Sallysame

Thanks a lot for your comments!

Sorry, I meant patients on vent with a trach. The trach came out, hence my use of the word "extubated". What I really want to know is how people feel about launching a CPR on the floor before the emergency team arrives. When you are standing there alone and in shock.

Hello fellow nurses! It's always busy busy time for us but I wanted to take a few minutes to share an experience. Last week I came into my shift on a med/surg floor and right after report, the PCT came to get me that the patient had inadvertently extubated himself. We called a code and within minutes everyone was in the room and the patient safely reintubated. I sound very calm telling you the story but during those few minutes, I felt a pang of panic and quite petrified. I was wondering if you'd be willing to share your experience. Do you feel that regular renewal of the BLS prepares us on the floors to act during those first few minutes? Thanks and keep up the good work! Sal

Thank you so much for having reassured me. Indeed, I too would have assessed the patient before the material. Have a great day!

Hello everyone! I was doing some practice questions and came across a strange question (below). you had to place the answers in the right order. the right answer is the following but I am confused. I thought that you always had to check the patient before the equipment whereas in this case it is the other way around. Any idea? thanks! The oncology client is using patient controlled analgesia (PCA) with morphine for pain control. The client reports having pain and states it is a 7 (on a scale of 0 to 10). Indicate the correct sequence of nursing interventions by dragging and dropping the sentences into the correct order. Ensure the client is using the PCA equipment properly Confirm that there is power to the pump and the tubing is patent Assess the level of consciousness and respiratory status Check the chart for orders for treating breakthrough pain Consult with the health care provider

Wow, looks like we are going down the same path. I've been an RN for 12 years and in ICU for 7. I've also just began the NCSBN and indeed it is more challenging. I'll be thinking about you, what day is D day? Can you PM me? Goooood luck!!!

Hi Aishunte, Thanks for letting us know. Good luck on your NCLEX. Would love to know how you prepared. Have you been out of school for a while? Which state are you applying to. Would love to hear about your experience. (in PM if you prefer) Thanks!

Thanks for your answer :)

Thanks Rob, this was what was troubling me. Your answer cleared everything up for me.

Sorry I seem to have not copied the question properly. The patient's right foot is weak/paralyzed. Sorry about that.

oh no, sorry, I didn't copy the question properly! The question was stating something like a patient has a closed chest drainage system where bubbles can be seen in the collection chamber. And yes, the answer was that there was a leak. My issue is that, aren't there constant bubbles in the water seal chamber? Thanks guys!

Last question for now. I know that in a closed chest drainage system there is a compartment that bubbles. Is that correct? Which would it be? What is the answer to this question? [TABLE=class: px"textNormal_2"] [TR] [TD] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]1. [/TD] [TD=align: left]The system is functioning normally.[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]2. [/TD] [TD=align: left]The client has a pneumothorax.[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]3. [/TD] [TD=align: left]The system has an air leak.[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]4. [/TD] [TD=align: left]The chest tube is obstructed. [/TD] [/TR] [/TABLE] [/TD] [/TR] [/TABLE] Thanks a lot!

Hello! There's a question that I keep on bumping into. I was wondering if someone could help me understand the logic. I keep on bumping into the two following questions. Can anyone help me understand the logic? [TABLE=class: textNormal_2] [TR] [TD=align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]1. [/TD] [TD=align: left]Parallel to the bed on the right side[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]2. [/TD] [TD=align: left]Perpendicular to the bed on the right side[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]3. [/TD] [TD=align: left]Parallel to the bed on the left side[/TD] [/TR] [/TABLE] [/TD] [/TR] [TR] [TD=width: 20px, align: right] [/TD] [TD=width: 12px, align: right] [/TD] [TD=align: left][TABLE] [TR] [TD][/TD] [/TR] [TR] [TD=align: center]4. [/TD] [TD=align: left]Parallel to the bed on either side[/TD] [/TR] [/TABLE] [/TD] [/TR] [/TABLE] I would put the chair on the left side but that is not the right answer. Why? Thanks guys!

Thanks for your answer. I just find it tricky sometimes in the NCLEX questions. If I bump into the same question, I surely will post it.

Hey Lanna, Wishing you luck on your quest. Sounds like it isn't easy out in NY!