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Hello fellow nursing peeps!
My husband is currently in the program and came across this question, and I would like to get your overall feeling about it:
Patient presents to the ED with c/o of NV&D for 10 days, and is now in abd and epigastric pain; What is the nursing priority?
1)Hemmocult Card
2) Serum Electrolytes level
3) Diet Orders
4) Insert Foley
Thank you in advance for your help.
Honestly I would say the card. Everything else needs and order and isn't a nursing action. I think it is a crap question though but...I would say card as the RN and electrolytes as the NP.
On the NCLEX, you are supposed to assume you have orders for all interventions listed in your answer choices.
I'm sorry, but I take offense to your reply Grn Tea. How do we know that you are in fact an RN with all of the acronyms after your name?!?!? This WAS NOT a test question, but was a sample question used in lecture. I wanted to get a feel for what other qualified individuals thought as wel . I am in fact a registered nurse, and would like to remind you that your response is what gives truth to the phrase "nurses eat their young." Since when are students allowed to use smart phones as reference during an exam?? Before making a snap judgment, maybe gather all of the information.
Honey, it's painfully obvious that some are woefully ignorant, regardless of their education. While we appreciate their extremely leading responses, the question begs of whether they practice hip shooting in their profession, since it all arrives from their mental models anyhow. If there is one thing in life I've learned it's when someone is on the attack, it's quite clear it's a coping mechanism for shortcomings elsewhere. I just hope they are clever enough to post their workplace so we know never to visit THAT town while on vacation, for fear of ever having to be in their care.
Either these two are married to each other and augmenting their boring marriage by coming here to stir up trouble, or this is one malcontent with multiple accounts punking all of us. In either case, I do not have time for this BS and neither do any of you. Time to put this thread on the "leave to die" list.
Well, we came here seeking some guidance/support for a question posed. And asking the question, with providing an answer seems to defeat the purpose of asking a question and seeking an objective answer without diluting the results with bias. Being new to the forum, apparently there are some informal rules of engagement I was (we were) not aware of. I am a professional through and through, but I simply do not care for being degraded by an assumption. I am now appreciative that the OP participants (constructive contributors) have helped me think this thorough and of course, the next post I endeavor to make I will learn forward and word with rationale. The actual answers were very helpful and you confirmed my thought process, so again I sincerely thank you. We have some bruises from the experience, but we worked the solution together. P.S. I do like GOT, but you can't hold that against me! ; ) Ah, my semester is over in mid-May.
I understand my place to this new world I am learning to adapt. However, I bring an awful lot of experience to this field as well which is to say I deserve some respect. The latter posts, that were really quite un-supportive to say the least. Pitting my wife and I as boring? Really? I'll end my post here to be professional.
IrishIzCPNP, MSN, RN, APRN, NP
1,344 Posts
Honestly I would say the card. Everything else needs and order and isn't a nursing action. I think it is a crap question though but...I would say card as the RN and electrolytes as the NP.