Nrs_angie BSN, RN

Med-Surg, Tele, Vascular, Plastics

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All Content by Nrs_angie

  1. If any of you out there have experience with this, I would love to hear about it... When I applied for the job I was 2 months pregnant... I am finally starting the job but now I am 4 months pregnant. I haven't told them for fear that they wouldn't h...
  2. When do you decide to go up to the LARGER ADULT size BP cuff?? All throughout nursing school and the time I have worked as an RN... No one has ever mentioned specifics of when the larger one should be used. It was explained to me that you "judge" by ...
  3. Hello, Hopefully one of you Renal / Urology Nurses can help me... I am collecting a 24 hour urine onmyself for my OB/GYN, as I am 34 wks pregnant with proteinuria and elevated BP's. We are testing Creatinine Clearance and Total Protein. I woke up thi...
  4. Hello all LPNs, I am starting a new job at a hospital that uses the Team Nursing approach (RNs, LPNs, and CNAs). I have never worked with LPNs or CNAs before. At my last hospital, they used Techs which were like CNAs but they could also draw blood,...
  5. Nrs_angie

    Question about infusion rate?

    Michelle, Read some of my previous posts. I talk about a hospital that I used to work at where we would give Pre-filled drugs through a Bard Pump.... ect. Check it out, it was interesting
  6. Nrs_angie

    Question about orientation

    No problem! Glad I could help... If you have any more situations or dilemas and you want any opinion on how to handle it differently... please feel free to ask or email me. I had the same problem too... I was always running late because my precep...
  7. Hello all you L&D girls... Im a med-surg nurse, so Im not very familiar with the pregnancy protocols... At my Belly Check yesteray, I had 2+ protein in urine... First BP check Systole was 142... don't remember the diastole reading... on recheck ...
  8. Nrs_angie

    Why do docs give D5 to diabetic patients a lot?

    D50 is 50% dextrose as opposed to the D5 which is 5% dextrose... the D50 should be ordered on a PRN basis for all Diabetics on insulin... if their BG drops, and they are unresponsive or unable to take food/drink by mouth the D50 which comes in an ...
  9. Nrs_angie

    Poor care post surgery

    12 hour shifts makes more sense now... but im still very curious... when you and your husband both repeatedly asked for pain med... what was the nurse's response? Did she just outright ignore it? Did she say NO? Did she give a reason? I am dyin...
  10. Nrs_angie

    Poor care post surgery

    im just confused... there's alot of mention about the night nurse... I am assuming she didn't start her shift until 2300... so where was the evening nurse that received you immediately post-operatively following PACU... shouldn't the evening nur...
  11. Nrs_angie

    Changing a patient's diaper while they are standing ?

    I dont work in LTC, but I work in a hospital... I guess it all depends on the situation... Once a very confused and weak patient was told not to get out of bed with help. The bed check was alarming all night. Once, I went in and she was attempting ...
  12. FOCUS ON ABCs AND SAFETY. WHEN YOU NARROW IT DOWN TO TWO CORRECT ANSWERS.. ASK YOURSELF IF EITHER RELATES TO AIRWAY, BREATHING, CIRCULATION OR SAFETY. THOSE ARE VERY HIGH PRIORITY TO THE NCLEX TEST MAKERS.
  13. Nrs_angie

    drugs encountered in NCLEX?

    Hey CT... You are absolutely right... I already posted my experience with Cyalis before I read your post... Honestly... I dont remember having any med questions... If I had to guess... I would say that I had 3 or 4 out of 75 questions... but the one...
  14. Nrs_angie

    drugs encountered in NCLEX?

    i took the test 2 years ago... but i really don't remember having alot of drug questions... most of mine were critical thinking types and patient scenarios one weird one that stood out was a question about cyalis...not sure of the spelling... i ne...
  15. Nrs_angie

    Calculation

    nn nn nn
  16. Nrs_angie

    Calculation

    Thank you... I was starting to feel OLD ewwwww
  17. Nrs_angie

    Metformin

    49 sounds like hypoglycemia to me personally I would hold the metformin and any other oral hypoglycemic meds doesn't matter how long acting the med is... it will cause a further drop in blood sugar if blood sugar comes back up to the 100s around lunc...
  18. Nrs_angie

    Would you give 25u Reg Ins IV?

    I am sure that he meant SQ not IV.... im pretty sure the rule for SQ is you can give up to 30 u of regular insulin SQ. So I would call to clarify the order and route. but actually I work on Med-surg where they do hang Insulin drips... so yes it do...
  19. Nrs_angie

    DKA and fluid resuscitation

    Dawn hit the nail on the head.... couldn't have said better myself
  20. Nrs_angie

    Calculation

    Sorry... I don't know a website... but I can recommend a book that is Clear and to the point! ECG Interpretation Made Incredibly Easy! It's a quick read... you can finish in a day or two... it explains the important points along with some nice to...
  21. Nrs_angie

    Calculation

    Why does it seem that nowadays everyone takes simple TERMS of ENDEARMENT such as "silly, hon, sweetie" and turn it into an ugly thing... FYI my mother's oncologist calls her sweetie all the time... its a term of endearment. We are NOT offended by i...
  22. Nrs_angie

    Calculation

    Don't forget... pharmacy and MD's can make mistakes... youre the one giving the med, so its your butt on the line too. Oh well... dont worry about the test... you'll be fine... just keep practicing. BTW... if you know the formulas... you can't go wro...
  23. Nrs_angie

    Calculation

    happy holidays
  24. Nrs_angie

    Calculation

    I was only joking.... guess you dont know who Rodney dangerfield is.... am I that old since I know who he is?
  25. Nrs_angie

    Calculation

    good im glad you got it... here's another example just to make sure... lets say you have a heparin order this is why you wanna use the DESIRED/HAVE X QUANTITY formula order is for 5000 u of heparin per hour & pharmacy sends 25,000 u in 250mL ...