SnMrsSmiley

1. The client is receiving albuterol (Proventil) for treatment of bronchospasm related to asthma. What is the initial nursing intervention as it relates to this medication? -Monitor the client for nausea & headache -Provide the client with age-appropriate education about albuterol. -Monitor the client's serum drug levels. -Monitor the client for relief of bronchospasms. *4 2. The client is diagnosed with cancer. The physician has recommended chemotherapy, which would likely save the client's life. The client tells the nurse, "This is punishment from God for sins I have committed; some women at my church say so." What will the best plan of the nurse include? With the client's permission: -plan to contact the client's minister to discuss the client's perspective about cancer. -plan to meet with family members to discuss the client's perspective about cancer. -plan to bring the case before the hospital's board of ethics. -plan to involve a hospital minister to discuss the client's perspective about cancer. *1 3. The African-American client has panic attacks, is suicidal, and is on an inpatient psychiatric unit. The psychiatrist orders Zoloft and Klonopin. The client refuses the drugs; he requests to have herbs & African objects in his room to "remove the curse". What is the priority action by the nurse? -Allow the request without seeking further information from the client. -Allow the request after the client signs a release of responsibility to avoid litigation. -Allow the request after all members of the treatment team agree to it. -Allow the request as long as the herbs and objects do not pose a safety risk for the client or other clients. *4 4. The nurse was very busy and unfamiliar with a new medication, but administered it anyway. Later the nurse looked up the medication. How does the nurse manager evaluate this behavior? -this was acceptable as long as the nurse looked up the action & side effects of the drug later -An error did occur because the nurse could have administered the medication via the incorrect route. -An error could have occurred because the nurse was unfamiliar with the medication -The nurse manager was partially at fault because the nursing unit was understaffed & the nurse was too busy. *3...or *2 tricky tricky This is my take on these questions. They may or may not be correct.

im in a traditional adn program. I do the same things. If im not driving my car (well i listen to lecture through my heeadphones then as well) im reading, practicing, going through note cards, taking practice tests, rewriting notes etc etc etc. I literally saturate myself in the material. Its working though. I make high 90's on my tests and we have alot of really smart people failing out. I have three kids all under the age of 9.... so yes its exhausting, i dont sleep much. But it will be worth it to get through this program. I think for me its better to saturate in the material then to only study right before tests because its less stressful for me. I may not have a life at the moment BUT i dont have that added stress of being on the pass fail line either.

http://www.youtube.com/watch?v=2YD1LQg1tSk excellent examples of dimensional analysis.

i found it very easy. im not bragging though, it just seemed like an easier simplified version of an SAT

yes, way to sensitive. Worry less about what she thinks of you and worry more about getting your job done correctly. I learned quickly to stop trying to impress my instructor and just work hard. It paid off because she was very impressed with my work this semester. Dont worry so much and enjoy your time at clinical and you will do great!

also a helpful hint: ask your instructors if you can start a "closed group" on facebook just for your frehamanI class. Our instructors allowed us to do this and we constantly post questions or ideas about the material or careplan issues. Our instructors are also in the group as well and if another clasmate answers wrong they will post the correct answer to what your issue is. And its a good way to communicate and get to know your classmates because you will need help. AND SUPPORT. We also use our fb group to post quiz questions and make it a game. Its good and fun reinforcement because what one person knows really well you may not realize you arent proficient enough ont hat topic and it can bring this to light. You would be surprised how many times a classmate will post a quiz question the night before a test and it will be something I never remembered reading.... then see something similiar on the test the next day. If my classmate hadnt posted that wuestion I never would have looked it up and read about it .... so I would have missed that question. good luck!

my experience has been this: i started with studying with a study group and then right before the test studying on my own... i did well making high Bs.... then i decided to study on my own. BAD idea. So now what I do is study my a$$ off alone, until i think i know it... THEN i go to study groups. That method is getting me high As. The moral of the story is that study groups are worthless if you dont at least know the majority of the material first. Study group is helpful for throwing ideas around, and clarifying things you thought you knew but find that you dont. and teaching the info to someone else will really cement all the material in your brain.

i was recently told that St Jude only hires BSN's. Which dissapointed me big time. Im hoping to work there when I am done with school.

hi ! im northmississippi too.... we are probably in the same class lol.

keep doing what your doing. you sound like your doing a good job! you need the computer as much as they do and in my opinion whoever gets there first gets there first end of story. Chart what you can chart them hand it over when YOU are done :)

we skinned and dissected a cat. dissected a kidney, heart, lung, liver, cows eye, and a sheeps brain. that cat was a smell I will never forget. And one of them was pregnant and we had to dissect the babies too.

my issue is quite different and a little funny. When watching videos on wound care for pre lab work I watched a nurse clean a DEEP pressure ulcer.... oh yes I had to leave the room and vomit twice. In clinical however it doesnt affect me at all. I think it is because when your patient is in pain and youa re watching or doing a nasty procedure your concern lies mostly with getting it done and making sure your patient is comfortable again asap. I find that my sympathy to my pt outweighs the yucky stuff and Im able to block it out to get it done. You will be able to do this, you might want to expose yourself early to things you arent used to seeing though. It will help. After my bad episode with that video I made myself google some of the nastiest things I could think of and forced myself to look at it, read about it etc to desensitize myself to it.

If for example your patient is a post op hysterectomy, direct her to place a pillow over her stomach to splint it, especially when she coughs or is trying to change poition. a warm semi dark relaxing environment, music, something to read to take the mind away... these are all things you can do to facilitate comfort. I had a post op pt lat week that refused even a tylenol... she wanted to bare it out with NO meds at all. We made it 6 hours using these techniques until she finally decided to take a lortab so she could relax enough to sleep. It helps with the pain and if you continue to educate and explain the positive aspects of pain relief (without sounding like a pusher) then your pt will understand you.

we will do it as well beginning in our freshman II labs. We are not able to stick each other (i really wish we could) I prefer learning on real flesh and blood and would like that to be a volunteer and not a sick, miserable patient that doesnt deserve to go through the uneccesary pain of being a practice prop for me. Im never one to make waves so I am sure that when the time comes I wont suggest it or anything... but I hope someone else does. I would be willing to let someone learn by using my veins I hope that there is somebody that would do the same for me.

awesome lol. I never tire of poop stories :)