NCLEX Practice Question of the Week

Sorry I’m a little late on this!

Here is the weekly question posted on the NCSBN Learning Extension:

A health care provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. A nurse instructs the client to discontinue the medication and contact the provider if which of these symptoms occur?

1. Infection of the gums
2. Diarrhea for more than one day
3. Numbness in the lower extremities
4. Ringing in the ears

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Chaos Ensues

“You’ve been busy tonight, haven’t you?”

The officer looked up from what he was writing, and with a slight smirk uttered “you have no idea.”

The hospital I work at is located in a small city, next to a slightly larger city, which is only hours away from major metropolitan cities. This hospital is not a trauma center, but a small community facility. Yes, we do get the random MVA or assault, but not like we experienced last night… and not all in the same night.

Hang around a hospital long enough and you’ll hear someone mention that the full moon brings the crazies out. What you may not hear, but after tonight it should be considered, is that the first warm day of the season brings out just as much of the same crazy

The night started off in typical fashion- busy at the change of shift with a handful of admissions. Soon enough, the board started to empty out and all was well.

And then came the crazy.

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse is discussing with a new mother the proper techniques for breast feeding an infant. The nurse would identify an incorrect understanding and the need for additional instruction if the mother made which statement?

1. “I should position my baby completely facing me with my baby’s mouth in front of my nipple.”
2. “The baby should latch onto the nipple and areola areas.”
3. “There may be times that I will need to manually express milk.”
4. “I will give the baby a pacifier in between nursing.”

For Your Viewing Pleasure

I thought I’d try doing a video post today. This one is about the nursing kit I recently purchased. Let me know what you think of the videos and if you’d like me to continue with them.

NOTE: I just noticed that the video is cut due to the template I’m using. You may just want to click on it and watch from the Vimeo site directly. I really don’t want to change the template. I like it.

Vodpod videos no longer available.

more about “Nursing kit on Vimeo“, posted with vodpod

The Better to Hear You, My Dear

I’ve got my stethoscope for school. As you can see in the picture, it’s a Pure Tone Cardiology. Program Director suggested an inexpensive Littmann, which I did have years ago, but I accidentally left it in a vehicle in the Philippines.

This isn’t a new… it’s actually my mom’s old one, and still works well. Just have to make sure I don’t lose it- these go for 170 bucks.

NCLEX Practice Question of the Week

Here is the weekly question posted on the NCSBN Learning Extension:

A nurse has been assigned to a group of clients who are receiving IV infusion potassium replacement. Which finding indicates that the nurse needs to advise the registered nurse (RN) to evaluate the client’s potassium replacement??

1. Pain radiating down the outer part of the client’s arm
2. Complaints of belly pain and cramping
3. Repeated dysrhythmia alarms on the monitor
4. Abnormal 12 lead ECG report

The answer? Wait for it…

Pride and Corrections

Like many community hospitals out there, the one I work at uses hospitalists. If you don’t know what a hospitalist is, they are the physicians that admit patients into the hospital from the Emergency Room when their primary doctor won’t admit, doesn’t have admitting privileges at the hospital, or they don’t have a primary at all. They admit them to the hospital and take care of them for the length of their stay. Hospitalists can be moonlighting internists or part of a physician group (which my hospital uses). If you want a clearer explanation of hospitalists, please check this page out.

When I got to work last night, this was the report that the evening shift gave me:

“Well, we started off pretty bad but as you can see we were able to clear the rack. Ultrasounds were done on beds seven and twelve, and we’re waiting to get reports back. Bed ten started drinking about half an hour ago and CT is already aware when he’ll need that scan. The hospitalist is working on bed six’s admission and he’s got three more to go after that.”

“Which hospitalist is on tonight?”

“Dr. Adams.” The clerk motioned to the reading area and I took at look at the doctor. He looked vaguely familiar, and I’m pretty sure I had worked with before. We said our goodbyes and the clerk clocked out and left.