Llame_Llama

This is one thing I didn't think about. So technically, even working as an aide under an lpn, I still have the RN responsibilities? I don't mind aide work at all, but that seems like a bad situation waiting to happen

I know that it's still in my scope - and honestly I enjoy working more personally with the residents as an aide. I guess my issue is more that I am the go to person to get pulled.

So I am a recent RN - Just passed the nclex 2 months ago and have been working as an RN in long-term care for about 6 weeks now. I have been pulled off the cart to work as an aide several times now in the middle of my shift when we are under staffed, and tonight really feels like a breaking point. I have made it clear multiple times that I do not want to switch out my shifts as an RN to work as an aide, but for some reason I have become the go-to person, even though I am usually the only RN on night shift (alongside 2 LPNs). I have absolutely no issues with working as an aide - in fact I will pick up shifts when they are short and help my aides out whenever I can as an RN. My issue is that I need the experience as a nurse. And frankly, I went through the schooling and studied my butt off to pass the nclex! I kind of feel like I am being taken advantage of, and am looking into finding a new job. I guess I just want some outside opinions/advice. Should LPNs get pulled first maybe? Am I right to feel like this, or am I crazy?Has anyone been in this situation before?

So, I feel like I know my acid-base imbalance stuff pretty well, but every once in a while there's something that makes me feel stupid. For example this question from the Uworld test bank. An elderly client is becoming increasingly restless. Respirations are 28/min and shallow. Which ABG results best indicate that the client is in ARF and needs immediate intervention? >>The answer is PaO2 of 49 and PaCO2 of 60. I feel like there is something easy I'm missing, and I'd appreciate if someone could point it out for me. Hyperventilation means more CO2 exhaled - which usually means resp alkalosis, right? And there are two types of Respiratory failure - hypoxemic and hypercapnic - right? So shouldn't the CO2 be low and the oxygen be closer to normal (but still low)? I know I'm probably overthinking this, making a dumb mistake, or just plain wrong, but I'd appreciate someone dumbing it down for me if they can!