grades are up!!!

More practice questions for Gerontology

http://www.seniorjournal.com/KnowSeniorsQuiz/Quiz1.htm

I found this website that seems to be a reliable source. It has 16 different quizzes and explanations for each answer. It helped me!

3rd Hep B reminder

Just got mine today, so thought I'd share ;-)

Titer 6 - 8 weeks after.

Photos For the Tea

Hello Danielle,
I haven't forgotten about the pictures for the Tea, I have many! I think I am going to bring my laptop and a disk, so we can figure out how to put the pictures on a disk, because I think I have too many to e-mail! Talk to ya later!!!

PS: Hello everyone else!

answers

Denise Williams said...
1c2c3a4a5b6d7c8b9b10d11a12b
13c14a15b16b17d18d19c20c21b
22c23d24b25a26c27d28b29d
30a31b32b33c34d35d36b37c
38a39c40b41a42d43c44d45a
46c47d48c49b50a51a52c53a
54d55c56d57a58c59d60a
There are 5 wrong answers
and I don't know which 5 are
wrong Please help

answers to kelly's questions

I have answered 55 questions correctly out of 60.Has anyone else scored higher than this on the practice questions. If so, we can compare answers. Thanks

PRACTICE Q's FOR GERONTOLOGY

Hi Everyone !!

Here are some practice questions for the Gerontology Exam next week.............

"Gobble, Gobble, Gobble"

Low H & H QGeriatric test mix

Question of the week - 11.20.06

A 72 year-old client is scheduled to have a cardioversion. A nurse reviews the client’s medication administration record. The nurse should notify the health care provider if the client received which medication during the preceding 24 hours?

1. Digoxin (Lanoxin)
2. Diltiazem (Cardizem)
3. Nitroglycerine ointment
4. Metoprolol (Toprol XL)

HELP!!!!!!!!!!!!!!

Calling out to all future nurses
I am interested in going to San Joaquin General for Nursing 4
but the section got full before I got to register.
Is anyone interested in switching?
Please let me know. ASAP
Thanks
Jennifer Stevens

My home email is jenn@telnetcom.us

Photo Call

Embarrass your friends AND scare the newbies out of their socks!!!

I am organizing our photos into a presentation for the incoming ADN tea. If you have any photos, and I mean ANY photos of our class and those crazy things we do, please email them to me at kdaniellem@yahoo.com

If you need help figuring out how to send them, or need film photos scanned, etc. just let me know and I'll be happy to figure something out.

Suggestions for appropriate musical accompaniment also appreciated.

Thanks,
Danielle

Fun for all

Hey, a few of us were talking about going somewhere after nursing 2 is over. I hope it is not to early to be thinking about this, but we were thinking about a night or two at Tahoe or Reno. We could fill our cars to the brim and pile into rooms to keep costs down. It would be a day or two of well needed and deserved fun for all. What does everyone think?

Now That, That Is Over!

I haven't entered in the blog for a while now (my apologizes)! This past week has been a little much for me, I am sure I am not alone. I just wanted to send out a note to you all. Some of us are not doing, as well as we would hope to be doing. It is our job as classmates to help each other out, if you know someone that is not doing well; please reach out to them. We don't have to compete against each other. Success always feels better when you can share it, lets succeed together!

Pain and the Nursing Process

Answers to these questions can be found in this Pain article from Wild Iris Medical Information Nursing CEUs.
I have not had a chance to answer these yet. Post your answers in the comments, then I can add this to the test bank if you think it is beneficial.

1. The primary source of information about pain is the:
a. Parent or guardian.
b. Nurse or caregiver.
c. Attending physician.
d. Person in pain.

2. A pain history interview includes questions about all of the following issues except one. Select the issue that is not included in a pain history.
a. What triggers the pain or makes it worse
b. The intensity of the pain
c. Names of persons who have tried to help
d. The location of the pain

3. The two primary diagnoses for pain identified by the North American Nursing Diagnosis Association (NANDA) are:
a. Adult and pediatric.
b. Acute and chronic.
c. Short-term and long-term.
d. Physical and psychological.

4. Adjuvants are drugs that address:
a. Symptoms that accompany pain.
b. Central nervous system pain.
c. Pain caused by tissue damage.
d. Derivatives of opium.

5. Most nonopioid analgesics are potent:
a. Anti-emetics.
b. Antibiotics.
c. Anti-inflammatory agents.
d. Sedatives.

6. In general, nonsteroidal anti-inflammatory drugs (NSAIDs):
a. Include such drugs as Tylenol.
b. Act on mu and kappa receptors in the brain.
c. Are classified as co-analgesics.
d. Affect peripheral nerve endings at the injury site.

7. Opioid analgesics that bind to mu receptor sites and block pain impulses are:
a. Antagonists.
b. Full agonists.
c. Partial agonists.
d. Mixed agonist-antagonists.

8. Many adverse symptoms of opioids are due to their effect on:
a. Body systems other than the CNS.
b. Prostaglandin production capabilities.
c. Glucose metabolism and its byproducts.
d. The complex mind-body interaction.

9. A need to increase opioid dosages for reasons other than the physical adaptation of continuous use is called:
a. Pseudotolerance.
b. Drug tolerance.
c. Psychological dependency.
d. Addiction.

10. A placebo violates the ethical principles of honesty because it:
a. Strips individuals of the right to make decisions about themselves.
b. Has been used by hucksters throughout history.
c. Seeks to deceive the person who takes the placebo.
d. May be used in research to study the effects of drugs.

11. Cognitive-behavioral interventions are used for all of the following reasons except one. Select the incorrect reason.
a. Anxiety and fear reduction
b. Greater sense of control
c. Greater insight to psychic conflicts
d. Alter perception of pain

12. Rhizotomy and cordotomy are:
a. Considered low-risk pain-relieving measures.
b. Indicated for specific types of pain.
c. Both performed in conjunction with a laminectomy.
d. Surgical procedures that involve nerve destruction.

13. Evaluation is a critical phase of nursing care because it tells us:
a. We need to document more thoroughly.
b. The importance of ethical principles to the practice of nursing.
c. The dangers inherent in opioid dependency.
d. The degree to which an intervention achieved an expected outcome.


NursingCEU.com is a division of Wild Iris Medical Education

SJDC ADN Class of 2008

Grades are up for Exam 2 on Etudes!

Question of the week 11.06.06

A nurse is providing care to a 63 year-old client with pneumonia. Which intervention promotes the client’s comfort?

1. Increase oral fluid intake
2. Encourage visits from family and friends
3. Keep conversations short
4. Monitor vital signs frequently

Message from R Sevilla (N3) - from Docushare

Hello All, I have received multiple e-mails from students who have concerns regarding the last calculations exam (Calc 3) and their Calc grade. I will stay after lecture for those students who want to review their exam and how I graded them. I will be posting the scores for Theory Exam 4 later this evening. It will not include any other theory exam scores. I will be posting all of the theory scores (Theory 1-4) by Wednesday night. For tomorrow, I will be lecturing first, and Calculations Exam 4 will be in the last hour of class. I will have an outline posted on DocuShare by tonite (approx. 10pm). Richard

Pain Questions for practice.....

Hi All,

Here are some pain Q's from the test bank......... I think the N4 pain questions are deeper than what we need to know right now, but it sure won't hurt to try and gain an understanding of them.........

PAINN4 Pain testAlternative Therapy QOWPain Qs

Exam 2 Study Guide

Has anyone been able to down load the study guide for exam 2 on pain. My computer wont let me. If someone could cut and paste it to the blog that would be very much appriciated.
Thanks Barbara

Have a great weekend Ladies and Gentlemen!

Ok, Now That Cancer Test Is Over; I Feel Better! I Hope You All Feel Better Too. Have a great weekend!!!

N2 Exam 1 Grades

Grades are posted on Etudes!

Calc 3 Grades

The grades are up on docushare. http://docushare.deltacollege.edu/dsweb/View/Collection-6540

I hope the web addy I put here works. I'm not sure how to link it.

Great Practice Cancer Questions!!!

Hi All,
Just wanted to let you all know that the test bank that Bonnie has been so kind to share with all of us has many, many questions on cancer..........I found them very helpful in understanding and implementing some of the information from our text...........GREAT PRACTICE FOR OUR EXAM ON CANCER THIS WEEK TOO!!

Good Luck to All & Happy Studying

CANCER
Practice Cancer Qs More Cancer Qs Cancer Q of WCancer practiceCancer Qs Cancer Drug Practice Pain and Cancer Qs Cancer Q of the week Lymphoma and Leukemia Qs Cancer Development

REMINDER!!!

Hi, I just wanted to remind all that our complementary medicine assigment for clinical is due next week! Just a friendly reminder :)

N3 Exam 4 sample questions

posted by RSevilla on Docushare

link to questions

Preparing for Clinicals...

Article from the Evolve webpage...



How Can I Be Most Prepared for Clinicals?
By Tina Klasing, nursing student

Although a nursing student may never feel entirely prepared or organized when walking onto the nursing unit, here's some advice from someone who's been through it. Keep in mind that it's all a learning process, starting with day one of clinicals all the way through the end of your degree. Remember to take baby steps, try not to stress, get help from fellow students — working together helps things go a lot smoother. Ask questions and communicate with the staff on the unit — most are willing to help. Clinicals are great experience for what you will be getting into after completion of your degree.

Bring the resources you'll need.
Be sure to always bring necessary resources with you to clinicals such as a lab book, drug guide, drug cards, IV drug guide, and pocket dictionary.

Know your patient.
Some nursing schools allow you to go the day before your actual clinical and gather information on your patient. Take advantage of this opportunity and the extra time you're given to prepare.

Get the facts.
In other nursing schools, you'll find out the morning of clinicals who your patient will be. This gives you a very short time to gather information. Usually you will be given a printout of the patient's name, age, weight, diagnosis, date of admission, and doctor's name. You will also need a medication administration report for this patient to look up information about the patient's medications before administration. Be sure to review the patient's chart before leaving, making sure you have all the up-to-date information.

Do your research.
As soon as you know who your patient will be, begin gathering any information you may need such as your patient's diagnosis, how that diagnosis is treated, what you will need to do for that patient, what their vitals have been, and any lab values. Be prepared to state the medications your patient is on and why, as well as any side effects they may have. If the patient has a schedule such as PT/OT, OR, exams, or procedures, you should figure out how to schedule your day around these events. After evaluating lab results and identifying abnormal values, research how this will affect your patient physiologically and what clinical manifestations you need to assess for during your shift.

Take note of your surroundings.
During the first day on the floor, pay particular attention to where important things are located, such as assignment sheets, charts, vital sign equipment, medication room, and bathing supplies.

Know what's expected of you.
Find out what nurses on the unit expect of you, such as when and where the report on your patient will be given, as well as how vital signs, intake and output (I&O), and your nursing assessment are documented. You'll also want to find out the preferred pattern of care, including when to be ready for report, when chart entries must be made, when vitals are taken, when mealtimes take place, and when patients should receive baths.

Have relevant drug facts on hand.
Medication administration is probably the first thing you will do when beginning your shift, so be sure to have your drug information ready. The most convenient way to carry this information with you is to have a set of drug cards. Drug cards allow you to pull out cards on the drugs your patient is taking and carry them easily in your pocket. You can either make drug cards on your own, or buy drug cards that you can reference easily. Buying the drug cards is much easier, and ensures accurate information. You may also want to bring your drug handbook with you to clinicals in case your patient has started on a new medication during your shift. You will be expected to know the effects of any new medications.

Write down important information.
Locate your patient and the nurse you will be working with, and liaise closely with your patient's nurse throughout the day. Don't be afraid to ask questions. Use a sheet of paper, note card, or a school-provided paper to organize all the information you will need on your patient. This may include name, diagnosis, age, weight, vitals, medications and times, I&O, IV fluids and pump clearing times, and any report information. Do not make the mistake of thinking you can remember everything about the report. Write down all the information you are provided.

Prioritize.
Your initial head-to-toe patient assessment will be done in the morning. If you have more than one patient, look at your patients' histories and prioritize which patient you will see first according to diagnosis and/or needs. If you anticipate that you may need to spend more time with the patient who needs to be seen first, go in to check in on your other patient beforehand. Introduce yourself and let them know you will be returning to do their assessment.

Do your charting on notebook paper first.
Make yourself familiar with the charting for the unit you are on, and know what your instructor expects of you. It helps to do your charting on paper first, show your instructor, get it approved, then put it in the chart. If you have a lot going on and it is difficult to chart things done at any particular time, make notes on your own paper and refer back to them when charting later.

Be prepared for your off-going report.
Throughout the day, write down important issues and events so you can be sure to let the nurse know them. Report any findings and/or assessments that you made during your shift. Examples: vitals, labs, procedures, results, how the patient ate, I&O, medication changes, and any upcoming procedures that the nurse may need to do on her shift.

Protect your patient's confidentiality.
Remember that your patient's confidentiality is a serious consideration. Be careful not to leave your notes where others can see them, and never talk about patients in public corridors and/or elevators. You never know who is standing behind you — it just may be your patient's spouse or coworker.

A Typical Day

1. Arrive at clinicals on time, copy the updated medications and look them up. Review your patient's chart for all information you will need in order to care for that person during your shift.
2. Listen to the report and write all information down.
3. Perform focused assessment/head-to-toe assessment and report findings. Chart per flow sheet according to the guidelines of that unit.
4. Assist patient with personal hygiene, which includes bathing, combing hair, brushing teeth, etc.
5. Perform or assist with ordered procedures and nursing interventions. These may be dressing changes, ambulating your patient, IV insertions, etc. Be aware of what you can and cannot perform with or without your instructor at the bedside with you.
6. Take vitals according to unit policy and your patient orders. Chart those according to policy.
7. Prepare patient for his/her meals. Chart amount eaten and fluid intake.
8. Practice your charting on paper and get it approved by the instructor before charting in the patient's chart.
9. Calculate intake and output, clear IV pumps, feeding pumps, drain foley catheters, etc. and chart all according to unit policy.
10. Prepare and provide an accurate and comprehensive report, whether verbal or on tape, and give that to your nurse. Be sure all charting is complete and attend a post conference.