SafetyNurse1968 BSN, MSN, PhD

Education, Informatics, Patient Safety

If I were in charge of the universe, there would be staffing ratio laws and unions in every state and you'd get written up for NOT taking your breaks.

Patient Safety Columnist / Educator

All Content by SafetyNurse1968

  1. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    FINAL POST An MRI with contrast and diffusion weighting revealed multiple foci of acute infarction in the left Posterior Cerebral Artery (PCA) distribution. Subacute or chronic infarct involving...
  2. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    Hey folks - thanks again for participating! be sure to scroll through the comments to see the FIRST FOLLOW UP. Here is another little hint: SECOND FOLLOW UP CT scan wo IV contrast:...
  3. SafetyNurse1968

    I'm Dizzy, Tired and Can't Remember What I Ate for Lunch

    FOLLOW UP #1 Hey folks! Thank you so much for your comments. I'd love to hear more from you about HOW you decide what is a priority - what is your thought process for deciding what information to...
  4. Why are SATAs so hard? Did you know that anxiety makes it hard for you to recall information? Imagine you are sitting down to take the NCLEX and the first question is a SATA. Maybe you missed a...
  5. SafetyNurse1968

    Select All That Apply: The Most Hated Question Type Ever

    Ah! I didn’t reword the answer explanation ! Thank you! I’ll make the edit. My proofreader is on vacation
  6. SafetyNurse1968

    Select All That Apply: The Most Hated Question Type Ever

    I appreciate your comments! Could you explain what you mean by “off”? I wrote the question myself, so I’m surprised it’s on UWorld. Can you explain what you mean in a different way? Thank
  7. Thank you so much for participating in this case study. I hope it was more meaningful to you knowing this is a real person. She's doing great now, running track and being a normal kid. FINAL...
  8. SafetyNurse1968

    Next Generation NCLEX: Are You Ready?

    Wow! Congrats and thank you for being so positive- I feel good about the changes as a nursing prof. But it’s really nice to hear from a student
  9. Thank you so much! That means so much to
  10. I am so looking forward to the reveal on this one and finding out what you are thinking. Thank you so much for participating -makes it so much more
  11. What would a laparoscopic exam tell you that a scan won’t? In light of all the negative scans- I’m Thinking about risk vs. benefits of procedure requiring general
  12. Great questions everyone! FIRST FOLLOW UP POST: Responses to your questions: Abdominal assessment is negative for findings Diet: normal – she eats a wide variety of fruits,...
  13. Chief Complaint "I was working in the garden, and I tripped and fell and hit my head. It was so stupid of me to leave my rake lying on the grass. I'm sorry to bother you, but I couldn't get it to...
  14. SafetyNurse1968

    A Fracture from a Fall: What's Going on Here?

    FINAL POST After further questioning, the patient breaks down in tears and admits that her daughter pushed her into a wall, causing the fracture. The patient says, “please don’t do anything...
  15. Chief Complaint Suicidal ideation, fatigue, difficulty concentrating, memory lapses and muscle twitches. History of Present Illness "My children begged me to come in. They are so worried...
  16. SafetyNurse1968

    A Fracture from a Fall: What's Going on Here?

    She says she hit her head on a rock when she
  17. SafetyNurse1968

    A Fracture from a Fall: What's Going on Here?

    Follow up information: aPTT: 12 seconds (10-13) INR: 0.9 (below 1) RBC 4.3 million (4.2-5.4 million/mcL) The bleeding stopped after direct pressure was applied and the wound...
  18. SafetyNurse1968

    A Fracture from a Fall: What's Going on Here?

    When the patient is asked about contacting her daughter she says, "Oh dear me no, I don't want to bother her." She refuses to give any contact information for her daughter. Patient states, "I must...
  19. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    Ativan salt-lick for everyone! Seriously - much appreciation to everyone for continuing to read and participate - you all make it so much more interesting when you get involved. THANK
  20. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    FINAL POST The diagnosis of pneumocystis pneumonia (fungal pneumonia), oral thrush and his history of unprotected intercourse leads you to test him for HIV. More lab tests: CD4 cells...
  21. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    Hannah banana- you are so on the right track! I’ll post the final results
  22. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    SECOND FOLLOW UP (final post next week): Other tests: Sputum specimen obtained with inhalation of 3% saline by ultrasonic nebulizer: Methanamine silver stain positive (consistent...
  23. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    First Follow-Up Post Tests: COVID-19 negative, positive for antibodies Review of Systems - only abnormal values presented: Skin: Rhynophyma (swollen, red, bumpy nose and cheeks),...
  24. SafetyNurse1968

    Breathless, Coughing and Run-down: What's Going On? | Case Study

    Thank you everyone for participating! I will answer a few questions now, and post lab values and head to toe tomorrow - just to give more folks time to think on it. His cough is nonproductive...
  25. SafetyNurse1968

    Suicidal Ideation and Muscle Twitches | Case Study

    FINAL POST After extensive counseling about possible outcomes, genetic testing showed CAG repeat of 40 on chromosome 4, confirming a diagnosis of Huntington’s Disease. The...