trishybobishyp

Hey, I live in Utah and the shortage here isn't nearly as bad as it is in other places. It took me 4 months to find a job after my NCLEX and I applied for hundreds. Keep your chin up. Another thing to think about is the emotional strain that nursing school places on you and your family. It consumes you. I don't know what your relationship with school was or is but I do know that it flipped my entire world upside down. I lost freedoms I once had; I didn't have a full time job through school; my house was always in total disarray and there was hardly time to sleep. By the time I graduated I had no idea who I was anymore. It took me a good solid year to reconnect with myself and all my hobbies. During that first year my fiance left me. Nursing school ws hard on him as well because it made me such a miserable cow. The point is that you shouldn't make any judgements about anything until you have 1. Gotten over the stress of nursing school. 2. Can focus on yourself and forgive yourself for for "making the biggest mistake of your life". 3. Get working 4. Reconnect with your life It can take a full year to recover from nursing school. Don't make or allow anyone to force you to make and life altering decisions right now. And any man willing to support you would make a life with you no matter where you end up.

I saw this question posted in 2008 and there were so many conflicting answers. It is difficult for students to make out the correct answer from all the different thoughts. Here is the real answer and the rational. Remember, what NCLEX says is correct (and they decide if you work as a nurse or not) is not always what actually happens in the "real" world. A Patient who was admitted to the hospital with pneumococcal pneumonia has a temperature of 101.6° F with a frequent cough and is complaining of chest pain rated 7 on a 10-point scale with deep inspiration. Which of these ordered medications should the nurse give first? [TABLE=class: MsoNormalTable] [TR] [TD] a.[/TD] [TD=width: 540, bgcolor: transparent] Azithromycin (Zithromax)[/TD] [/TR] [TR] [TD=width: 24, bgcolor: transparent] b.[/TD] [TD=width: 540, bgcolor: transparent] Acetaminophen (Tylenol)[/TD] [/TR] [TR] [TD=width: 24, bgcolor: transparent] c.[/TD] [TD=width: 540, bgcolor: transparent] Guaifenesin (Robitussin)[/TD] [/TR] [TR] [TD=width: 24, bgcolor: transparent] d.[/TD] [TD=width: 540, bgcolor: transparent] Codeine phosphate (Codeine) In the NCLEX world: The answer is d. Codeine. Why? The nurses priority list is ABCDP; Airway, Breathing, Circulation, Deficit, Pain. So according to this the pain is not the priority but because her pain is causing BREATHING issues and she cannot Clear her AIRWAY effectively with 7/10 pain, d. is the correct answer. The codeine is not a "cough" syrup but because of the Cholinergic effects, it acts on the PNS and will help suppress the cough anyways. In the real world, a. Zithromax is correct. The ABX takes longer to be effective and the MD will want it started first. In reality the two would probably be given within seconds of one another and it doesn't make much difference but for the NCLEX, the answer is not the ABX. Hope this helps. [/TD] [/TR] [/TABLE]