Crobert

JBMmom, thank you so much for your response to my post!

I was wondering if anybody has had this experience. I would like to work as an Adult/Gerontological NP in primary care, more precisely at an Internal Medicine clinic. Not sure if this specialty is worth pursuing. I do have an MSN, but I am not an NP. I will have to get a student loan, also. If anyone has also had a positive experience with a private student loan, I would love to know. Thank you in advance.

silverbat, thank you so much for taking the time and trouble to provide me with all this wealth of information. I also greatly appreciate your very honest view.

I have recently been offered an MDS nurse position. I have never worked in this specialty before. What would be the advantages and disadvantages of this position? What should I be excited about? On the other hand, what should I fear? Thank you in advance for your time and input!

Thank you very much, everyone, for sacrificing your own time to research this matter or to provide me with your precious input. Prioritization questions are always difficult to tackle, especially when you need more knowledge of protocols and procedures. I appreciate each and every individual contributions in the highest.

GrnTea, thank you so much for taking the time and trouble to provide me with rationales for why we would or would not do the activities listed under my question. As for the possible systemic reaction to the tetorifice toxoid in persons with excessive alcohol consumption, I found the information on the website of the Centers for Disease Control and Prevention (there is a general immunization recommendations document there).

I think interventions a and b are not important for the moment. My struggle is to choose between c and d as my first intervention if I ever find myself in the situation to assess an inebriated patient. I know that nail gun incidents can lead to tetorifice infections and I would want to know whether my patient has been immunized and how long it has been since he has been immunized (to determine if he is still protected by the vaccine or not). But then, wouldn't I want to know his current blood alcohol level first to help me make a decision as to my next interventions? I know I cannot give the tetorifice shot to a person who has been consuming alcohol, for that might lead to a dangerous systemic reaction. So, I guess, I'm a bit confused at to which of c and d I should do first. P.S. Also, I have not received any private message. I would prefer that we discuss this problem here on the forum so I can understand better how the prioritization has been done.

Hi! I'm trying to find out which is the correct answer to the following prioritization question: A 30-year-old client is brought to an emergency trauma center with a hand injury from a nail gun sustained while remodeling an old barn. there is a strong odor of alcohol and the client admits to having three beers during a 3-hour period. Which assessment findings are most important for the nurse to evaluate FIRST? a. blood type b. time of last voiding c. current blood alcohol level d. date of last tetorifice immunization I would also appreciate your rationale. Thank you in advance!