stargirl018

thank you for the suggestions everyone! In terms of relocating, I actually make more at my current hospital compared to the hospitals within my area. In order to afford my mortgage, staying would be the best option financially. I also am a new grad that just got off residency so I dont think it would be very professional to back out this quickly lol. I'm thinking that maybe three in a row's would be a good option, I'd get enough sleep the first day, but then I would have to really trek the second and third days.. Currently, at my apartment- getting 6 hours is enough for me to feel very rested. I think at this point it would just be the commute that would be the issue

thank you everyone! I am still trying to work this out, but it has definitely gotten better. Just have to take a step back and breathe! :)

Hello Allnurses community! I have a question in regards to my well-being and sleep etc. I currently work at my dream hospital as night shift nurse (7pm-7 am). I currently live 10 minutes away and pay quite the penny for rent (i live in los angeles). That being said, I am looking towards buying a home in my hometown. I can afford this house, but the only problem would be being an hour long commute away from work. With traffic, it could take anywhere from an hour to an hour and a half. This house is my dream home, being the perfect space, price, and right next to the beach! I figured I would get home by 9 - 9:30 AM and sleep until 3:30 PM to then get up and start my commute (I try to get to work by 6 am to start prepping). My question is, would this be enough time for sleep? I currently sleep from 9-4:30 but I constantly wake up due to my roommates making some kind of noise . I work 3x a week, and want to know if this is doable. In addition, at my place of work- we get a 30 minute break and a 45 minute break which I use to take a 20 minute nap in most nights. Thanks everybody!

Hello! I have been a resident nurse now for three months. One thing I've been told over and over again is that my preceptors can tell from my face when I'm worried over a bad shift, anxious, or scatter- brained. How can I better hide this or control this better? Most of the time I am super focused in my tasks and usually am not aware of how my face looks. I don't want to give my patients or their families a reason to not trust me. I want to look confident, but just not sure how to show it- help please!

Hi everyone, I am going for my 3rd week now too with no results (tested in CA). This wait is psychologically draining! I am so envious of other states that are able to have quick results as an option

My interview is in acute peds on the 27th!

Thank you both for your wonderful input and suggestions. I think I will definitely go all for it during my NCLEX. Just as I have progressed onwards, I wanted to update my scores: QT6 : 57 % QT 7: 61 % Readiness test: 63% Although I'm not completely satisfied as to where I want to be, I am glad that I am progressing forward. Will update after I take my exam!

Hi everyone! I just wanted to pick at everyone's brains as to when is the best optimal time to take the NCLEX. From the day I started Kaplan to the day of my NCLEX (June 20) it would be about 3 weeks of studying. Only 2 of those weeks being serious studying. My question is, do you think June 20 would be a good time to test? I graduated May 20 and my current studying schedule consists of at least 200 questions a day, flashcards, Kaplan videos, and the Kaplan book. The current testing resources I use are both Kaplan and UWorld. Here have been my stats so far: Kaplan: Diagnostic Exam: 62%/ QT1: 60%/ QT2: 59%/ QT3: 56%/ QT 4: 64%/ QT5: 60% I have realized that a lot of my lower scores were because I decided to take the QTs right before bed which was a bad idea. But, I have no clue how to feel when my test is coming up on June 20th. I was told by many colleagues to definitely make sure that I take my test ASAP after graduating, but with scores like these- I dont know.. Help!

Hello, I live in California and all of my documents do match, except for that cna license. It is not required when applying but they do ask if I have any other certifications, so I labeled cna as one of them. However I did put an alias down, if that helps at all. i just want to also clarify that the original first name on my cna license is one of the two first names that I currently have.

Hi everyone, I have a question as I am about ready to submit my paperwork to the Board of Registered nursing. I recently found out that I have two first names to my name and have had to change many of my legal documents. After changing all of my legal documents, I found out that my old CNA license still has just the original first name involved. I wanted to ask if this is going to affect the processing of my paperwork, since I really don't know what to expect. As for changing my name on my CNA license, I may be able to do that but I just think that processing might take much longer. Anyway, what do you all think? I also want to add that on the paperwork, I added my original name as an alias just in case- but still, I want to rest assured ! Thank you so much !!

Hi everyone, so I have a care plan for a neonate in critical care. The neonate's main issue was ARDS with some bone issues. I just wanted to ask everyone if my nursing diagnoses here are worded okay. Any other suggestions would be greatly appreciated! Impaired social interaction related to infant's limited physical mobility secondary to fracture precautions as evidenced by patient seen being communicated and tended only during times of procedures and medication administrations. Impaired gas exchange related to alveolar capillary membrane changes secondary to respiratory distress as evidenced by oxygen saturations trending less than 95% and abnormal arterial blood gases, pH: __, CO2: _, HCO3: __ Excess fluid intake related to a compromised regulatory mechanism of the heart secondary to a ventricular septal defect as evidenced by +3 non-pitting generalized edema

sepsis in a pregnant woman can lead to multiple organ failure, including respiratory and renal. Inevitably according to evidence, the respiratory failure can then increase chances of preterm labor

Hi everyone, i'm doing a care plan on a mom that had cholecystitis that led to sepsis. I was thinking of a good diagnosis for the baby (in utero) and I was thinking of risk for infection, but I am being a little iffy on this one- what do you guys think?

hm, well here's my take: Risk for infection related to mother's current urinary tract infection during labor as evidenced by mother's elevated white blood cell count 13.4 I just read something in my book that says that a mother with a current uti can predispose an baby to another uti or possible sepsis, but i feel like that too is still post partum.

thats definitely true, i was just getting way too frustrated and sought for the most obvious. would risk for infection related to exposure of mother's ruptured membrane work out? at the moment she did not have any active lesions, but a pap smear concluded that she had abnormal cells around her cervix. Since hpv is transmitted through bodily fluids and mucous membranes, could this predispose baby to an infection as well? im also thinking that maybe infection can predispose a mother to preterm labor.. but this mother was at 39 weeks-full term and had one contraction every 10 minutes, and the FHR was all within normal limits! this is rackin' my brain!

Hi everyone, so I am currently in the middle of my careplan and I have been pulling my hair out the entire day because i cannot make a suitable diagnosis for my patient's fetus. My instructor was two diagnoses for the mom and one for the baby. The baby's diagnosis has to be based in utero, NOT POSTPARTUM- making it super hard because mom had a c-section with nothing unremarkable. Mom has history of HPV and a current UTI, but thats all I could think that could remotely put baby at risk for infection. During the procedure, I did notice the doctors using a vacuum suction times two to get the baby out and afterwards there were two big red marks on the baby's head with the head a little bit swollen. This leads me to think of risk for injury related to usage of vacuum suctioning during cesarean, but what do you all think? I would love for some feedback, this is my first maternal careplan and so far all of my mother diagnoses are good, its just the baby. Thank you!

Well for someone who had a c-section, I would think other reasons for infection can be from the major abdominal surgery itself. As for time of diagnosis, i believe a week before labor.

Hi, I'm going to share a little bit of experience on my end. I was in your same position two years ago where I needed an 82% on the final to pass. Needless to say, I didn't end up making the grade, so I was held back a year. My safety net was torn from me and I was shunned from my original cohort. Support system was low, and I have chronic anxiety from this. Long story short, here I am two years later and in my final year of nursing school. My initial mistake was that I did not know how to study, but after taking some time off and reviewing different study methods, I found one that works for me. Flashcards and practice NCLEX questions- these are total game changers for me and I wish I would have just done these much sooner. Good luck and remember, practice makes perfect!

I had a patient with a history of genital warts/hpv, a current UTI, that had birth via primary c-section. I was thinking an appropriate diagnosis would be "risk for infection related to rupture of amniotic membranes and present infection" but i am completely stumped as to whether this is appropriate or not, since her vitals looked find intra and post operative; however, I was thinking she could be at potential risk due to her current UTI. What do you guys think?

Thanks for the insight! Yes, it is just a hypothetical teaching project towards my fellow peers. I definitely want to incorporate the straws somehow because of how everyone basically gets to know how it feels to be out of breath. But you do have a point that I did not consider! It's true, not everyone will have asthma, but I could emphasize the prevention of smoking, which is something I will definitely ask my instructor. With that being said, I could also incorporate making a jello mold of a healthy red lung and a black colored lung haha. Thank you for the insight, this really helped!

Hi everyone, I am in a bsn program and I have a student teaching project due at the end of the semester. I have an idea in mind, but my population are school age children on the topic of asthma. The teaching project would include the following: learning the signs and symptoms of an asthma attack and the proper use of an inhaler. Implementation includes having my audience breathe through two different straws (a regular straw and a coffee straw) to identify the difference of breathing difficulty and then having an oversized cardboard inhaler to demonstrate the proper use. These are all just ideas, any other suggestions?

ah I see, so would stress of the illness be considered something intrapersonally then, considering it is within the patient?

She has alzheimers however prior to hospitalization she was able to talk and walk according to family. After, she doesn't do any of that. She has dysphagia, trouble swallowing. AND she clenches her mouth very tight so she makes now noise whatsoever. She has a fixed gaze and doesn't pay attention to anyone or anything.

I initially thought it was due to the uti, but in her chart it stated it was a chronic uti.Im definitely leaning towards the pneumonia being the causative factor though

she also had dysphagia and clenched her mouth shut so no oral temp was taken. Axillary temp was 98.8, O2 stat on 5L via NC was 99%, upon observation however, she was using her accessory muscles with no nasal flaring involved. I can understand she may feel very overwhelmed with everything, I just dont know how that will play out just because she doesn't talk or give any response back. To make matters worse, she has alzheimers, so any wanted response is out of the question.