ReneelsLoved

I'm 19 right now but I'll be graduating next year with my Associates RN next year when I'm 20. But im the youngest in my program and the ages vary greatly.

This is the study guide they gave us for our final. Anyone got any good notes or important things to remember about this stuff? Any acronyms or something? I would appreciate the help. Comprehensive Final Exam Study Guide Exam Format: Multiple Choice ? Select one, select all that apply, matching, short answer Exam Value: 200 points????#134 questions @1.5 points each Module A ? Fluid & Electrolytes ?? Lewis - Chapt. 17 Module B - Venipuncture/IV Therapy ????..Clinical skills book Module C ? Peri, Intra, Postoperative Care ------Lewis ? Chapt. 18, 19, 20 Module D ?Respiratory system ????Lewis ? Chapt. 26, 27, 28, 29 Module E ? Cardiovascular?????? Lewis ? Chapt. 32, 33 Module F ? Endocrine (Diabetes)??..Lewis ? Chapt. 49 Module G ? GI (Upper)????????.Lewis ? Chapt. 42 Module H ? Musculoskeletal????.Lewis ? Chapt. 62, 63, 64, 65 Keypoints???.RNs do assessments?.do NOT delegate these tasks to LPNs, CNAs 1. Review A& P for each system listed above 2. Know the pathophysiology of the disorders from syllabus outline Ex. what is wrong, symptoms patient will report, what nurse will find on assessment, what diagnostic tests will be ordered/results/ patient teaching 3. Know meds used for disorders ? pt. teaching, side effects 4. When asked about a priority intervention ? Think about the priority systems that are in trouble - Central nervous system, Cardiovascular, Respiratory, Renal TAKE A SLOW DEEP BREATH>>>>>>>>>>>>>>>> See page 2 Module A -Fluid & Electrolytes Chapt. 17 ? Know terms including meds Aldosterone ? source What patients are at risk for hypernatremia? Common causes of electrolyte imbalances Chvostek sign Blood ? normal pH range; base to acid ratio What are three ways kidneys eliminate acids to maintain acid-base balance Common causes of acid ?base imbalances Be able to identify acid- base imbalances based on lab values Syndrome of inappropriate antidiuretic hormone ? care Care for the elderly with fluid imbalances Normal/abnormal labs Early signs of hypocalcemia Arterial blood gases normal values Module B ? Venipuncture/IV Therapy Review pharmacology book, clinical skills book, and dosage calculation for IVs (ml/hr,gtts/min) Module C ? Pre, Intra, and Postoperative Care Chapt. 18, 19, 20 What are FIVE herbal/supplementary products that the nurse should assess for BEFORE surgery due to increased risk for bleeding? Prep for ambulatory surgery Common labs needed and rationale The role of the circulating nurse Common meds used Local anesthetics What are FIVE criteria used to determine if a patient is ready to leave PACU? Care of the insulin dependent patient before/during/post op Care of patient post op who received a volatile liquid as an inhalation anesthetic Malignant hyperthermia The OR environment Tubes and drains Module D ? Respiratory System Chapt. 26, 27, 28, 29 Anatomy & Physiology Pulse oximetry--== When is continuous oxygen therapy needed? Abnormal breath/lung sounds Pulmonary function tests Tracheostomy vs. endotracheal tube Upper airway infections ? care of the patient Care of the patient post total laryngectomy, pneumonia, asthma, TB, lung cancer, occupational diseases, chest trauma, pleural effusion, COPD, pulmonary embolism, Asthma meds Module E ? Cardiovascular System Chapt.32,33 Anatomy & Physiology MAP, Pulse pressure Assessment ? inspection/palpation findings Testing to assess cardiac system problems Drugs to treat hypertension Module F ? Endocrine Chapt.49 Diabetes EVERYTHING!!!!! Module G ? Upper GI Chapt. 42 Vomiting ? lab values, signs/symptoms, diagnostic testing, care of pt., meds to treat Infections, inflammation, ulcers- same as above Oral cancers ? GERD ? Gastritis ? Ulcers ? Procedures ? gastrojejunostomy, gastroduodenostomy Module H ? Musculoskeletal Chapt. 62, 63, 64, 65 Soft tissue injuries ? descriptions, treatments Long leg cast ? gait with crutches Types of fractures Fat embolism Joint surgeries ? types, care of pt. Amputation ? care of pt. Positioning of pt. with total hip arthroplasty Signs/symptoms, treatment, meds Osteomyelitis Rheumatoid arthritis Osteoarthritis Osteoporosis Laminectomy

Its a long story but stick with me. First some background information. It all started last semester, my Pharmacology class. Everyone struggled the entire way through. Our teacher just wasn't good. Don't get me wrong she is very very nice. Its just that some people aren't meant to be teachers. They know theie stuff, they just cant teach other people about it. That's her. We all complained to the head of the program. Every single person in my class wrote letters to the head saying how we need help and everyone is on the verge of failing. We gave her horrible ratings on the teacher evaluation. Well around the last 4 tests of the semester when everyone was on the verge of failing she gave 1 open book test, 1 take home test, 1 group test, and one open note test. Needless to say no one failed her class. I will be honest and say the ONLY reason i passed is because of all the "extra help" on tests. Now this semester, same teacher, Med-Surg I. First test of the semester - everyone failed except 2 or 3 people. ( and they only barely pass. ) Second test of the semester - Everyone failed except 2 or 3. ( again only barely passing. ) We complain again all throughout the semester. Now here it is the very end of this semester 2 class periods left until the semester is over. They fire her! They give us the test we are supposed to have that day but they dont give the one she had made they give us a random test put together probably 10 years ago that obviously doesnt even go with our book. & the best part They are making up our final! Not giving us the one she made. How do they know what she went over with us in class this whole semester? They dont! So now im freaking out, who knows what could be on this final!

No replies? Even people on here think im doomed. :]

Well this semester is coming to an end. In my Med-Surge I class i have 460 points, I need 750 to pass. There are still 350 points available. - 1 more chapter test ( 150 points ) open note. - 1 final ( 200 points ) So if you do the math i need to get 290 out of the available 350 points. Im so scared and nervous. Any words of encouragement? They would be greatly appreciated.