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I have a question I had my Fluid and Electrolytes exam today and I am just wondering about a few things on my exam.. One question was "A client is at risk for developing hypercalcemia, what patient teaching would you recommend to this client? " Only two answers made sense were: Have them drink more fluids. Or restrict dairy and milk products from their diet. I know that hypercalcemia is related to a lot of calcium intake, but I also know it's related to other things as well...However I looked it up and calcium in a lot of other food items and not just calcium, so I chose drink more fluids....am I thinking wrong on this one? In my book it says to rehydrate the patient. Another question was... A patient who is taking Lasix should contact their physician if: A. They gain 3 lbs in a week. B. Lose 3 lbs in a week. C. Hear ringing in their ear. I chose the ringing in their ear, now I am not wording these questions the same as they were on the exam, nor the answers...But isn't ringing in the ear a serious side effect of Lasix? I know it can cause deafness if pushed too fast. I am not sure what to think about this one! Another question was: A patient who has fluid volume excess is starting to get confused, what should the nurse do? A. Put them in trendelenberg postion with the feet and legs elevated and the chest and head lay flat. isn't this reverse trendelburg ? B. Give them diuretics. I know 2 of the answers, weren't right at all, I chose give them diuretics? Can someone give me pointers?

Ok, so here goes nothing... I'm walking into my the school and my lecture teacher stops me and says I need to talk to you, and I'm thinking did I do something wrong....Hopefully not! So apparently my clinical instructor had called my lecture teacher (who is also the course coordinator) about my performance in clinical. All this time I thought I was doing good, and apparently my instructor thinks I'm having others do the work for me, while I stand there and watch...THIS IS NOT TRUE AT ALL! This is the first clinical my instructor has ever taught. But some people in my clinical are going to our instructor saying so. She said she feels like I need to take more initiative and seek out new things. There isn't much I can do on a spinal-cord rehab floor as a first semester student. I mean I was paired out with someone last friday, but apparently I'm letting them do all the work? Let's see...I fed my patient, washed her face, brushed her teeth, put her partial dentures in, did her vitals.. the person I was paired with only helped me get her dressed and put into her chair. I mean what more can I do? I forgot to mention I changed her bed. She also said I should talk to my patients and get to know them better, problem is I had a patient who was very non verbal for 2 weeks...I would talk to them and the one wouldn't talk at all, and the other one just didn't want to say much because of how much pain they were in. I tried talking to them, but all the did was say "uh-huh, yeah I feel better." I'm not sure how I can go about this...I mean there is time to step up more to the game, my clinicals end on december 6th...but any advice here? Has anyone had anyone tell you need to take more initiative? I am going to talk to my instructor on Thursday about it(that is the next day I have Clinicals) But she said as long as I do the stuff we go over, I'll be fine... Ugh, so frustrated! And am I overthinking this?

She told me she will talk to me on Thursday

Ok, so here goes nothing... I'm walking into my the school and my lecture teacher stops me and says I need to talk to you, and I'm thinking did I do something wrong....Hopefully not! So apparently my clinical instructor had called my lecture teacher (who is also the course coordinator) about my performance in clinical. All this time I thought I was doing good, and apparently my instructor thinks I'm having others do the work for me, while I stand there and watch...THIS IS NOT TRUE AT ALL! This is the first clinical my instructor has ever taught. But some people in my clinical are going to our instructor saying so. She said she feels like I need to take more initiative and seek out new things. There isn't much I can do on a spinal-cord rehab floor as a first semester student. I mean I was paired out with someone last friday, but apparently I'm letting them do all the work? Let's see...I fed my patient, washed her face, brushed her teeth, put her partial dentures in, did her vitals.. the person I was paired with only helped me get her dressed and put into her chair. I mean what more can I do? I forgot to mention I changed her bed. She also said I should talk to my patients and get to know them better, problem is I had a patient who was very non verbal for 2 weeks...I would talk to them and the one wouldn't talk at all, and the other one just didn't want to say much because of how much pain they were in. I tried talking to them, but all the did was say "uh-huh, yeah I feel better." I'm not sure how I can go about this...I mean there is time to step up more to the game, my clinicals end on december 6th...but any advice here? Has anyone had anyone tell you need to take more initiative? I am going to talk to my instructor on Thursday about it(that is the next day I have Clinicals) But she said as long as I do the stuff we go over, I'll be fine... Ugh, so frustrated! And am I overthinking this?

Ok, so here goes nothing... I'm walking into my the school and my lecture teacher stops me and says I need to talk to you, and I'm thinking did I do something wrong....Hopefully not! So apparently my clinical instructor had called my lecture teacher (who is also the course coordinator) about my performance in clinical. All this time I thought I was doing good, and apparently my instructor thinks I'm having others do the work for me, while I stand there and watch...THIS IS NOT TRUE AT ALL! This is the first clinical my instructor has ever taught. But some people in my clinical are going to our instructor saying so. She said she feels like I need to take more initiative and seek out new things. There isn't much I can do on a spinal-cord rehab floor as a first semester student. I mean I was paired out with someone last friday, but apparently I'm letting them do all the work? Let's see...I fed my patient, washed her face, brushed her teeth, put her partial dentures in, did her vitals.. the person I was paired with only helped me get her dressed and put into her chair. I mean what more can I do? I forgot to mention I changed her bed. She also said I should talk to my patients and get to know them better, problem is I had a patient who was very non verbal for 2 weeks...I would talk to them and the one wouldn't talk at all, and the other one just didn't want to say much because of how much pain they were in. I tried talking to them, but all the did was say "uh-huh, yeah I feel better." I'm not sure how I can go about this...I mean there is time to step up more to the game, my clinicals end on december 6th...but any advice here? Has anyone had anyone tell you need to take more initiative? I am going to talk to my instructor on Thursday about it(that is the next day I have Clinicals) But she said as long as I do the stuff we go over, I'll be fine... Ugh, so frustrated!

I Can hear the blood pressure but it is just very low for me. I am a little hard o f hearing.

The only problem is I have to be tested out on my blood pressures with a teachign stethoscope and I cant use my own

I can hear blood pressures and I cant. My problem is with the sytolic...I hear the first sound but it is usually so light I can barely tell so I go with the first actual sound I hear...What can I do about this? I failed my test-out and I need to pass it...I was off by a lot and I feel so dumb about it! I had ear infections for 4 yrs and my ear drums are scarred from it.. Any tips would be helpful! thanks!

Awe thanks! I had a really tough beginning with my grandmother dying on my first day of clinical orientation, and i had a court-date which caused me to miss 2 exams and I had to make them up. I definitely grasped the material more so towards the end, but by that time learning NCLEX style questions definitely took a little bit of time, you have no idea on how many times I changed my answers and I had the first answer right and the second answer wrong! I am definitely going to try a lot more next semester, I just really hope I can get back in the fall!

I am going to try and get back into the fall--they have to do a lottery where I go. It was the NCLEX style questions once I got the style of questions and like for me it was too late! I am going to do better next semester now I know what to look for! I heard once you get past the first semester, it gets easier...hopefully this is true

So I failed fundamentals and health assessment, fundamentals by 4 pts and health assessment by 5. I feel so stupid! It started off really rough for me...Is anyone else in my predictament?

The question is Which part of the nursing process is being used when the nurse is looking at the interview and risk factors to develop a plan of care? 1. Diagnosis 2. Implementation 3. Assessment 4. Evaluation I put Diagnosis because it said risk factors, and your not assessing the patient, but I'm not quite sure if its right. A nurse does a wound change and notices that the wound has not been progressing in healing. The nurse decides that another plan of action needs to take place, which part of the nursing process is the nurse showing? 1. Diagnosis 2. Implementation 3. Assessment. 4. Evaluation This one tricked me but I chose evaluation, because apparently it's not assessment because it was already assessed if they are doing a wound change, and I know it's not diagnosis or implementation? Can someone please help me clarify? I'm not quite sure if evaluation is the right answer. This was a test question that I just took

On my exam last Friday i had this question: You a nurse who is providing a care plan for a nursing assistant for a client who has Stage II Alzheimers. Which would be appropriate to add to the care plan? 1. Put deadbolts on the doors on the outisde. 2. Put a padded rug by the bedside. 3. Use black and white knobs for the kitchen stove. 4. Turn the lights off in the bedroom at night. I picked 4

I didn't have 3 for loading and 2 for initial dose. I over think things...before I had 1.5 tablets and 1 tablet thinking something completely different!

Ok the order is loading dose of 1.5g of of Vancomycin and every dose after that is 1 g of Vancomycin you have on hand 500 mg of Vancomycin. How many tablets is the loading dose? How many tablets for one dose? I get confused with this because i am not sure on where I should start. I feel the answer should be 3 tablets for the loading dose, and 2 tablets for every dose after. I got this wrong on my exam I know for a fact. I over think my questions