Mike R ADN, BSN, RN

Emergency

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All Content by Mike R

  1. Mike R

    I/O calculation

    Mike R replied to tokidokifantasy's topic in Nursing Student Assistance

    Count residual as output, yes. Do not count as intake if you put it back in. That would be double counting. If you give Mr. Smith 250ml of fluids, and you suction it out to only put it back in, why...
  2. Mike R

    help with admin ng meds

    Mike R replied to lrc1203's topic in Nursing Student Assistance

    Depends. 30ml if there isn't a lot of meds. If there are a lot meds, 30ml's between each med will add up quick; especially if they are fluid restriction or NPO or what have you. In that case, 15ml or...
  3. Mike R

    help with admin ng meds

    Mike R replied to lrc1203's topic in Nursing Student Assistance

    It varies from facility to facility, but generally check patency and residual of NG Q4 and every time you give meds via NG. Flush before and after and between every med. Always let gravity feed and...
  4. Mike R

    I need some input on nursing schools in Southern Cali

    Mike R replied to mjgarcia's topic in California Nursing

    I don't know about any college in your area, but all the colleges in Orange County have at least a 2-3+ year wait list if you were thinking of heading this way. Santa Ana College finally closed their...
  5. Mike R

    Chest tube help

    Mike R replied to lrc1203's topic in Nursing Student Assistance

    Color, amount of drainage and adequate water. Rise and fall with inspiration and expiration. But also look for bubbles if it's on suction. No bubbles = leak. Do the pinch test to find the leak source...
  6. Mike R

    Nursing Clipboard

    Mike R replied to uwa2012's topic in Nursing Student Assistance

    One of my classmates has a metal folding one that fits in her pocket. She loves it!
  7. Mike R

    Does fasting indicate NPO?

    Mike R replied to neil890123's topic in Nursing Student Assistance

    At the hospitals I've been to, they've pretty much been used
  8. Mike R

    My Wife just started a full time BSN.

    Mike R replied to moneyman81's topic in General Students

    I gave you a kudos for being a d@mn good husband. She should only be so lucky as to have someone as supportive as you during these next few stressful years.
  9. Mike R

    UGHHHH dosage

    Mike R replied to MsGreenBeauty's topic in General Students

    +1. I got the same
  10. Mike R

    Terrified of clinicals

    Mike R replied to Brekka's topic in General Students

    This exactly. So true. My advice with teachers like this: know your stuff and be confident. Grit your teeth and take all challenges head on. You will succeed if you give it an honest
  11. Mike R

    Can you unscramble...

    Mike R replied to Spikey74's topic in Nursing Student Assistance

    Show us what you got and we'll
  12. Mike R

    Wound Care question

    Mike R replied to Livingmydream1's topic in Nursing Student Assistance

    From what I remember about wound healing, as long as there is dark red granulation and obvious signs of perfusion it should be on the right track. Deep tissue injury takes months to heal from the...
  13. Mike R

    I need to do better on my nursing exams, PLEASE HELP!

    Mike R replied to clairebelle's topic in Nursing Student Assistance

    It's not enough that these schools cram tons of information into our heads, but then they test us not on facts but how all of these pieces relate to each other. In the end, as a nurse you should know...
  14. Mike R

    Nursing Dx help?

    Mike R replied to FrazzledButBlessed's topic in Nursing Student Assistance

    What were his HGB and HCT? If they were high, it'll help with the deficient fluid volume. If they were low I'd lean towards decreased tissue
  15. Mike R

    Nursing Dx help?

    Mike R replied to FrazzledButBlessed's topic in Nursing Student Assistance

    I'll give it to you. I didn't even open the book when I answered. I just peeked in Ackley and you're right. Assuming it is a GI bleed, I can't argue with that much can I? I'm curious to know what the...
  16. Mike R

    Nursing Dx help?

    Mike R replied to FrazzledButBlessed's topic in Nursing Student Assistance

    Fluid volume deficit you would gather from assessment of sunken orbits, dry mucosa, urine less than 0.5ml/kg/hr etc. etc. I'd be more inclined to go with the tissue perfusion myself. There are tons...
  17. Mike R

    I am truly frustrated, please help...Critical thinking Quest.

    Mike R replied to Rconectn's topic in Nursing Student Assistance

    Is all you're doing is reading? Get a book with NCLEX style questions to test your comprehension. Get into study groups and bounce ideas and questions off of each other. Put all that reading to use to...
  18. Mike R

    Which path should I choose?

    Mike R replied to xxbrianna's topic in Nursing Student Assistance

    All I can say to you is: only do the nursing thing when you're ready. If you have to choose between getting your life started or having fun, I think you have more soul searching to do. Though I should...
  19. Mike R

    Help solving math problem

    Mike R replied to AddisonLawrence03's topic in General Students

    I'll agree that perhaps The Squire's initial comment was a bit harsh, but you'd be surprised how many people come here just looking for answers without showing any footwork. We're all willing to help,...
  20. Mike R

    Help solving math problem

    Mike R replied to AddisonLawrence03's topic in General Students

    I'll ask you this: have you learned Dimensional Analysis
  21. Mike R

    Should I get a part time job?

    Mike R replied to echo56's topic in General Students

    I say if you're good with managing your time and actually studying after work, then go for it! It'll give you great floor experience and you'll be able to relate things you see at work to your...
  22. Mike R

    Help With Calculation of Dosages

    Mike R replied to RN_TOBE's topic in General Students

    You got #1 correct. 2) If the client is to receive insulin at 3 units/hr with solution of 50 units per 100 ml in normal saline [NS]the rate of infusion in milliliters would be.? 100ml/50units x...
  23. Mike R

    Help With Calculation of Dosages

    Mike R replied to RN_TOBE's topic in General Students

    Now that Jo'ee explained how to set up the equation, show us what you come up with on those questions and we'll help you from
  24. Mike R

    Patient with a Left TKA...need help with care plan

    Mike R replied to b.randolph's topic in Nursing Student Assistance

    On the contrary. Just because BMI is a normal value doesn't necessarily mean he's receiving enough nutrients. Would you agree that a normal aging process is decreased GI secretions? Parietal cells in...
  25. Mike R

    You decide who is right

    Mike R replied to Justmenfl's topic in Nursing Student Assistance

    Double