Eithanhunt

Thanks for the input Wuzzie. Appreciate it!

A is the answer, but I'm starting to think Pearson (this is a question from Pearson's online math review) perhaps is incorrect. Please let me know what you get. Thanks!

The BSA is 2.16, meaning the dose is 3.24mg On hand is 4mg/4mL So...Desired/Have on hand * Quantity would be 3.24mg/4mg * 4mL = 3.24mL Here is where I get stuck. I add 3.24 mL to the 50mL D5W to get a total volume of 53.24mL to infuse over 90 min. So 53.24mL/90 min * 60 min/1 hr = 35.49 mL/hr. But that's not the answer, so I'm missing something...

Can't solve this for the life of me. Assistance required please ? Order: Hycamtin (topotecan HCl) 1.5 mg/m2 IV daily for 5 days, repeat every 21 days. The label on the vial reads 4 mg and the manufacturer's directions states "Reconstitute each vial with 4 mL of sterile water. Withdraw the dose and further dilute in 50 mL D5W and infuse over 90 minutes." Calculate the rate of flow in milliliters per hour for a client who weighs 92 kg and is 183 cm tall. A. 29.6 mL/h B. 87.5 mL/h C. 114 mL/h D. 100 mL/h

I'm sure this topic gets beat to death, but my professor says that priority is Airway Breathing Circulation (ABC) only for patients with respiratory issues, and that the priority switches to CAB otherwise. I thought it was always ABC, unless you're going to perform CPR, only then it becomes CAB. Clarification would be appreciated. Thank you.

Nope, that was a great response. Thanks!

Hi there, I'm having trouble understanding the way you study/prep for your nursing courses. You said you don't read a single page from the textbook, you don't take any notes in class, you don't study lecture material outside of class at all, you work full-time while going to nursing school, you watch a lot of Youtube videos on nursing SLO's, I'm assuming you don't do practice NCLEX questions on your own, and you have a baby at home. All of these variables are in play, and you are in the top 1% of nursing students nationwide. Forgive me, but red alarms are going off left and right in my head because it just doesn't add up for me. You also mentioned, "You just want to scratch the surface and be familiar before you really dig in." But since you also say you never take notes, study class material, and never read the textbook, I'm curious when/where the 'digging in' takes place? I believe you are telling the truth, but I'm just trying to comprehend how this could all work for others/myself or if you are simply the exception rather than the norm for utilizing such a method. I understand the value of studying ahead of time (2 months like you mentioned), and being eager to learn when you review material, but for some reason I just feel like something is missing from this equation. Is there any chance you could clarify some of this for me? Thanks!

We didn't get weekly progress talks, we weren't able to go the night before, but we were allowed to research the meds before we presented them. I just happened to be so scared for my life, and as a result not thinking straight, that I read the page on the left (different drug) rather then the page on the right (correct drug) in my drug book. There's no doubt I made a mistake and I'll own up to it 24/7, but it was a drug I was completely unfamiliar with, and that we were never taught about, so I didn't know the information was wrong when I took notes on it, but that's why we go over the meds before we pass them. I just didn't think the punishment fit the crime.

I'm a male, young, and tall, so I tend to stick out. My grades have always been good to great, my clinicals have all gone well, but on the last week of second semester in my ADN program, my clinical instructor failed me. I was completely shocked, all of my classmates were shocked, and my other professor was even shocked. I'm not some slacker who 'had it coming', I'm an extremely dedicated, hard-working student. From day one I felt I was targeted (previous students have even said this instructor picks one person every rotation and gives it to them the hardest) and overly scrutinized compared to the other students who were in the same rotation, and if you would ask any of the students in my clinical group they would agree 100%. I was constantly fed spoonfuls of fear and anxiety from my instructor. She yelled at us all the time, verbally abused us, called us the worst clinical group she's ever had, told me I would never become a nurse, and even called a girl in my rotation retarded. She played favorites, and I was undoubtedly on the bottom of the totem pole. Everyday I would show up to my clinical site scared for my life knowing that I might fail today depending on the mood of my instructor. How can anyone perform under those conditions? I truly felt she was just waiting for me to make a mistake, no matter how small or simple, in order to have the opportunity to fail me. Before passing meds one day, she quizzed me on a med (one that I've neither previously encountered or had been taught about). I answered her question on what classification it was incorrectly. Without any warning of being warned or punished, I was immediately put on probation. I'm just a student, I make mistakes...Besides, isn't that why we're going over the medications before we pass them? I was never 'worked' with afterwards. I was told to take a remediation exam early the next week. I went to take it, and out of probably 30 questions, I got one wrong, and it was a tricky one...most people would have gotten it wrong had they taken it. I asked what the pass/fail criteria was, and the faculty member told me, "It's up to your professor." I thought, "Oh great..." The next week I arrived at class, was pulled into her office, and was being notified of my failure. THE LAST WEEK OF CLASS. There was no, "good luck, I know if you work hard you can come back from this" kind of talk, no encouragement, just, "You've failed, you cannot attend lecture, and you cannot attend clinical tomorrow. Give me your badge. Goodbye." It was so cold and calculated...that's what I hated the most about it all...Almost as if she planned it, and it all worked out. All the instructors were busy and had weird hours because it was finals week, the instructor who failed me refused to talk to me afterwards, the dean shuttled me off to other people, my request to re-apply was denied, and basically I had no power. The faculty all have each others backs, and work together...I felt as if I was blacklisted and shunned off. It was terrible for me... Needless to say, I've been confused, angry, depressed, on edge, and very unproductive for about 3-4 weeks now, and I truly have no idea what to do with my life. Nursing was it, that's all I was focused on for about 2 years before (prereqs) and the one year during the program, but after this experience, even thinking about nursing makes me sick...I don't know what to do really...I feel a bit lost. In some way I want to do something completely opposite of nursing, but I'm afraid of having to start all over again...Just venting here really.