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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

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

My grandmother died the first day of Clinical. I should of withdrew in the beginning. Oh well, after thinking and thinking...I've realized that I will have a step up when I return in the Spring, or hopefully the Fall. I know what the material is now and i know I can study more so. I'm going to study for my final, and I'm going to still try, but if I don't pass I know I have another chance.

I'm at 200 pts in my class. I need 64 more points. The final is worth 65 Pts. if I miss one question I can still pass. but that's nearly impossible.

I know they warned me to not have to do a make-up because they are hard...I know next semester to not have to do any make up exams. I mean, is it possible to pass an exam and only have to miss 1 point? I don't know what to do anymore.

It's just that I feel like an idiot that's all. They made my make-up test sooo difficult get done! I mean, I took 4 tests yesterday. I know the material, I just rush through my exam's too quickly I guess. I guess I had a lot on my mind? It's a lot of information. I'm looking at the stuff for my final and I'm like I'm done with it...I can only miss 1 point, that's not a lot to miss. If I study now I can try to focus on it, but I'm so stressed out about only being able to miss 1 point!

Ok let me start off with the basics...I started off Nursing school really rough! My grandmother died my first day of clinicals and I had made the decision to go to her funeral...the day of my first exam. I missed that and another exam. I just did now, I took my last actual class exam today, PLUS my 2 make-up exams as well. All in the same day. After everything is all said and done...I can only miss 1 point. 1 POINT on my final for my one class. It is almost impossible to do so. I am afraid I am going to have to apply to readmit and hopefully get back in, in the fall. I am not stupid, but my teacher was really difficult, a lot of people in my class are struggling. She was really nice, however, she made it so difficult to focus and actually understand what she was expressing, and only "read" powerpoints. I know I am not the only one who had to go through this, but can anyone tell me what their experiences had been having to readmit? I know if I do readmit I will have a better understanding of the information and I know I am going to be able to go back more knowledgeable than I started with. Can someone please tell me any advice? Tabatha

Hey there, I understand where you are coming from!! Trust me. If those are the minimum requirements, Im pretty sure you can get in. Don't listen to what others are saying that you should of not allowed yourself to fail. Things happen, and LIFE happens. There are certain things that we cannot control. Take me for example, my grandmother died my first day of my clinical orientation this semester, and I had to go to her funeral and I missed my first exam. Then I had to go to court and I missed my first exam for my other class--Both of which are nursing courses. When it comes to life, it happens. If this is what you want as your career, it will happen. Your daughter needs you to focus on your goals, to make a better life yourself and herself. Your mother also probably wants you to finish school as well. So just keep focusing on the important things, and one day, you will definiately be able to get through it! At my school, I am only able to retake a prereq of Science ONCE. Like I can retake Anaatomy and Physiology once. And I can retake Biology once, or Microbiology--That's at my school. Everything else is fine! Good luck!

Geez that is an Anatomy and Physiology course? I feel your pain! My Micro teacher was ridiculous, everytime I asked her a question she thought I was "attacking" her. I just pushed myself through, and tried to focus on finishing. Try and study a different way. Is there anyone in your class doing well? Ask them what they are doing! Good Luck!

Hello everyone, I thought I would let everyone know that Albiris.com is an excellent site to buy books! Especially, if you don't mind using previous editions. I have found that all my previous editions are just the same as the current editions...and the previous editions on this particular site has some listed as being as low as .99cents, with of course shipping--but all together you are saving a ton of money for books! I have found the Health Assessment and Nursing Fundamentals book that I currently use that are previous editions on this site for that price of 0.99cents! And also you can get a Nursing Diagnosis, and an NCLEX book on there pretty cheap as well! Just thought you would be interested, because I know where my school is, the book package is $1000!

I stayed in the Program! I am currently not withdrawing, and I am still not passing, but I believe with a lot of focus and studying I will be able to pull my grades up. I am currently only 10pts and 4 pts away from passing my classes, and I still have 3 test left to take (The one should be generally easy!) I am focusing my hardest on my next exams, so I can just gey my first semester out of the way! It has been tough, but I know I can do it!