HelpthisSN

I took an exam today and one question was like "the patient's potassium level was 6.1 (being higher than normal value) what wouold be the first action the nurse would take?" ok so, obviously I would address the hyperkalemia issue. BUT one of the options was to administer (kayxelate???) I did not choose this option rather i chose ot transfer the patient ot the ICU because i wasnt sure if the nurse could administer any drugs without an order. The transfer was wrong because it does not fix the hyperkalemia and could potentially complicate the patient's condition if it was delayed until after the transfer. So, in cases where a patient is undergoing an electrolyte imbalance, what should a nurse do? should she telephone the physician and possibly obtain an emergency telephone order? or can nurses implement emergency care to fix the imbalance without a doctor's order?

The discouragement is what i am feeling today. I took the ATI for leadership just two days ago and am feeling very distraught. I didn't pass it because of mulitple factors, one being that I was over confident about the material, another being that the exam was requiring more critical thinking than i had anticipated because none of the exam questions come directly from the book. I also took this course out of place, my school recommends med-surge II before leadership but i did not listen because i'm trying to force finish my degree. Anyway, I can relate to the feeling. I have a final tomorrow afternoon and its been really tough to get off my butt, wipe my tears, and from feeling like a failure to concentrate on studying. Honestly, today i could not do it. I slept in, and tried to study sometime this afternoon but i ended up getting into my car and driving around to relax my mind insted. I fell asleep in the evening before i even finished 2 pages out of the 15 chapters i had to review. YEAH- stupid! i know. BUt now i am waking up. i washed my face, and ate food, drank tons of water and am no longer crying about something i cannot change. I keep telling myself ÉVERYONE GETS BACK UP ONCE THEYVE FALLEN" and thats exactly what i did. getting back up! I need to work real hard because nursing school is no joke. regardless of whether or not it will take me an extra semester! I thought i had studied enough, but apparently i did not. SO i just need to study alot harder and see where that takes me. Hopefully a passing grade and more knowledge for me to have when i become a real RN and is faced with real situations without a preceptor to cry to. Keep your head up! be assertive with yourself and do not let your fears take over you. We as nursing students must got hrough all the struggle that every RN speaks about. IF it was easy, i think everyone will be nurses. GOOD LUCK!!!:hug:

----- i wish this was as easy as said. my biggest problme in nursing school is balancing life school and work. there is no equilibrium for me.

I read my text book on thye treadmill before..but that didnt last too long because when i ran my eyes couldnt follow the lines in the book, and when i walk there was no point.

It sounds like you never got the chance to give nursing school the chance. You've only gotten so close to it but never really grabbed onto what you want. If you want it, no matter how hard it is, do not put your hopes down. TIME IS JUST A MATTER OF MINUTES COMPLIED TOGETHER, there is no reason why you should give up now, youre almost there. Nursing school will be twice as tough so if you make it through and get there you'll be so proud and plus, YOU"LL BE A NURSE LIKE YOU ALWAYS WANTED=) GOOD LUCK:hug: