grandfather at the hospital for the first time, seeing his frail, weakened state, gave me a sense of sadness and helplessness. I would always see members of the health care team, specifically the physicians, assessing my grandfather as if he were another task on their checklist, never acknowledging him holistically. Later that night, other staff members would frequently visit him, wore different colored scrubs, and had an overwhelming desire to care for my grandfather. These individuals deeply cared for my grandfather, they fed him when he was too weak, turned him when he was aching, and gave him encouragement when he was approaching his final days. I eventually learned these individuals were called nurses, and at that moment, I wanted to be called a nurse too. Twenty years later as a professional nurse working in the emergency room on Christmas day, we had an incoming call from xx fire department indicating a cardiac arrest was soon arriving. Upon the client's arrival, the paramedics had a look of despair, and seeing his lifeless body on the gurney, I knew he was dead on arrival. Seeing the client's family grieve gave me new insight of nursing's impact on client care, and what strategies could be utilized to prevent early mortality. This client rarely visited a primary care provider during his lifetime; he did not have annual physical examinations or management of his disease processes. He was oblivious to his risk factors. Had a nurse practitioner managed his care, he may have prevented an early death, and may have spent time with his loved ones on Christmas morning. Since that experience, I have made it my mission to dedicate myself to learn how to care for those who require primary care. I wish to provide comprehensive, holistic healthcare for clients of all ages, genders, cultures, values, and beliefs. I firmly believe that our nation's healthcare environment is becoming increasingly complex each day. By learning enhanced nursing concepts at a graduate level, I can provide professional, compassionate, and culturally diverse care to these complex healthcare populations. I believe that there is a nursing shortage, and acquiring an advanced practice degree will help the nursing demand, and assist with moving the nursing profession forward. Becoming a student at xx will not only help me achieve my goals and aspirations of becoming a family nurse practitioner, it will also contribute to shaping my nursing profession in a positive way. xx is a strong advocate in providing competent, responsible client care through a biblical worldview. As a Christian, this school's mission is what will help shape me as a nurse, and as an individual to think at a graduate level, and comfortably work in an advanced practice role. I believe in absolute faith that I can make a positive impact at xx that can help shape what it means to be a Christian Family Nurse Practitioner. This positive impact will result in impeccable client outcomes, unremarkable application of nursing theory, serve as a leader in nursing, and implement evidenced based practices. By becoming a family nurse practitioner, I will improve the overall health of clients within the primary care setting, and surrounding communities.

hanging out with the female co-workers

Wow I can't believe a year has passed since my post! I recently received an email of someone replying to this ancient thread. To keep u guys from guessing I believe you're initial intervention will place in trendelenberg. At my hospital that's the first thing I do in an emergency situation... Most of the time u will see their color come back.

stop studying the day before the test, don't study day of the test. eat a light meal day of. the key is being in a relaxed state of mind. I noticed a lot of people that failed on the forum say it was due to their anxiety and fear of failing. You know what's on the test. You know what they're going to ask. Nothing is new. You know this. Keep answering questions and reading the rationales. I suggest you answer 100-200 questions per day until the day you stop studying. Good luck.

risk for fluid overload r/t hyponatremia risk for increased intracranial pressure r/t hyponatremia admin demeclocycline, sodium tab, ice chips fluid restrictions monitor I/O, sodium blood levels, s/s of hyponatremia, check urine(color, urine specific gravity etc) check for edema, neuro checks, monitor for signs of ICP, s/s of fluid overload anticipate to report levels to MD, and continue to monitor effectiveness of said therapy. outcome: pt will have sodium levels between 135-145 no need to tell her to stop eating, promotes wound healing, edema will further induce skin break down(if pt has edema)

about 30-40% of my exam

about 30-40% of my exam

how are you approaching the questions? are you using the tips i stated in the beginning? What's worrying you about the exam? what can you do to alleviate that anxiety and succeed toward you're goal?

1) i wouldn't really waste my time with the saunders review book. I felt that it was just too much to read, and there is a lot of nice to know things rather than need to know. But if you're totally OCD and you need to know every detail, by all means go ahead and read it. here's how i would start studying: start with 50 questions initially and work your way up to 265/day. so day 1: 50. day 2: 60-75 etc..... the key to passing the NCLEX is doing nothing but NCLEX questions. the questions that you are currently doing is pretty much the same as the NCLEX. I would definitely use exam cram and NCLEX 4000, they are the questions MOST similar to the nclex. understand and study the all nurses.com review guide. That thing is very helpful. Some of the points in that guide are on the NCLEX. 2) yes your bread and butter is the review of body systems. You should know what things generally do. Liver = metabolism, so if that's messed up, of course you're gonna have problems with drugs, ammonia, bleeding times, etc. 3) again if you really wanna read the saunders, I would just look at the chapters you're most weak at. and not spend to much time on things that you're comfortable. Use that book as a reference. You're going to make yourself go crazy reading that whole thing. (although i did, lol.) like i said i felt it was just a waste of time. You can find the Feuer cd's on the internet. It's very easy to find(cough** google cough**) I would not like to directly link because i don't want to get in trouble. Let me know if you need anything else. Good luck to everyone!!! I'm still searching for a job. Wish me luck hehe.

More people ask for tips so here you go: My mentality prior to taking the test is that the NCLEX is written at a basic ENTRY nursing level. Meaning it's testing your ability to perform the first day on the job without harming a patient. You do not need to read every detail. Look at the bigger picture. Use acronyms(LAT = latent, active, transition. SRA - serosa rubra alba.) Do not dwell on an answer for too long. And always go with your first instinct, try not to read into the question too much. If you stare at it too long, the other answers may start sounding right. lol. People who are stressing regarding pharmacology - I studied very little pharm. When I mean little i mean, i just learned what meds are associated with what diagnosis. Lidocaine - VTACH rifampin, ethambutol, etc - TB compazine - schizophrenia. allpurinol - purine MAO - no tyramine, may cause HTN That's as basic as I had it. Associating meds with their diagnosis really help trust me. Know your basic nutrition - gluten, PKU, purine, diabetes, celiac disease, chrohns disease Know what EKGs look like. And the EKGs on the NCLEX are extremely basic. You should not memorize numbers. (V-tach appeared extremely easy to spot.) Know you're order of procedures. Like what order do you inset a foley, how to sterile suction, how to open a sterile package. Close your eyes and visualize yourself doing the procedure, the EXACT steps. Is it gown gloves mask? or mask gown gloves? Go with what you know. Earlier I stated i always had ABCs in mind when taking the test. A lot of my questions on the NCLEX were like this: 67. The nurse is caring for the client following a laryngectomy when sudden-ly the client becomes nonresponsive and pale, with a BP of 90/40. Theinitial nurse’s action should be to: ❍ A. place client in tendelenburg ❍ B. increase infusion of NS ❍ C. administer atropine IV ❍ D. move the emergency cart to the bedside

When reading a question. Ask yourself, can you obtain an ABG? No, a doctor would, but you have to call the doctor to ask him for one. Reading those kind of questions, close your eyes and actually imagine the situation. What would you do based on what you've learned. (ADPIE, ABCs) You know you have to intervene within your scope as much as possible until you've exhausted all your interventions. Only then would you call the doctor. "Passing the buck" would be you're already calling the doctor in a patient with SOB when you having even raised the HOB.

you should change the title to this post then. lol. Congrats!

I know there's a lot of these going around, but I just wanted to share how i passed the boards. I'm not sure if this will work for you, but it did for me. I passed at 75(in an hour) and found the exam relatively easy. These key points are what I had in my head while taking the NCLEX: You have to know that most questions revolve around patient SAFETY, ABCs, and maslow. You guys already know that when in doubt check the patient. Assessment is always the first thing, then positioning(since it's the easiest thing to do, I.E. mother is in distress position left lateral). Any time there's something wrong with the mother most likely you check the baby's FHR, if not then the mother. When there's something that requires intervention that's out of your hands, ALWAYS call up the doc. You cannot get ABGs, draw blood etc., if you don't have a doctor's order. Why questions always wrong. Yes/no questions are always wrong, but they try to trick you with these, ask yourself the question, if you end up answering no/yes, it's wrong(etc Do you feel better today?) Antipsychs usually cause anticholinergic, EPS, and agranulocytosis. DKA = hydrate first. Sickle cell = hydrate first. I have another things but I feel i'm writing too much. If your interested please post or PM me. 1) Kaplan Review book 14th edition: (usually you can find this book on craiglist) 2) Saunders NCLEX review : http://www.amazon.com/Saunders-Comprehensive-NCLEX-RN®-Examination-Nclex-Rn/dp/1437708250/ref=sr_1_8?ie=UTF8&qid=1335389707&sr=8-8 3) The all nurses comprehensive study guide: https://allnurses.com/attachment.php?attachmentid=8687&d=1310076980 4) ATI NCLEX app for the iPhone 5) Saunders NCLEX app for the iPhone 6) EXAM CRAM: http://www.amazon.com/NCLEX-RN-Exam-Cram-3rd-Edition/dp/0789744821/ref=sr_1_3?s=books&ie=UTF8&qid=1335389765&sr=1-3 7) NCLEX 4000: http://www.amazon.com/NCLEX-Review-4000-Software-Individual/dp/0781777909/ref=sr_1_1?ie=UTF8&qid=1335389796&sr=8-1 8) Feuer NCLEX review Audio tapes(all 28 of them, listened to them almost twice, you can find a leak somewhere online): http://www.amazon.com/NCLEX-Feuer-Nursing-Review-Study/dp/B004GY0920/ref=sr_1_1?ie=UTF8&qid=1335389837&sr=8-1 I lagged. Ended up taking the test in 4 months time. I would study material for about 4 - 5 hours per day, then finished up between 100 - 265 questions while reading the rationale for each question. As the exam grew closer, I started increasing the amount of questions on NCLEX 4000 until I reached 265(simulating the NCLEX). The day before the nclex I did very few questions, most of the time I just played xbox 360 lol. The key is not studying too hard the day before(you already know the material by now, do not doubt yourself). The day of the exam relax, I was cool and calm. During the exam I changed nothing to my pattern and I answered the questions exactly how I did at home. Do EXACTLY the same thing. This is very critical. If you change up how you answer your questions during the NCLEX you WILL panic. I finished in an hour, felt pretty great, got the good pop up, saw my license 2 days later. Good luck guys.

I feel your pain with gaming. I play mw3 on my xbox 360 religiously at night too. I'm glad someone out there shares the same hobby and can tell me that I need to have more self control. Can you send me the material too please? Thanks! Again congratuations! e-mail: [email protected]