lucky3773

I just took my final exit exam from Ameritech on Friday and passed..yay! Now I am just scheduling the NCLEX which will hopefully be this week or next week and then I'll be done. Ameritech is a great school. Just like every other school, there are staff member that aren't as good as others, etc., but overall they teach you what you really need to know as a new grad RN. I would recommend this school to you. Along with the great education they offer, you get the opportunity to make so may new friends that are going through the same things that you are; it really is a lot of fun that way! They are now completely accredited, so that would be a worry you'll never have to have. Good luck with you decision!

I'm finishing up RN program in 2 months. From what I'm seeing in all of the hospitals, is Utah is over flooded with RNs. There are a ton of hiring freezes within hospitals and very few actual postings on openings with hundreds to sometimes thousands of qualified RNs applying for each position. This is not a good state to move to if you're planning on relocating for a RN job. I'm planning on relocating out of this state as soon as I graduate.

Racquetmom, I have actually spent days researching/reading to find the answers to these questions. There are 30 questions in the case study and these are the only ones that I have not been able to find the answers for even after a lot of frustrating hours researching them. On #3, you're right, it's obvious that you wouldn't have the pt. hold his breath but from my reading, having the pt. say "ninety-nine" can help you determine if there are fine crackles or other abnormalities in the lungs. I assumed this wouldn't be the correct answer, but with breathing difficulty, I couldn't be 100% positive that you wouldn't want to auscultate for respiratory crackles or other problems that may be contributing to the problem. I am aware of what a nasal cannula is. I knew that the nurse would want to measure the oxygen saturation level before administering oxygen, but it also seems logical to me that you would want to check capillary refill since my instructed has said that is also a quick way to help determine if the client is in need of oxygen due to poor blood flow. Most of these questions I had narrowed down to 2 options, so I was looking for a second opinion and someone was kind enough to take the time to give it to me. Thanks for your concern for my stupidity on questions that may seem common sense to you, but as a new nursing student, I'm just not confident enough to make guesses on questions that I haven't been able to find the answers to without asking for a little help from someone more experienced. I'm sure this confidence will come with time and more experience.

Hi, I'm a fairly new nursing student struggling with a few questions on a case study on breathing patterns. Here's the study: Josh Haskell, a nine-year-old boy, is brought to the Health Center by his mother because he is experiencing dyspnea and a cough. The nurse assesses Josh's vital signs. His respirations are rapid and shallow. What is the best technique for the nurse to use to assess Josh's respirations accurately? A) Observe chest expansion for fifteen seconds and multiply by four. B) Encourage Josh to breathe as deeply and slowly as possible. C) Watch for nasal flaring and count the air exchanges with each movement. D) Place a hand on Josh's chest and count the hand motion. I think the answer is C, but not sure? To determine the need for the application of a nasal cannula, which assessment is most important for the nurse to perform? A) Measure oxygen saturation. B) Auscultate breath sounds. C) Measure capillary refill. D) Observe chest excursion. In assessing Josh's breath sounds, the nurse should ask him to perform which action? A) Hold his breath for fifteen seconds. B) Repeat the phrase, "Ninety-nine." C) Cough deeply after each breath. D) Breathe deeply through the mouth. To measure capillary refill, the nurse must first perform which action? A) Count Josh's radial pulse. B) Compress Josh's nailbed. C) Obtain a healthcare provider's prescription. D) Elevate the extremity to be assessed. Any help on any of these questions would be much appreciated!!