euphoria02

I still studied..hehehe..Not that I was cramming but I just want to fill in my anxiety. I have read and heard that a lot of people do relaxation the day prior the exam and that works for them but for me since I am a very worrisome person I just do as my mind wants me to and that is to read (but mind you, im not really reading, im just pacifying my mind). It actually made me very relaxed on my exam date. Stopped at 75 in 45 minutes :)

hi there ninjago.Thank you for the reply. Yes, I do have my NBI copy/police clearances from the Philippines, so I think I can provide them with it. However, I do not have any working experiences in the Philippines so I cant probably ask for recommendation letters. Can my school give that? Again thank you so much :)

I am a new RN who is a foreign graduate. I got 2 job interviews already and it seems like they want to pursue me. However, they are having a difficulty as to how they would do background check on me (I'm just a new immigrant. I have been in the US for just 4 months) since I have lived in another country before. One made a phone call to me asking me if I have an idea how to do it (LOL) and since I wanted the job so bad I told them maybe Department of Immigration can help since before granting my visa they had checked my clearances in the Philippines. Now she's asking me to call Department of Immigration....mmmm..Is that possible? Or do you know any other way that they can perform background check on me??? I really need help. Thank you very much.

Hi all. I took the exam today at 1pm. I didnt sleep well last night cause I was so nervous and I think I 'coughed' all my nervousness out already that I felt numb before my exam. Honestly, my mind was blank. It was as if all the stuff I have read nor all the questions I have answered just all evaporated. I just prayed to God that it's all up to Him, because I gave my best shot with what I have. Then, I ate lunch (seafood and rice and 1 apple), went to the site early and waited. So....as I was answering....NOT one of the stuffs that I have prepared myself for was there...hahaha...The only thing that I think was good was I was able to practice questions.... I got out at 1:45pm. I stopped at 75 Qs with 20 SATA's (my eyes were bleeding hehehehe) and lots of priority questions. I did the pop up thing and I got the good one, so I am hoping that I really passed.:) Thank you Lord.:redbeathe:redbeathe:redbeathe

Hello there :) Trendelenburg- is used for shock. This is to concentrate the remaining circulating blood to the core organs. There's this modified trendelenburg I have been reading ( feet elevated with head slightly elevated ) thats used for that purpose too. Trendelenburg is also used to relieve cord compression for patients who are on labor. Flat- This is done after epidural anesthesia to minimize/prevent spinal headache. I think this is also for client post-laminectomy as the lumbar are cannot be bent nor twisted. Semi-Fowlers - done during Pancreatitis. to decrease abdominal tension. and any other event where abdominal tension is not favorable. May also be used for clients at risk for/ experiencing increased ICP. Fowlers- my be used for aspiration prevention, decrease ICP, lung expansion facilitation. Hi Fowlers- for Autonomic dysreflexia, for aspiration prevention, lung expansion position. For clients having THR- position of bed must not be >15 deg, or in some books I have read That's what I remember. I'll add more once I recall. Hope this helps.

Congratulations to You!!!!

hi kim28-- Congratulations :) That's a job well done. Ashley-- yeah Ive read that somewhere, and that worries me a bit. I graduated in June 2009, so it's been 2 years for me and up to now I've never practiced nursing. I'm a little anxious about it. Even though I took cgfns last year, I dont think that guarantees me anything.

Hi there. I think it's because PCP is not really a grave type of Pneumonia unless you are really immunodepressed. I have read somewhere that like E.Coli, there are already some PCP within bodies of healthy individuals and that the time signs and symptoms is when the body's defense get overwhelmed with it such as in HIV case. So you dont need droplet precautions because you yourself have PCP. You are the threat to the immunodepressed client and not the other way around. I hope it helps. :)

I think this is good. My exam is on the 16th of August (3 days to go) and I just started preparing 3 weeks ago. I thought it's enough time but now I am realizing it isnt hahaha but I dont want to move my date anymore. I want to get this done and over with (hopefully with one try). I like most of your points here, it's like what I've been doing right now. Like you, I dont have money for live/online review classes. I cant even get the Kaplan q banks cause it too expensive. So I have settled with what I have and on my 1st week, I took all my notes (my past notes I used for cgfns) and studied content. Then on my 2nd week up to now I am doing practice questions. This can be helpful to others too. Thank you. I am praying all of us will pass. :)

hi there :) Have faith in your self. If you did all that you think you can, you prayed to God all that you need and you got the good pop up, I think you did great. I have yet to hear/read that 'good pop up with fail mark' because almost all of the people I know who did the PVT got theirs correctly. Again, pray and pray. I wish you luck.

Hello there. I think that in any event that bleeding is a possibility, one of the most important intervention would be compression/putting pressure to the vessels damaged so the bleeding will be minimized whether it be a simple wound, a gun shot etc. The position RSL after a liver biopsy is the only one to provide effective pressure to the site of the biopsy. I hope that helps.

I think you are right :) Specifically since your patient is a post op TKR client, the risk for blood clot formation is increased. Blood clot causes obstruction. Obstruction causes impaired blood flow which produces ischemia. Ischemia then makes use of anaerobic metabolism having Prostaglandin as its end product. Prostaglandin is an irritant to the blood vessels causing spasm. :)

hi there :) my answers for your question 1.) OP's question number 1 does not mention any facts regarding the client's disease. The situation just says these points.... -that the client is obese -that the client wants to urinate -that a special lift is available to be used.however, its gonna take a few minutes to do it Do not look for more than what is asked for. There is no indication that the client has UTI nor any other disease that may jeopardize him/her unless he/she urinates immediately. In addition, waiting for a few moments wont cause you UTI that fast. Infection needs some time and more other factors to develop. Moreover, choice B mentioned "encourage the client to be patient"...why? because the personnel are already setting the equipment. the lifter is already there, it does not need to be retrieved from another place. Plus, I think this points out that we need to take into account the doer of the action. If the RN and/or NA lifts the client, will there be injury? maybe. The fact that there was a Lifter present for this client may indicate that lifting manually was discouraged. 2.) Incident Report must NEVER be mentioned in a documentation. Doing so is protecting you and the hospital from liabilities. In addition, IR is also used as risk management tool. You put the event that happened on both IR and medical record but in medical record you must not say a single word about filing the IR. Eg. "Patient C found lying on the floor by NA J. Patient is alert, coherent, without any sign of external trauma, VS blah blah blah....Incident report is completed by NA J". -RN D That's how I see it. I hope it helps :)

Hi! I am taking the exam next week too. Though I am sorry for your friend, I suggest, try to differentiate yourself from her/him. Failing the exam does not have a Domino effect, so try to lighten up. Put all your efforts into what you are studying right now, remember there no space for negative vibes since we're gonna take it very very soon. Worrying will just make you lose focus. I know you dont want to fail, all of us dont want to, but let the worrying happen AFTER we take the exam. Ruminating thoughts right now would just decrease your self confidence and will likely affect how you will perform. I hope both of us will pass. :up:

Congratulations!!!!! :) LOL at the 'boyfriend' part. Im going to take the exam next week and whenever I think of it I want to pee. LOL. Anyway, congrats again :).

hi all..I am taking the exam on the 16th...6 days from now...Im really anxious. I havent memorized any drugs nor blood levels yet cause I keep on answering practice questions until wee hours. What's more crazy is that I answer practice questions yet I dont read rationales, I only get my score hahaha. So I think with the 4 days I have left, I'll read rationales. I wish us all good luck. Let us all pass the exam :)

I think the reason why the answer is B is that it is stated there that the client has Breast and Lung Cancer and has been undergoing Radiation and Chemo. Therefore, it is anticipatory that the client will have a disturbed eating pattern (due to nausea, vomiting, anorexia and decreased appetite- all of which may have been side effects of the treatments). For the first choice , the word 'normal' may induce confusion as to what time reference it is asking NORMAL 'before the dx and treatment' or NORMAL 'after the dx the treatment'. For the 2nd choice, the nurse knowing that client's food intake maybe lessened (as I have pointed out as treatment SE), the nurse will most likely include and give patient foods that will stimulate client's appetite such as his/her favorite foods. That's how I see it, I hope it makes sense.

my answer for 1 would be B- the client is obese as stated, so lifting him/her may jeopardize the RN. Getting the help of an aide won't guarantee that no one will be hurt in the process. So I think, for the safety of all just let the patient wait for few moments. for number 2 I would answer A- I read somewhere that personnel who committed the error or who is on the event an error happened are the one to file incident report. Since the RN is not there when it happened then he/she is not responsible for IR filing but is responsible that appropriate documentation be done. Choice B is obviously wrong, Choice D is incomplete and Choice C tells that RN files IR when the situation said that it is the NA who found the client so it's wrong also.

My answer for number 1 would be D As I have understood, being a patient advocate also means fostering patient wellness by promoting independence. By educating the client how to administer his/her medication, you are making him/her in charge of his/her health. He/She has the right to be knowledgeable on how the disease should be managed. As for number 2, the choice B sounds like 'passing the buck' to me. I haven't read Saunders 4th ed but as I can see it, 'increasing referrals' is not necessarily 'collaboration' but much more of like getting rid of the patient. Before making referrals, we must have utilized all possible resources so that it will be cost effective for the management and the patient.

my bad... you should release restraints q 2 hours and check circulation q 30 min.

if a client is in restraints you should release (each restraint) and check circulation q 30 minutes.

Acute Renal Failure and Chronic Renal Failure- Low Protein Diet but still provide protein with high biologic values (eggs, chicken) Acute Glomerulonephritis- Low Protein Diet Reason: Kidney fails to excrete protein waste products and may cause a build up of urea (protein yields to ammonia-toxin, which is then processed by the liver to be turned to urea-more tolerable substance)....Urea is an irritant to the heart, GI and skin. Liver Cirrhosis- as what has been mentioned above, in the early stages of Cirrhosis client is encouraged to increase intake of protein. However, as the disease progresses, the risk for hepatic encephalopathy also increase. It is the liver which converts ammonia (protein waste) to urea and if it fails to do so then ammonia build up ( which is toxic to nervous system) can happen. Parkinson's Disease- Low Protein Diet Reason: Protein increases the level of L-Carboxylase OUTSIDE the Blood Brain Barrier. L-Carboxylase is the one which converts Levodopa to Dopamine. So if there is increased L-Carboxylase outside the brain, there will only be a little amount available to go INTO the Brain. We want Levodopa to go INTO the brain first before it gets converted to Dopamine, so we restrict Protein. ---------- Nephrotic Syndrome- also a renal disease but unlike the others, it requires Hi-CHON diet. Reason: There is massive injury to the Glomeruli that enables Macromolecules like Protein to escape. This is not just a type of Proteinuria, but MASSIVE proteinuria occurs. As a result, albumin levels as well as Antibodies (AB are made from protein) also decreases. The body tries to compensate with Liver synthesizing Lipoprotein which is composed of Protein and FATS. Increased Fats lead to Hyperlipidemia. So also remember to DECREASE Fat Intake with Nephrotic Syndrome too... ----- Hope this helps you, I really hate diet questions too, that's why I focus on them. Good luck to us :)

hi there :) hmmmm option number 3 cause may seem like an answer to PREVENTION question. However, I think option number 3 is not technically safe for a patient. If the client is going to take bananas with salt substitute then Hyperkalemia which is a fatal condition can happen ( as pointed out in the rationale)...Option number 4 is the only answer which wont do your patient any harm. Or maybe they were really asking for Prevention of HYPERKALEMIA and they just got typographical error.

hi there I will be taking my test on august 16...I am so nervous too...I become more pressured reading some of the experiences here that they stopped at 75 and got the good pop up I notice that most of them used Kaplan...I cant afford Kaplan live review nor the Q bank so Im doing my best studying by myself along with materials I have a long time ago...It's my 1st time taking this exam and I am praying it will be the last... It's kinda weird but I am also feeling excited about the exam...hahahaha....I dont know, I always feel giddy when I think of myself passing the exam and finally being able to have a rest from studying..I think Im losing my mind already hahahahaha....I try to rub it off because of course I can never tell if I pass or not...But let's all get excited cause were nearing one step ahead of becoming a USRN...Good luck to all of us :)

hi everyone! I am new here :) I am to take the exam on Aug 16 @ 1pm. This will be my 1st time taking it and hopefully I pass. Last November I took CGFNS (since my state requires it) and thank God I made it. However, I am still as nervous as ever ( who wont be :) . I am a foreign graduate from the Philippines. I graduated on 2009 and I absolutely do not have any working experience. "Tambay" as they say. I was waiting for my papers and luckily I am here in US now. As for studying, Im only reading Kaplan strategies for now. I got disappointed with the CD it has. I thought that it would give me thousand practice questions but it only has 180 and Im done with it too. I finished Saunders when I was studying for Cgfns, but since I left it in the Philippines and I dont want to buy a new one, I guess I need to settle with Kaplan strategies and La Charity practice questions. However, I am planning of buying Nclex 10,000...hmmmmm Anyway, I pray that all of us will pass :) God bless :)