Mike R ADN, BSN, RN

Emergency

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All Content by Mike R

  1. Mike R

    Not wanting to work at hospital?

    I go back and forth between working Acute care to really get my skills down and working at the Jails. Though I wouldn't mind working a Physician's office if I can find a Physician that I can stand for...
  2. Mike R

    safe dose range question

    Don't let that divided part get you. Read it for what it is: Every 8 hours you will give a dose until you reach the total daily limit. Then go with Parkerbeancurd to figure out how much to give each...
  3. Mike R

    Hydration!

    One of my former instructors told us this story: She was with a student taking care of a CHF patient admitted for pneumonia. The patient needed some oral suctioning but the Yankauer didn't get much....
  4. Mike R

    well, I can say I am officially discouraged...

    Don't be discouraged. I have to agree with everyone else here. That was only the opinion of one person in a specific location. It may or may not be difficult for you to get a job in your area. But...
  5. Mike R

    ASA and neutropenia

    I was just thinking of the antipyretic properties. No WBC's + no increase in body temp = infection. Were you leaning towards
  6. No, don't just go with anorexia. You're right in that you can't use a medical D(x). You might be able to get away with psychosocial adjustment, but I feel it needs to be more specific. Nothing about...
  7. Mike R

    Where do you put your stethoscope?

    That's what I use. Seriously worth the
  8. Mike R

    Rank these classes by how hard they are

    ^This.
  9. Mike R

    Failing barely

    In my class of the 20 that are left, 4 are below the passing grade and 6 are within 3% of not passing. You're definitely NOT alone. I often find myself saying, all you can do is your best. When you...
  10. Mike R

    Quick Algebra Problem

    You're welcome. Good luck on that
  11. Mike R

    Quick Algebra Problem

    You might be over thinking this. Distribute the negative in the second half and add subtract like terms: x^2 + 4x +4 -x^2 + 6x - 9 4x + 4 + 6x - 9 10x -
  12. Mike R

    Question about protecting airway

    In lamens terms: the passage speaks about loss of consciousness leads to the patient not being able to clear their own throat of phlegm or keep their head upright to keep the pharynx
  13. ADN/75%
  14. Mike R

    Understanding Acute Respiratory Failure

    Fi02 refers to the percentage of Oxygen mixed in with Air. So you can have pure oxygen coming out of the tank and into a "mixer" that mixes the oxygen and room air to specific percentage and into the...
  15. Mike R

    Full time work and NS: can it be done?

    I can honestly tell you that out of the 9 who are left in my clinical group (first semester), none of the students who work F/T have higher than a 79%. I'm not saying it can't be done, it's just...
  16. Mike R

    Tips from you morning people! :/

    http://www.thinkgeek.com/homeoffice/lights/e582/?cpg=zilla&SID=13020200
  17. Mike R

    HELP with nursing diagnosis interventions!!

    It's easy to think too hard about these things. Think down to the basic levels. How could one keep a patient safe who is as risk of falling? In addition to what Kylee said, how about raised bed rails...
  18. Mike R

    IM Injection Question

    What's wrong with taking off the 1 1/2" and installing a different one? You do it all the time with ampules (filter needles etc.). I wouldn't discard the med as it's not contaminated. Waste
  19. I believe you're thinking too hard on this one. Three ADM D(x)'s were UTI, Flank Pain and Renal Calculi. So work with those if they're still present. Infection, Pain and Ineffective Health...
  20. Mike R

    I MADE IT!

    Congrats! I remember I was just as excited as you were when I first got in! Now I just want my life back . Only joking. But seriously, just keep working your butt off and you'll do fine. Good
  21. I know this doesn't really help, but I've found that some instructors let you create "Risk for..." from any NANDA. Others on the other hand, only let you use actual Risk for NANDA's that are already...
  22. you're on the right track. know that eventually, you'll need a goal with specific numbers/values/conditions that you will relate directly to your nanda. so, given what you have, your goal will read:...
  23. Mike R

    Physical Assessment and Care plans

    Shoot, our program doesn't even offer physical assessment classes. They just drill and drill into us how to do good physical assessments from day 1. Each clinical we have 3 patients (first semester)...
  24. I noticed you forgot about measurable AEB's. Don't forget that you need objective, subjective and measurable data. When choosing NANDAs, always go with ABC's first. Since you have pneumonia up there,...
  25. Mike R

    how would you answer this question

    Interesting question. A) If one has TB, you'd be in N95 isolation and not just contact isolation. B)PPD doesn't mean hes taking meds for TB. C)PPD doesn't necessarily mean they have TB, only a...