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combinate's Latest Activity

  1. combinate

    Delegate to Aides

    I have a couple (SATA) study questions that suggest the following delegations to aides: * Transport a client who has had a stroke to the radiology department for a CAT scan. * Page the Dr. (HCP) for a client with a fingerstick blood glucose level of 49 mg/dL. * Contact the dietitian for a prescribed consult. Aren't there situations in NCLEX-land where the RN transports a stroke patient (maybe an LPN) due to acuity and stability issues? Doesn't the nurse contact and coordinate the other healthcare team members? It seems like the question writer(s) got some erroneous practice deviations into those questions.
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    Interview Attire

    Thank you all. I chose the blue blazer (silk or light wool as per dress pants; dressy but subtle) and tie. I saw one other candidate at this "recruitment event" (also male). He wore similar colours, but more of a "dress-down khaki" look and without a blazer. So, I would have fit in fine without the coat, but one never knows if it might be appreciated, even subconsciously, and help my candidacy somehow. I'll remember your suggestions. I had called a hiring leader about the recruitment event. Someone else called me back and arranged for me to attend the first of three blocks of meetings with candidates for the critical care units. I explained that I have one more semester of nursing school, but I think we both failed to clarify all the details. The guy I talked to met with me on the way in and showed me to the event. I saw him on the way out and learned that he was finishing a two-month contract. He had gathered my resume a couple days before for the recruiters, but they said they would not be hiring students at this event. They toured me briefly through NICU and talked about their student clinical job programs and their graduate nurse programs (the latter starting after my semester). Therefore, it has to serve as an informational interview for me, and I can now focus on application for a graduate nurse position (8-12 weeks training at this hosp.).
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    Interview Attire

    For a male entry level RN interview: I have appropriate dress shoes/belt and silk or light wool dress pants. Then, I have a one-tone, button-down, silk shirt with short sleeves and collar that goes well with the pants. Is that ok, or would it be better to wear long sleeves and a tie? And, if wearing long sleeves and a tie, do you recommend wearing a coat (maybe a blue blazer)?
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    Nulliparous >> Primiparous

    Does a nulliparous woman become primiparous at 20 or 25 weeks of gestation regardless what happens from that point?
  5. This is a part of a commonly used IV solutions table: [TABLE=align: center] [TR] [TD]Name of Solution [/TD] [TD]Type of Solution [/TD] [TD]Ingredients in 1-Liter [/TD] [/TR] [TR] [TD]0.45% Sodium Chloride Shorthand Notation: ½NS [/TD] [TD]Hypotonic pH 5.6 [/TD] [TD]77 mEq Sodium 77 mEq Chloride [/TD] [/TR] [TR] [TD]0.9% Sodium Chloride Shorthand Notation: NS [/TD] [TD]Isotonic pH 5.7 [/TD] [TD]154 mEq Sodium 154 mEq Chloride [/TD] [/TR] [TR] [TD]3% Sodium Chloride [/TD] [TD]Hypertonic pH 5.0 [/TD] [TD]513 mEq Sodium 513 mEq Chloride [/TD] [/TR] [TR] [TD]5% Sodium Chloride [/TD] [TD]Hypertonic pH 5.8 [/TD] [TD]855 mEq Sodium 855 mEq Chloride [/TD] [/TR] [/TABLE] Why does the pH go "up, down, up" as NaCl conc. increases?
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    AE of Mylanta

    Abrams’ Clinical Drug Therapy: Rationales for Nursing Practice A current Pharm text. Nursing authors are also sometimes wrong.
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    AE of Mylanta

    "...contradicts the rationale". Forgive my misspelling; the rationale was after the answer. The Abrams' materials fail in many instances to explain the answers (and wrong answers) to the study questions. You have confirmed and clarified what I read, and it appears that the question and rationale as published are problematic (Answer should be C, and maybe D, but less so, right?).
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    AE of Mylanta

    The posted answer to this question from Abrams' contradicts the rational. I found in another source that diarrhea and constipation are listed as adverse effects. ? [h=3]A patient is started on Mylanta for peptic ulcer disease. It is important for the nurse to inform the patient about which of the following adverse effects? A. Nausea B. Vomiting C. Diarrhea D. Constipation[/h]ANSWER: D → Calcium- and aluminum-based antacids have the adverse effect of constipation, whereas Mylanta, a magnesium-based antacid, has the adverse effect of diarrhea.
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    docusate sodium vs saline laxative

    ok How about the second post?
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    docusate sodium vs saline laxative

    It seems like Docusate sodium and the citrates could both be hypertonic and work by osmosis. ?
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    docusate sodium vs saline laxative

    I equated the mineral citrates with “saline laxatives”. Is that right? And, are those also the same as “Saline cathartics”?
  12. Docusate sodium works by osmosis to draw water into the colon. How are the mineral citrate solutions (stool softeners) not working by the same mechanism?
  13. combinate

    Classification of skin pharmacotherapy

    Here is more grouping from Wikipedia: D Dermatologicals D01 Antifungals for dermatological use D02 Emollients and protectives D03 Preparations for treatment of wounds and ulcers D04 Antipruritics, including antihistamines, anesthetics, etc. D05 Antipsoriatics D06 Antibiotics and chemotherapeutics for dermatological use D07 Corticosteroids, dermatological preparations D08 Antiseptics and disinfectants D09 Medicated dressings D10 Anti-acne preparations D11 Other dermatological preparations
  14. Hi, Below are some classifications of skin drugs from two sources (second one fr Wikipedia). Is there a good way to arrange these for study/learning? anticholinergic drugs, beta-blockers/timolol maleate, alpha-2 adrenergic agonists, carbonic anhydrase inhibitors/acetazolamide, anti-inflammatory/diclofenac; neomycin-polymyxin B-hydrocortisone/Cortisporin Otic; retinoids/isotretinoin, benzoyl peroxide, sunscreen, emollients, enzymes, heratolytics, antiseptics, corticosteroids [TABLE=width: 931] [TR] [TD]Skin (D) [/TD] [TD]- Emollients - Cicatrizants - Antipruritics - Antipsoriatics - Medicated dressings[/TD] [/TR] [/TABLE]
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    Living will question

    I wrote an alternative answer to a question from Potter and Perry to try and clarify and help me to understand the principle of the living will: The nurse notes that an advance directive is on a patient's medical record. Which statement represents the best description of an advance directive guideline the nurse will follow? answer: A living will is invoked only when the patient has a terminal condition or is in a persistent vegetative state. A living will is invoked only when the patient has a terminal condition and is no longer cognitively capable to direct their care (e.g. is in a persistent vegetative state). Does the second answer make more sense? It seems like the first answer creates the possibility of a patient's document coming into conflict with their conscious desires.
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    Blood glucose w high and low solutions

    Thank you all very much! This brings it back to me. I do remember scanning the control bottle tags and measuring the respective control solutions.