bri2012

We have a "day shift" vs "night shift". Day shift is 4-1 shift and night shift is the staff that comes in at 10 and after. Stock doesn't get filled at night so day shift sometimes doesn't do it because night shift didn't. It's just a bunch of childish things.

I may look over hurst but I really don't think it helped me too much, I think Im going to send the book back and get a refund. I did order the pda book I believe that will help. I am doing all the questions in Saunders and the cd. It is hard to see that they all passed but I am happy for them. I am staying positive and I know we can do it!

I took nclex on July 11th, I got all 265 questions! And did not feel confident at all leaving the testing center, I actually cried on my way home. I did not get the good pop up and found out I officially failed once I did the quick results. I cried for two days, I felt defeated. My nursing class has a facebook page where we helped each other out during school and seeing all the posts of how they passed and are now working made me feel even more depressed. But after two days of feeling down I told myself everything was going to work out. Like you this has brought me closer to God. I studied using Saunders and I did the Hurst review. My 2nd attempt is scheduled for August 26th. I am feeling more confident than before. Now I wake up at 7am and try to study for 5 hours everyday. I am using the memory notebooks of nursing, saunders cd and nclex-rn from prep-u. I am determined to pass this test this time around! WE CAN DO IT!!!!

This past shift my patient was on a vent and my instructor asked how is he tolerating the vent. How do we assess that? Presence or absence of coughing? oxygen level? I'm just a little unclear how to answer that.

Thank you this was very helpful!

I had a pt whom had a intracranial hemorrhage his labs were pretty normal except for elevated RDW and seg and decreased lymph. could someone explain to me what these labs mean? I googled them but its just as confusing as my books.

Thanks guys I did some research and figured it out!

Its actually not homework just something I am confused about and wanted someone to explain it to me in simpler terms than my book did...

Can someone explain to me why a sliding scale would be used?

Thank u that helped me!!

ml/hr sorry!

This is a practice dosage question for a dosage exam I have coming up. This exact question will not be on the exam just ones similar to it. I do not want the answer just help on how to solve it. The formula I need to use to be able to problems like this. Order: Drug "Y" 2 g in 1000ml D5W at 0.05mg/kg/min The pt. wt is 132lbs. Thanks!

Thanks guys!

Can someone tell me why someone with MS would be prescribed a vitamin D supplement? Is it because it somehow reduces exacerbation?

Thank u!

Thanks!

Whats the difference between PVD and DVT? Does PVD lead to DVT??

In school they are teaching us to label our syringes with what is in the bottle for example Lasix 40mg/2ml if we draw up 2mls after doing the math... I just couldn't remember if it was the doctors order or the actual medication label.

Ok thank you!

when drawing up medications do you label the syringe with the doctors order or whats on the medication bottle??

ok thanks!

Does anyone know of any good books out there that helps break down cardiac?? Im reading my medsurg book and I am getting so confused and overwhelmed!! Thanks!! :redbeathe

Thank you guys so much! Very helpful!

i am working on this case study and just wanted to know if i am on the right path! any input would be helpful! a 65y/o male is admitted to a medical floor altered mental status with sob and a productive cough of thick yellow secretions. the client has a history of smoking for 40 years 1pack/day; htn and takes hctz 25mg daily po. his admitting information: weight 115 lbs and 5' 7", vs: 162/84, 124, 36, 102 f, pulse ox 86% on room air. abgs: ph 7.32, paco2 50, pao2 68, hco3 28. other lab results: sodium 136, potassium 3.5, bun 28, creatinine 1.0. the admitting physician orders are bed rest; regular diet, start o2 at 2l nc and titrate up the o2 to maintain pulse ox > 90%, start iv d5.45 at 50ml/hr, obtain sputum specimen for c&s, and give albuterol 2.5mg via nebulizer every 4 hours and prn; tylenol 2 tabs every 4 hours prn for temp; vancomycin 500mg ivpb every 12hours. 1. what is your interpretation of the client's condition? list the abnormal data and what it means. htn, bp 162/84 pulse 124 high resp. rate 36 high temp 102 high pulse ox 86% low 2. what is your interpretation of the client's abg results? ph 7.32 low paco2 50 high = resp. acidosis hco3 28 high pao2 68 low= hypoxemia 3. in which order would the nurse implement the physician (collaborative) orders for this client? first order:___bed rest_________________________________________ second order___obtain sputm_________________________________________ third order .____start ox at 2l nc________________________________________ fourth order.____start iv d.45 ________________________________________ fifth order: ____give albuterol__________________________________________ 4. identify at least 3 nursing diagnoses: ineffective airway clearance, activity intolerance, and impaired gas exchange

@geneva007 we were marked off in lab last week for iv pumps and hanging primary and piggy backs so I thought it was ok. Im happy I didnt get kicked out too! @Streamline2010 we were told that we could not give meds to our assigned pts without the instructor because we had to get checked off for them. idk.... i just know not to ever do that again!