Nurse Grads - May 2009

2009-10-14T09:55:00.001-07:00

SNA Bocce Ball Tournament Sign-up!

Sign of the times

2009-09-24T16:49:00.000-07:00

I decided to pop in and see whassup on the ol' class blog. Nothing new since August 17. Over a month!! Well, I suppose that means we've mostly moved on, which is a good thing, yah?

For those who do still drop by, for nostalgia or curiosity, please continue to share information on what you're hearing on the "grapevine" about job opportunities, career fairs, etc.

Some of us are still not working, while some of us have secured a job of sorts, but are still open to finding something better than what we've lined up so far.

And drop a line, sometime: susielynn@gmail.com

Missing the ol' gang, and hoping you're all thriving in your new careers!!

Jobs

2009-08-17T21:21:00.000-07:00

I'm sure many of you have already heard about the Wellness Nurse jobs out there. Here are a few links.

Wellness nurse in Concord

Wellness nurse in Sacramento

Mollen Immunization Clinics

Dr's Manteca new grad position

2009-08-10T19:26:00.000-07:00

Student Nurses' Association would like to invite you to our CPK Fundraiser!

When: Thursday August 13th 2009
Time: Beginning at 10am and lasting all day
Where: California Pizza Kitchen in Stockton (located across the street from the college)
*Please bring the attached flyer and present it to your server when ordering and the NSNA will receive 20% of your bill!

California Pizza Kitchen has graciously opened their restaurant to us 1 hour before they open to the public. This will give us time to order our food, catch up with each other/get to know new students, exchange books, buy uniform patches or learn some important information from more seasoned students. The SNA would love for all of Delta's past graduates to join us! We would also love any information & encouragement that you could lend.

We look forward to seeing some of you there!

Thank you!
Angela Aistrup - Vice-President (Fall 2009)

Talk about insanity!

2009-07-20T11:52:00.000-07:00

I studied my little butt off..question after question after question. And actually, I learned A LOT. I went to sleep the night before feeling like, "I got this." Before I left the house, my dad gave me one of those "parent" pep talks. You know..the one where they say something about how they're confident in you and you can do it and you put in your time and I have faith in you. All I could say was, "I'm confident."
It was the longest drive of my life up there. To speed things up a bit..I sat down and started. Question #1..I was like OMG I don't know..after that it was kind of a blur. My mind started going blank. I'm like great, I failed. I kept wondering will it cut off at 75? How many questions will I have to complete? 75 came and I got another question. I was like oh, ok, I know this. I was very confident in the answer. I clicked it and the screen went blank. Suddenly, my stomach turned and everything became blurry. The answer that I was so confident in now started to seem wrong. OMG, what did I just do? Did I blow it? Then, they want you to fill out this stupid survey afterward. Walking out was a blur. I was trying to hold it together. I didn't want to start crying in the building. Searching for reassurance, I quickly walked to my car to call someone super smart and ask her what she thought the answer was to my last question. She's not sure. OMG. This is the worst feeling I ever felt in my life. I sat in my car for about an hour, searching for a "correct answer". To my dismay, there wasn't anything on the topic in the Kaplan book and nothing great in my PDA. I came home (finally) and searched the internet. I just don't know. And then I thought well at least I am so tired, I will sleep good tonight. Yea right! I woke up just about every hour. Talk about torture. I've never failed anything important in my life and just knowing this could be the first time, when it's probably THE most important thing, is driving me insane. I wish everyone good luck. Study hard and don't restrict yourself to topics designated "highly testable" because my test didn't have many of those. And make sure you have someone to call afterward because you're going to need it. I had NO idea I would feel like this!

Two Whole Months?!

2009-07-18T15:04:00.000-07:00

I can't believe it has been 2 months since we graduated. So, what is everyone up to....I'm sure many of us are enjoying our lives free of school (and work!).

Drop us a line! What are you doing right now?

Those of you who are working..... how's it going so far?

Today makes 2 weeks of waiting

2009-07-07T06:19:00.000-07:00

I am stressing out here. I took the NCLEX on 6/23 and I haven't heard anything from them. I called them last Tues and they told me that my check bounced (embarassing, I know). So I drove up to Sac and paid that day. They said within 5 days I should hear something. So today I called them and now they are saying my transcripts are suspended!? I asked what that meant and the lady transfered me to my "evaluator". Of course this guy hasn's called me back. I don't feel like I failed. I know you usually get your notice of failure in the mail within a week or so. Delta's eval said they sent my transcripts in....so I am CONFUSED!!
Sorry about the rant, I was just wondering if any of you have heard of anything like this. Like what is "suspended transcripts"?
If I didn't pass...fine, just tell me!! I've already been through the stages of grief, several times now. Each phone call to the BRN gives me hope, they tell me "Oh, you should soon", soon has come and gone too many times.
Again, sorry for the rant!
I hope you're enjoying your summer.
Maureen

Tons of interview questions

2009-06-28T15:41:00.000-07:00

This was posted on allnurses.com

1. Tell me about yourself.
2. What is your greatest strength?
3. What can you offer us that no one else can?
4. What are your three most important career accomplishments?
5. How would you describe yourself?
6. Why should I hire you?
7. Describe the biggest crisis in your life (career).
8. What is unique about you?
9. How would your supervisor describe you?
10. Rate yourself on a scale of 1-10.
11. Tell me a story.
12. How have you benefited from disappointment?
13. What is your greatest weakness?
14. Have you ever been fired or asked to resign?
15. Why have you changed jobs so frequently?
16. Why have you been out of work so long? What have you been doing?
17. What is the biggest mistake you ever made?
18. What are your career goals?
19. What do you want to do in life?
20. How long have you been out of work?
21. What personal, non-job related gals have you set for yourself?
22. Are you willing to relocate?
23. Are you willing to travel overnight?
24. How do you feel about overtime?
25. What have you learned from your past mistakes? What are some of them?
26. What do you think determines a person’s progress with a goof company?
27. Who has exercised the greatest influence on you? How?
28. What public figure do you admire most and why?
29. What are your primary activities outside of work?
30. Would you have any concern if we did a full background check on you? What would we find?
31. What qualities do you most admire in people?
32. What have you done to increase your personal development?
33. What type of books and magazines do you read?
34. What was the last book you read (movie you saw) and how did it affect you?
35. How do you feel about your career progress?
36. Can you work well under stress?
37. Do you prefer to work as an individually or as a part of a team?
38. Are you a team player?
39. Tell me about the last incident that made you angry. How did you handle it?
40. What are the things that motivate you?
41. How do you handle people that you really don’t get along with?
42. What have you done that shows initiative?
43. What personal qualities are important for success in this field?
44. Sell me this pen.
45. Are you willing to take calculated risks?
46. Describe your perfect job?
47. What is most important to you in a job?
48. Why do you want to change careers?
49. Why do you want to get into this field?
50. Why did you leave your last job?
51. How long will it take before you make a positive contribution to our organization?
52. What do you like least about this position? Most?
53. Tell me about your duties at your present job?
54. What is the most important aspect of your job?
55. Describe a time when you were criticized for your job.
56. What is the most difficult situation you have ever faced?
57. What frustrates you about your job?
58. What jobs have you enjoyed most? Least? Why?
59. What duties have you enjoyed most? Least? Why?
60. What is the worst thing your have ever heard about this organization?
61. What position do you expect to hold in five years? (similar to, Where do you expect to be in 5 years?)
62. Why would you like to work for us?
63. What is opinion of your present (or past) employer?
64. How long would you stay if we offered you this position?
65. What do you know about our company?
66. Why do you want to leave your present employer?
67. Starting with your first job out of college, tell me why you left each organization.
68. What kinds of recommendations will you get from previous employers?
69. Describe your relationship with your last three supervisors.
70. What are your supervisor’s strengths and weaknesses?
71. What kind of supervisors do you like most? Least? Why?
72. How has your supervisor helped you grow?
73. What did your supervisor rate you highest on during your last review? Lowest?
74. What kind of supervisor gets the best results out of you?
75. What is your boss like?
76. What actions would you take if you came on board?
77. Can you supervise people?
78. Describe your management philosophy and management style.
79. How many people have you hired? How do you go about it? How successful have the people been?
80. How many people have you fired?
81. How would your subordinates describe you as a supervisor?
82. Some managers watch their employees closely while others use a loose rein. How do you manage?
83. How have you improved as a supervisor over the years?
84. Why did you pick your major?
85. What kind of grades did you have?
86. What course did you like the most? Least? Why?
87. How has your schooling prepared you for this job?
88. Do you feel you did the best work at school that you were capable of doing?
89. How did your summer jobs benefit you?

SOME BEHAVIOR BASED QUESTIONS

Tell me about a time when you:

1. Achieved a great deal in a short amount of time.
2. Were disappointed in your performance.
3. Made a major sacrifice to achieve a work goal.
4. Were unwilling or unable to make the necessary sacrifice to achieve a goal.
5. Worked effectively under a great deal of pressure.
6. Didn’t handle a stressful situation very well.
7. Really got angry over a situation at work.
8. Felt under a great deal of pressure from an internal or external customer.
9. Were really bothered by the actions of a coworker.
10. Were especially creative in solving a problem.
11. Were not as creative as usual.
12. Organized and planned an event that was successful.
13. Planned and coordinated a project that was very successful.
14. Were unable to complete a project on schedule despite your best efforts.
15. Really had to remain flexible.
16. Had to deal with a personality conflict with a boss or coworker.
17. Were unable to sell your idea to a key person.
18. Felt really good about a decision you made and the process you went through.
19. Were very effective in your problem-solving ability.
20. Used facts and reason to persuade someone to accept your recommendation.
21. Utilized your leadership ability to gain support for what initially had been strong opposition.
22. Were able to build team spirit during a time of low morale.
23. Were able to gain commitment from others to really work as a team.
24. Used your political savvy to push through a program you believed in.
25. Were particularly perceptive regarding a person’s or group’s feelings and needs.
26. Were able to predict someone’s behavior or response based on your assessment of him or her.
27. Were particularly supportive and reassuring to a person who needed a friend.
28. Built rapport quickly with someone under difficult conditions.
29. Wrote a report which was well received by others.
30. Were particularly effective at prioritizing tasks and completing a project on schedule.
31. Identified potential problems and resolved the situation before the problems became serious.
32. Were highly motivated and your example inspired others.
33. Found it necessary to tactfully but forcefully say things others did not want to hear.
34. Were particularly effective in a talk you gave or a seminar you taught.
35. Had to make an important decision quickly even though you did not have all the information you wanted.
36. Had to make a decision you knew would be unpopular.
37. Were in a situation when events and circumstances changed rapidly.

Interviewees

2009-06-17T15:33:00.000-07:00

For those of you who have already interviewed for positions, what questions were you asked? Were there any questions that you felt were particularly difficult to answer? What do you feel would've prepared you better for the interview?

thank you!

Confessions of a 30-something RN grad

2009-06-13T07:50:00.000-07:00

So, I am in the seat, feeling comfortable, calm (even though I have went through enough security to enter Fort Knox). I read through the instructions as to not miss anything. “You have 6 hours….” Sounds good, all is well…..

First question, okay, 50/50…..A or C….. hmmm…A…. “next”…..2^nd question…..what? What are they asking? These are all right, and there are no indicators in the question showing priority. Can I ask them “is this patient stable?” “how old are they?” “should I assume they are anxious?”….Can I phone a friend?

Okay, quit assuming, take the question at face value……uh……well, if I were getting this done, this is what I would want to know…….B……..

Right about question 8 I hear the girl next to me groan. Then about 10 questions later she does a big sigh, then a few later she says, “Oh God.” Seriously? Shut-up…..I am freaking out, too. The least you can do is give me some silence, right? Maybe I should’ve said yes to those earplugs.

Where’s the delegation? Where is the alternate question with apical pulse location? Where are the labs? Where is the question on crutches?

Why do I get the feeling they are asking me about the same thing over and over? Maybe they are thinking (I have now humanized the NCLEX monster as “they”) if I give her the question 5 or 6 more times, maybe she’ll get it right…..then…….

Black screen…..wait! They are thinking….we gave her every shot possible, but she blew it. 75 questions, and I knew the answer to a whopping…..TWO (with certainty).

I do the outgoing survey, looking for the question that says, do you think these questions blow? “Strongly agree”

I again get fingerprinted (I am thinking, if you think I actually paid this pathetic looking, short-haired blonde girl in sweatpants to take the test for me, then she did a piss poor job…..I want my money back). I courteously smile and get my stuff. Then I realize, it’s time to hit the potty. My stomach is gurgling, and I can actually see my heartbeat in my abdomen. It is pounding. I get into my car, deciding who won’t think I am crazy if I call in this state of mind. Okay, my hubby, of course, he always makes me feel better. “Oh, that stinks.” Is his response to my description. “When can you take it again?” I’m thinking “I DON’T KNOW, I DIDN’T PLAN ON FAILING!” You’re not helping, click……then, my mom. Mom’s always make you feel better, right? “Oh sweetie, it’s not the end of the world, you can just take it over.” Again, not what I wanted to hear.

At this point I am hoping that Ashton pops out from behind the car next to me with his trendy hair and crooked smile and says, “You’ve been Punk’d!” so that I can slap him in the face or kick him in the balls or something equally degrading.

Where are all of my girlfriends who are RNs? Voicemail, Voicemail, Voicemail.

I am sitting in a random parking lot in Roseville thinking, “Maybe I’ll just tell everyone that I had to reschedule, then take the exam again before anybody finds out that I’ve failed.” How vain is that?!

Ugh!!! My stomach is hurting again. I get a few calls/texts and I can’t bear to tell the whole ugly story again.

I get home (I can’t even remember driving really….it feels like I got home in 5 minutes). I sit on my couch for about 45 minutes…..no TV, no kids, no talking, maybe even no blinking. I didn’t take the NCLEX serious enough. I should’ve done a different review. I should’ve done more questions. I should’ve taken it later or maybe earlier or maybe I should’ve just NOT studied.

Of course, nothing on BRN the next day, the day after that, I wake up at 0500 and check…nope…I am even looking on allnurses.com to see what the odds are of failing at 75 questions. Meanwhile, I am talking to people now. I am trying to convince myself that I am okay with whatever happens (of course, I am MORE okay with passing!). I contemplate setting my alarm for 0200 Saturday morning (I’ve heard the BRN updates their website at 0200 for the previous day). I decide that if it isn’t there, it will ruin the rest of my night’s sleep, so I pass on the alarm idea.

Saturday morning, I get up at 0300 bc Mason is crying. I pick him up and carry him to my computer…….I click on my bookmark (yes, I have bookmarked it)…..type “eagal”…….can you believe it? There is another Trina Eagal in San Joaquin county….well, that is annoying, even SHE passed the NCLEX….wait….oh, okay, I think I can actually hear the word relief as I exhale. Now, I can drop the weight on my chest and the pit from my stomach. Phew.

Moral of the story, sometimes the signs and symptoms (diarrhea, abdominal pain, bounding pulse, anxiety, feelings of impending doom) don’t match the diagnosis (Effective testing output r/t using my noggin aeb name showing up on BRN site)

What’s next?

You mean, now I have to find a job? My stomach hurts again.

nclex people

2009-06-11T06:10:00.000-07:00

those of you that have taken the test, talk to us....please!!! i take it on the 23rd and i will be posting my thoughts on this beast that is consuming my life right now.

Okay... and so?

2009-06-10T19:17:00.000-07:00

Trina, Sarilda, and whoever else just took it... how did it feel?? This NCLEX thing?

more random stuff

2009-06-01T09:05:00.000-07:00

i keep seeing these topics come up on practice q's
lithium toxicity
radium implants
psych meds
cane walking (lame!!!)
hip surgery...post-op positioning
memorize lab values (per kaplan instructor)

I keep seeing these!

2009-05-28T10:58:00.000-07:00

I have found that I keep seeing some information over and over again. Here are some of them....

- Hot spot questions (valve locations, Erb's point)

- troponin is best indicator of MI

- lots of questions on hypER/hypOthyroidism (surgery, tx, s/sx)

- theophylline (weird, i know, but i have had a question on it for pretty much every practice test), therapeutic levels are 11-20 mcg/mL

- platelet levels (150k-400k)

- i wasn't prepared for all of the insulin questions (duration, peak, onset)

- 1 oz=30mL and 1tsp=5mL

- ABG values

- I read on the allnurses forum "RNs don't delegate what they can EAT (Evaluate, Assess, Teach)"

- Aluminum: constipation, Magneium: diarrhea

Here is a link to random facts to study for the nclex.....

If you have any to add, put them in the comments section.

ATT

2009-05-26T11:42:00.001-07:00

Hey everyone, I was just wondering if you guys have received your authorization to test (ATT). I just received mine. I had mailed my application in the beginning of March so if you mailed yours around the same time hopefully you will be getting yours soon. I am very nervous about taking the NCLEX. I am taking the Kaplan review and have also received the study materials in the mail. So hopefully it will help. Have a good summer and let us know when you pass the NCLEX.

NCLEX prep

2009-05-25T18:08:00.000-07:00

For those who are starting to think about NCLEX prep, check out:
NCLEX 3500 (Lippincott, Williams & Wilkins)
Study tips for NCLEX Exam
Exam information
NCSBN info (including test plans, statistics, psychometrics)

Also:
NCLEX 4000 is available in the computer lab

Trina found a podcast called "F.A. Davis NCLEX-RN audio prep: Test-taking tips and tactics to help you pass." It's free on iTunes and you can subscribe to it.

Other links:
Board of Registered Nursing (BRN)
California Nursing Practice Act
California Nurses Association (CNA)

Graduation

2009-05-21T21:54:00.000-07:00

Congratulations to you all, well done!!!!!!!!!!!!!!

2009-05-19T20:16:00.000-07:00

I just want to take this opportunity to thank Trina Eagal and Sue Barnes for keeping everybody informed via blog or e-mail. I really appreciate what you've done. You both are awesome!!!!!!!!

*malou*

Blog withdrawals :O

2009-05-14T16:45:00.000-07:00

We are so, so close to the end of school, but beginning of our nursing career.

There are some of us who can't bear to let go of our lovely blog!

A fellow student had a GREAT idea! We can turn our "student" blog into a "new RN" blog. :) (sorry, but I am becoming a big fan of the colon/parentheses smiley face)

Continue to check (and post to) this blog for information about what people are doing, the difficulties, the successes, to vent or to just see how everyone else is doing!

We have grown close over these past two years, and I hope that we can continue these friendships for years to come!!

New grad programs

2009-05-10T10:36:00.000-07:00

If any of you are willing to drive to UC Davis or live in the area...they have a new grad program that was just posted in the OR, Surgical ICU, Oncology/BMT and in Neurosciences.

Here is the link to the job search...

UC Davis job search

Good luck!

In the right hand column are links to Hospital job searches in the area.

Hurst Review

2009-05-04T19:14:00.001-07:00

The Class of Fall 2009 picked July 9th-12th (thurs-sun) for the Hurst Review. The cost is $350. You will need to go to the Hurst Review website, Sign up for the review for Delta College July 9-12. The sign up cost is $50.00, and when you report to the review on July 9th, you can pay the balance. Or you can pay $100.00 and post date a check for August 9th for the balance. There needs to be 20 students for the Hurst Review to come out and present. I know our class just had the deadline to sign up as May 4th, so if this is something you want to do, please contact Kim Thompson ASAP. If you have any questions call Debbie at 482-2707.

NCLEX....."bring it on!"

2009-05-04T16:05:00.001-07:00

Here is a site that gives an NCLEX question/day, but it isn't just multiple choice, it explains the concept in the question, for example.....

Today's question concerns Labor and Delivery.

The question/task is below:

Briefly discuss Cesarean deliveries.

Scroll down for the answer:

Answer:

Cesarean deliveries are termed C-sections on a routine bases by health care providers. A cesarean section involves an incision in the abdominal wall and uterus for purposes of extracting a fetus. Cesarean births are performed related to any condition that compromises the well being of the fetus or mother. Cesarean births are also performed in events of unsafe conditions within the birthing canal. Unsafe conditions include breech presentation, transverse presentation, hemorrhage of either the mother or fetus, herpetic lesions of the genital area, fetal distress or compromise, diminished cardiac status of the mother, cephalopelvic disproportion (fetal head to large to allow passage thru the birth canal), placenta previa, and abruptio placenta.

Link to NCLEX question/day

Check it out!

BTW....16 days until the pinning!!

Who wants a pin?

2009-04-30T13:24:00.000-07:00

What is it? Keepsake Graduation Pin

What will it say? "SJDC Nursing * Class of 2009" with a dot between the upper and lower lines.

How big is it? 0.6x0.7 inches,

What is the stone in the middle? Clear Swarovski crystal

What metal is it made from? Brass finished in rhodium (a non-tarnishing silver metal in the platinum family)

How much will it cost? $8

When do I have to turn in my money? Thursday, May 7th (no later!!)

Who do I turn it in to? Brenn Briones (or Trina)

**There is an approval process for a pin to reference Delta College, so all those who purchase a pin will be pinned with a ribbon. If you order this pin, it will be handed out at the practice ceremony at the latest.

Want to contribute??

2009-04-27T22:02:00.001-07:00

Hi all,

i am trying to make the reflection speech encompass the more memorable experiences we have had at delta.
if you could all try to think of meaningful, funny, embarrassing, scary times that you have had at delta or in the hospitals, please email them to me. don't worry i won't use any specifics about the person. so even it the story is about someone else, send it, bc nobody in the audience will know who they are (and i wont reveal who sent it to me either). Email me at trinaeagal@comcast.net

Pictures

2009-04-26T22:54:00.000-07:00

Hello Everyone

Sorry it has been so long in getting back to you about the pictures.
Here's the deal. I will get the arch myself. My friend Dale takes
professional pictures and he is willing to take pictures of our graduation and an
individual of each one of us under the arch after we receive our pinn.
His sitting fee is $300.00 and he will make a individual CD for each one for
$15.00.
There are 75 students so 300 divided by 75 is $4 + $15 is a grand total of
$19.00. I will pay for postage for it to be sent to you. I need a yes from everyone before
I tell him yes.
This is a very important day and I think that it would be awesome for
everyone to have a professional picture made. I will need you to reply to
this email by Friday May 1st with your address to send the CD to. I will
collect the $19.00 on the 19th at the ATI test.

Thanks to everyone and hold on we are almost there.
Jennifer Stevens

PS. Any questions please feel free to call me 209-712-2010

job-hunting info

2009-04-14T10:22:00.000-07:00

Your future beckons...

The interview:

The resume:

Miscellaneous:

Next SNA Meeting - Getting Ready for the NCLEX

2009-04-12T21:31:00.001-07:00

A Representative from the Hurst Review, an NCLEX prep course, will be at the next SNA Meeting to provide information on the Hurst Review. Lunch will be provided to those who attend the next SNA meeting.

The Hurst Review NCLEX prep course is $350 ($250 after the $100 is applied) for a 4 day review. They guarantee you will pass the NCLEX or you will be allowed to attend their reviews for free until it is.

The SNA meeting is Monday, April 20th at 1pm in the skills lab.

See you there!

_________________________________________________

Note regarding the one-time $100 subsidy: For any NCLEX prep course, Kim Thompson of NSSP wants to remind 4th semester students: "DO NOT ENROLL OR REGISTER FOR ANYTHING UNTIL YOU TALK TO ME - I HAVE SPECIAL ARRANGEMENTS WITH MOST OF THESE COMPANIES! I must make payment directly to a vendor on your behalf."

If you're graduating this May, you should have received an email from Kim with the required application form attached. Print off the form, fill it out, and get it back to her no later than Monday, May 4, 2009. Her office is located in Locke 308.

Healthy Air Walk

2009-04-11T22:37:00.000-07:00

Our tiny team -- Student Nurses for Health Air -- met its goal of raising over $1000 for American Lung Association of California at the first annual Healthy Air Walk on April 11. Congratulations!

Grad Video Songs

2009-03-31T18:38:00.001-07:00

Can I get a drum roll?

The songs for the Graduation Video ARE. . . . . .

"Time of Our Life" - 8 votes

"How Far We've Come" - 6 votes

"The World's Greatest" - 5 votes

"The Climb" - 5 votes

Pinning Photography

2009-03-31T18:15:00.000-07:00

Jennifer Stevens knows a gentleman who can do the photography at our pinning ceremony. If you are interested, or if you have questions, please email Jennifer at jstevens@telnetcom.us.

The cost would be $300 split amongst the class

$15 per person for a picture CD.

Here are some samples.

Oh yea, I forgot to mention. . . . .

ONE month, TWENTY days to GRADUATION!!

Speakers

2009-03-26T20:43:00.000-07:00

Speakers for the pinning;

Forrest Nelson - Welcome

Steve Castalanelli - Acknowledgements

Crystal Ross-Jackson - Pledge

Trina Eagal - Reflection

Deadline for song voting is Sunday (3/29) at midnight.

2009-03-19T11:34:00.000-07:00

Hi all,
I talked to a friend of mine who passed the NCLEX and she gave me some sound advice that I'd like to share. She said get back to basics!!! Think basic nursing care. She prepared by reading Davis NCLEX review, that's it! Her test shut off at 75. Her advice was to read our very first ATI book from N1&2...Keep it simple....Hmmmm, where have we heard that? She said there was a question about some disease she had never heard of and she followed basic nursing care to answer!!!! She is now working at St. Joe's 2E, so there is hope for us in finding jobs!!
-Maureen

Maternal-newborn nursing skills videos

2009-03-18T21:52:00.000-07:00

Here's a good collection of videos to help with Nursing 8, courtesy of Pearson publishing. Also, from Pearson, you might like the short videos under intermediate to advanced nursing skills to help refresh your recollection of indwelling catheters and other fun stuff. Finally, there's a couple on this list you might like.

Almost there!

2009-03-09T13:41:00.000-07:00

Here's a summary of the e-mail that was sent.

Grad video:

Please vote in the comments section for which one you want (we will watch the other option on Monday after N10)

Songs:

Put any songs you think would be good for the video, or good instrumental for the pinning in the comments section

Speakers:

Please nominate someone for

- Welcome

- Acknowledgements

- Pledge

- Reflection

in the comments section

Has anyone looked at the countdown lately?? 2 months and 11 days!

SNA Fundraiser with California Pizza Kitchen

2009-03-05T20:07:00.000-08:00

When: Thursday, March 12th

Where: California Pizza Kitchen, across the street from Delta College

What: Dine in or pick up food at any time that day to have 20% of proceedings donated to the SNA (even alcohol)

Why: To feed yourself, your family and have a good time while benefitting a good cause. . .us!

How: Bring the flyer shown below to CPK on March 12th and. . . EAT!

click on flyer, then print it and bring it on Thursday

Angela Aistrup
aaistrup@sbcglobal.net
SNA - secretary Spring 2009

More applications??

2009-03-02T16:32:00.000-08:00

Here's a link to add to Sarilda's information below.

Link to NCLEX application and instructions

Incoming Labor and Delivery rotation

2009-03-02T10:19:00.000-08:00

Tuesday, March 17th: EMSTI from 0730-1600

Wednesday, March 18th: EMSTI from 0730-1100, then separate for orientation sites, typically done by 1500

Thursday, March 19th: Locke 118 from 0800-1200

*Bring malpractice insurance, CPR, TB, immunizations forms, etc

*Bring study guide and N8 instructional material books (at bookstore)

Check with Judy Lees if you think you have clinical site requirements that you need to fulfill.

Mary Neville

954-5498

Q a Week from ncsbn

2009-02-25T12:16:00.000-08:00

i've been collecting these for a few months and thought i'de share. i'm sure all of you are doing these but just in case.

1. A client has just joined a health care maintenance organization (HMO) and asks for information about the payment obligations with this plan. The most accurate description of health care costs is that the client will be charged in which manner?
1. Only for services provided by specialists
2. One flat rate for each service rendered
3. A pre-determined fee for all services *
4. The usual and customary fee for services
(12-2-08)

2. A nurse, assisting in the application of a plaster cast for a client with a broken arm, should understand which action is a priority
1. the cast material should be dipped several times into warm water
2. the cast should be uncovered until it dries
3. the wet cast should be handled with the palms of hands for 48 to 72 hours *
4. the casted extremity should be placed on a supporting surface
(12-8-08)

3. A nurse detects blood-tinged fluid leaking from the nose and ears of a client diagnosed with head trauma. What is the appropriate nursing action?
1. pack the nose and ears with sterile gauze
2. put manual pressure on the draining sites
3. apply bulky, loose sterile dressing to the nose and ears *
4. position an ice pack to the back of the neck
(12-15-08)

4. To prevent keratitis in an unconscious client, a nurse should apply moisturizing ointment to which site?
1. finger and toenail quicks
2. lower eyelid *
3. perianal area
4. external ear canals
(12-22-08)

5. A female client diagnosed with genital herpes simplex virus 2 complains of dysuria, dyspareunia and leukorrhea. Lesions are found on the labia and perianal skin areas. A nurse should suggest for the client to implement which action?
1. take three to four warm sitz baths per day *
2. wash hands at least every two hours
3. spray water over genitalia while voiding
4. apply heat or cold to lesions, whichever is most soothing
(12-30-08)

6. During a morning bath for a client who has a colostomy, a nurse should reinforce that the collection pouch should be emptied at what time?
1. .when it is 1/3 to 1/2 full *
2. prior to going to sleep at night
3. after each fecal elimination
4. at the same time each day
(1-8-09)

7. A client has just returned to the medical-surgical unit after a segmental lung resection. What should be the first nursing action upon entering the room?
1. administer pain medication
2. suction excessive tracheobronchial secretions *
3. assist client to turn, cough and deep breathe
4. check oxygen saturation by pulse oximeter
(1-13-08)

8. A client is receiving heparin therapy for a deep vein thrombosis of the left leg. Which side effect should the nurse address first ?
1.fine red rash on left leg
2.black, tarry stools *
3.fever and chills
4.pain in the left leg
(1-19-09)

9. A nurse enters a client's room to discover that the client has no pulse or respirations. After calling for help and giving two breaths, what is the next action the nurse should take?
1. continue to oxygenate with a pocket mask
2. check for a carotid pulse
3. initiate closed-chest massage at a rate of 100 bpm *
4. obtain the crash cart from the hallway
(2-1-09)

10. A client is admitted with the diagnosis of infective endocarditis (IE). History of which finding is most important for the nurse to report to the registered nurse (RN)?
1. tiredness and drowsiness
2. a rash that appeared suddenly *
3. fever for the past 24 hours
4. .clubbing of the nails
(2-16-09)

11.) A client takes digoxin for heart failure. A nurse should report which side effects to the charge nurse?
1. bradycardia, hypotension *
2. blurred vision, yellow vision
3. anorexia, vomiting
4. fatigue, headache
(2-25)

Delta and BRN

2009-02-23T13:56:00.000-08:00

Hi Everyone,
I asked Sarilda to list all the directions for us for Delta and BRN. So here they are!
Thanks Sarilda!!

First apply for your evaluations for your degree and certificate at http://www.deltacollege.edu/dept/ar/admissions/evaluations.html

Next apply to the BRN of California the application can be found at

http://www.rn.ca.gov/ under licensure by examination link, the application can be completed online then printed. You need to get the Live Scan fingerprints form online at the BRN and can have the prints done at Delta for $66.00

Live Scan (fingerprinting) is open from 8:15 a.m. - 4 p.m.

Appointments will be taken between 8 a.m. - 2 p.m.
Walk-ins are taken between 2 p.m. - 4 p.m. (as time permits).
This service is located in the Horton Administration Building, Room 202.

Phone 954-5748

You also need a recent passport style photo that you attach to your application.

Then go get more information including signing up to take the NCLEX exam at

https://www.ncsbn.org/2009_NCLEX_Candidate_Bulletin.pdf

(You have to sign up through Pearson Vue $200 as they are the proctor for the exam all of this information is in the above candidate bulletin)

NCLEX Tips

2009-02-21T18:08:00.000-08:00

Hey, I found some NCLEX tips for your consideration. Check them out from the

Nurse Review website.

Nursing 10 Genogram/Ecomap

2009-02-01T11:56:00.000-08:00

Here is a free download that helps you put together a genogram/ecomap.

http://www.smartdraw.com/downloads/index.htm?WT.svl=buttonImage

it gives you only 7 days to use it for free, so you have to get started right away. if you go to "family tree", that is where you will see genogram and ecomap.
Let me know if it helps, bc i haven't tried it yet.

ACNL Symposium for Nurses

2009-01-22T12:55:00.000-08:00

Here is a link to the Symposium being held at 1801 E. March Lane, Bldg B on March 13th.
Annual Henry and Sylvia Wong Symposium for Nurses
entitled "Moving to New Heights with Innovation"
Our very own Mary Neville is on the planning committee for this symposium which will cover topics such as professionalism, safety and patient satisfaction.

The symposium is being brought to you by the North Central Association of California Nurse Leaders (ACNL).

It is only $12 for students to attend and it is a wonderful way to network with many nurse leaders in the area.

**Only 80 spots are available so reserve yours today!**

Debbie's Supplemental Learning Classes

2008-12-18T12:06:00.000-08:00

Here are the powerpoint presentations for Debbie O'Sullivan's Presentations

Saturday, January 10, 1200-1600

Topic: Respiratory System*

Location: Valley Brew (157 W. Adams St.)

Presenter: Paul Barraza, R.T.

* covering Antaran's N7 syllabus outline on the topic

Link to Respiratory Powerpoint

Monday, January 12, 1700-1900

Topic: Cardiac meds

Location: Fireside Room, Central Methodist Church, across from UOP

Presenter: UOP pharmacology student

Link to Cardiac Meds PowerPoint

Thanks Debbie!!

SBAR Review

2008-12-14T10:19:00.000-08:00

The SBAR (Situation-Background-Assessment-Recommendation) technique provides a framework for communication between members of the health care team about a patient's condition. SBAR is an easy-to-remember, concrete mechanism useful for framing any conversation, especially critical ones, requiring a clinician’s immediate attention and action. It allows for an easy and focused way to set expectations for what will be communicated and how between members of the team, which is essential for developing teamwork and fostering a culture of patient safety.
From: SBAR Technique for Communications -- a Situational Briefing Model

Other SBAR information:

Tis the Season

2008-12-11T09:45:00.001-08:00

There's a Christmas tree in upper Danner that Gloria and her team of elves put together, and a toy drive for the kids at Family Ties is underway. SNA is looking for donations and volunteers!

Read more about these activities at http://sjdcsna.blogspot.com/

Also, the Student Nursing Association has just elected new officers. That information will be posted on the SNA blog soon...

Peds Cardiovascular Questions

2008-12-08T21:14:00.000-08:00

1. which might be found indicating a cardiac defect when assessing a 1 month old infant?
a. Weight gain
b. Hyperactivitry
c. Poor nutritional intake
d. Pink mucous membranes
2. which statement about PDA is correct?
a. HF is uncommon
b. The ductus normally closes completely by age 6 wks
c. An open ductus arteriosus causes decreased blood flow to the lungs
d. It represents a cyanotic defect c decreased pulmonary blood flow
3. which drug is recommended for a preterm neonate to close a PDA?
a. Indomethacin
b. Prostaglandin E1
c. Surgical ligation
d. Cardiac cath
4. which finding is expected in a child c PDA?
a. Weak peripheral pulses
b. Machine like murmur
c. Narrowed pulse pressure
d. RV hypertrophy
5. which may be seen in a child c VSD?
a. Cyanosis of nailbeds
b. Above average height on growth chart
c. Above average weight gain on growth chart
d. Pink nailbeds c cap refill les than 2 secs
6. which conditions best describes VSD?
a. Narrowing of the aortic arch
b. Failure of the septum to develop completely between the atria
c. Narrowing of the valves at the entrance of the pulm artery
d. Failure of the septum to develop completely between the ventricles
7. which curative surgical intervention is recommended for a child c VSD?
a. Surgery c PA banding
b. Defect repair thru cardiac cath
c. Surgery c purse string suture or dacron patch repair
d. Surgery when severe pulm HTN is noted
8. a child c VS repair is receiving dopamine post op. which response is expected?
a. Decreased HR
b. Decreased UO
c. increased CO
d. Decreased contractility
9. which produces left to right shunt?
a. ASD
b. Pulmonic stenosis
c. Tet of fallot
d. Total anomalous pulmonary venous return
10. a child c AS respire is entering postop day 3. whch intervention would be most appropriate?
a. Child to be NPO
b. Maintain strict bedrest
c. Take VS q 8 hrs
d. Admin analgesic prn
11. which condition best describes coarctation of th aorta?
a. Absent tricuspid valabe
b. Narrowing in the area of the aortic valve
c. Localized constrxn or narrowing of the aortic wall
d. Narrowing at some location along RV outflow tract
12. what assessment finding would be expected c Coarc of aorta?
a. Normal BP
b. Increased BP in upper extremities
c. Decreased BP in upper extremities
d. Decreased or absent pulses in upper extremities
13. which procedure is recommended to tx coarc?
a. Drug therapy
b. Balloon angioplasty
c. Surgery s CPbypass
d. Surgery c CP bypass
14. which is an important assessment for a child c a possible cardiac anomaly?
a. HR
b. Temp
c. BP
d. BP in 4 extremities
15. which intervention is recommended post op for a pt c coarc repair?
a. Vasoconstrictor
b. Main hypothermia
c. maintain a normal to low BP
d. Gove a bolus of IV fluids
16. which is expected when assessing a child c tet of fallot?
a. Machine like murmur
b. Eisenmenger’s complex
c. Increasing cyanosis c crying or activity
d. Higher pressures in the upper extremities than lower
17. which is correct for achild c tet?
a. The condition is commonly referred to as “blue tets”
b. They experience hypercyanotic or “tet” spells
c. They experience frequent respiratory infxns
d. They experience decreased or absent pulses in lower extremities
18. which best describes transposition of the great arteries?
a. The body receives only saturated blood
b. Its classified as an acyanotic defect c increased pulmonary blood flow
c. the PA leaves the LV and the aorta exits the RB
d. It’s a condition in which the RA and the LA empty into one ventricular chamber
19. which statement about transposition is correct?
a. Dx is made at birth
b. Dx can be made in utero
c. CXR can show an accurate view of the defect
d. HF isn’t a related complication
20. which defect is associated c transposition of the great arteries
a. mitral atresia
b. ASD
c. Patent foramen ovale
d. Hypoplasia of the LV
21. which surgical prodecure is recommended for repair of transposition?
a. Jatene operaqtion
b. Fontan procedure
c. Balloon atrial septostomy
d. Blalock-taussig operation

2008-12-03T18:20:00.000-08:00

Here are a couple of links related to shock I found on Bonnie's site:

Also, back in October, Trina posted two sets of NCLEX-style questions below if you want to test yourself. (Just scroll down the page...)

I found a good PowerPoint presentation -- Identification of shock states that Caralee Bromme put together when she taught N7, plus our ATI book's got a nice little review starting on page 341.

So -- once again -- we have lots of good information, just too little time to absorb it all!

Ah... the last exam of the third semester...

More respiratory for visual learners

2008-11-28T10:16:00.000-08:00

Many of the following videos have more than one part. If you like the first part, look for the other parts once you're in YouTube. They should be listed nearby.

Respiratory system (good overview)
Gas exchange
Microanatomy of the lungs
Intubation during general anesthesia
Mechanical ventilation
Ventilator types and modes
Mechanics of breathing
Oxygen transport
CO2 transport
Flail chest - paradoxical breathing
Chest tube insertion/pneumothorax
Tracheostomy dressing change
Tracheal suctioning

Understanding COPD

Respiratory resources

2008-11-19T17:31:00.000-08:00

Need a little refresher on ABGs? Here are a couple good links:

Here's another good one:

Pulmonary system (CCM tutorial)

The above links are on Bonnie Boss' Test Bank, along with lots of NCLEX practice.

Also, don't forget to check out Bromme's old N7 lectures. There are two good PowerPoint presentations there on the respiratory system.

Oxyhemoglobin dissociation curve links:

Interactive tool
The curve described

For visual learners

2008-11-09T14:45:00.000-08:00

Videos you might find interesting...

PCI (stenting)
LVAD (left ventricular assist device)
VADs for lifetime use
VAD how it works
CABG surgery (patient education)
Bypass surgery
Actual CABG surgery
CAD treatment lifestyle changes
Myocardial infarction
Internal jugular vein catheter insertion
Atrial fibrillation
PR Interval
Basic gross anatomy of the heart
Cardiac cycle
Myocardial infarction
T wave inversion (diagnostic MI)
ST elevation (MI)
Understanding heart disease
Cholesterol
What is a heart attack?
What is angina?
Congestive heart failure
Understanding cholesterol
Emergency echocardiography

Plus...
Nursing 7 stuff on Docushare (C. Bromme, RN, MSN)

hemodynamics

2008-11-08T07:41:00.000-08:00

Links to some handy resources:

Swan-Ganz catheterization (article)
Swan-Ganz catheters (article)
Hemodynamics (article)
Pressure changes (same as image above)
Catheter placement (image)
The catheter (image)
Hemodynamic insufficiency
Nurse Bob's hemodynamic overview (article)
Hemodynamic monitoring (interactive)
Good instructional videos -- scroll down to "hemodynamic monitoring" and "PA line insertion"

EKGs

2008-11-08T07:40:00.001-08:00

Link here for EKG fun!

EKG quizzers #1 and #2
ECG rules quiz
Six-second ECG (dynamic simulator)
Waves (illustration)
Remember the J point? (illustration)
Cardiac rhythm interpretation
ECG patterns in MI (image from heart attack treatment)
What is wrong with this EKG? (a colorful printable pdf)

pediatric nursing and development questions

2008-10-26T15:43:00.001-07:00

Click on the comments section to take a pediatric development quiz.

The answers are also in the comments section.

good luck!

Nursing 7 resources

2008-10-23T08:30:00.000-07:00

Trina has posted lots of good stuff on this blog for Nursing 7, including the link to an explanation of the RAAS on Wikipedia. It was so helpful to me, I thought I should repost it, closer to the top... Check it out at this link... Renin-Angiotensin-Aldosterone System. (Thanks, Trina!)

Note: the author's starting point on the diagram is a decrease in renal perfusion, but -- in his/her notes -- points out there are other ways RAAS can be activated -- "...by a low NaCl concentration in the macula densa or by sympathetic activation."

Be sure to scroll down for all the Nursing 7-related information. There are lots of other good posts by Trina and others, like Bonnie's links to information on hemodynamic basics or links to videos to refresh your clinical skills, next to the Starbucks IV bag below. Drink it up, y'all!

Nursing 7 is the perfect time to reacquaint yoursef with (or introduce) the information available on Bonnie Boss' "original" student blog she created for fellow SJDC nursing students. In addition to her excellent test bank, bringing us tons of NCLEX practice, she includes many links to supplementary information on a variety of relevant topics under "practice tests and quizzes" and "helpful links." Get to know what's out there. Bonnie's already done a lot of the legwork for us.

(Muchas gracias, Bonnie!)

FYI, Bonnie's now a full-time RN working in ICU at Lodi Memorial.

more shock

2008-10-08T21:21:00.000-07:00

1. Which is the most important goal of nursing care for a pt who is in shock?
a. Manage fluid overload
b. Manage increased CO
c. Manage inadequate tissue perfusion
d. Manage vasoconstrxn of vascular beds
2. Which nursing assessment finding indicates hypovolemic shock in a pt who has had a 15% blood loss?
a. Pulse <> 30mL/hr
b. Systolic bP > 110
c. Diastolic > 90
d. RR of 20 braeths/min
4. which is a risk factor for hypovolemic shock?
a. Hemorrhage
b. Antigen antibody rxn
c. Gram neg bacteria
d. vasodilation
5. what is a priority assessment for the pt in shock who is receiving an IV infusion of PRBC and NS?
a. Fluid balance
b. Anaphylactic rxn
c. Pain
d. ALOC
6. the pt who does not respond adequately to fluid replacement has an order for an IV infusion of dopamine hydrochloride at 5u/kg/min. the desired fx of the drug is
a. increased renal and mesenteric BF
b. increased CO
c. vasoconstrx
d. reduced preload and afterload
7. A male pt who has been taking coumadin has been admitted c severe acute rectal bleeding and the following lab results: INR 8, Hmg 11, hematocrit 33%. Which MD orders would the nurse expect to implement initially? Select all that apply.
a. IV D5 ½ NS
b. Schedule pt for sigmoidoscoy in the AM
c. Give 1 unit FF plasma
d. Admin vitamin K 2.5 mg PO
e. Begin polyethylene glycol-electrolyte solution in preparation for signoidoscopy
f. Admin fleet’s enema
8. the nurse in perop holding area keeps a pt c gastric bleeding in a dimly lit environment c one family member present. What is the primary rationale for these nursing interventions?
a. Stabilize fluid and lyte balance
b. Minimize O2 consumption
c. Increase pt and family comfort
d. Prevent infxn
9. when assessing a pt for early septic shock, the nurse observes for which of the following?
a. Cool clammy skin
b. Warm flushed skin
c. Decreased systolic bp
d. hemorrhage
10. a pt c toxic shock has been receiving ceftriaxone sodium, in add’n to culture and sensitivity studies. What other lab finding does the nurse monitor?
a. Serum creat
b. Spinal fluid analysis
c. ABG
d. Serum osmolality
11. what intervention is most important in preventing septic shock?
a. Admin IV fluid replacement therapy as orderd
b. Obtaining VS q 4 hrs for all pts
c. Monitoring RBC counts for elevation
d. Maintaining asepsis of indwelling urinary catheters
12. which is a indication of a complication of septic shock?
a. Anaphylaxis
b. ARDS
c. COPD
d. Mitral valve prolapse

Congenital Heart Defects

2008-10-05T11:58:00.000-07:00

Thanks, Crista for the link to Mayo Clinic's slideshow on common congenital heart defects.

There are also some handy little animations of blood flow through various defects on our textbook's CD for chapter 48.

2008-10-02T07:36:00.000-07:00

Peds was fun but we are definately ready to get 7 over with. How is it so far??

Shock it to me!!

2008-10-01T19:41:00.000-07:00

1. DIC often results in complications initially associated c which of the following organs?

a. brain

b. kidney

c. lung

d. stomach

2. Which conditions is not caused by DIC?

a. organ tissue damage

b. depletion of circulating clotting factors

c. thrombus formation in the large vessels

d. activation of the clotting dissolving process

3. A 19yo pt admitted c heat stroke begins to show signs of DIC. Which lab finding is most consistent c DIC?

a. low platelet count

b. elevated fibrinogen levels

c. low levels of fibring degradation product

d. reduced PT time

4. Vasopressors may be indicated in which type of shock?
a. neurogenic
b. hypovolemic
c. respiratory
d. metabolic

5. For every unit of blood lost in trauma, how much crystalloid must be infused?
a. twice as much
b. equal amount
c. half as much
d. three times the amount

6. Which drug is a parasympathetic antagonist?
a. lidocaine
b. atropine
c. digoxin
d. dopamine

7. A heat exhaustion patient is suffering from what type of shock?
a. cardiogenic
b. neurogenic
c. hypovolemic
d. metabolic

ARDS and ABGs

2008-09-28T16:01:00.000-07:00

1. which intervention would be most likely to prevent ARDS?
a. Teach cigarette smoking cessation
b. Maintaining adequate serum K levels
c. Monitoring pts for signs of hypercapnia
d. Replacing fluids, adequately during hypovolemic states

2. Which ND would be a priority for a pt c ARDS?
a. Ineffective breathing pattern
b. Pain
c. Ineffective health maintenance
d. Risk for infxn

3. Early sign of ARDS in a pt at risk?
a. Elevated CO2 level
b. Hypoxia not responsive to O2
c. Metabolic acidosis
d. Severe, unexplained lyte imbalance

4. pH 7.52, PaO2-50, PaCO2-28, HCO3-24
a. hypoxemia
b. hypoventilation
c. hyperventilation
d. o2 toxicity

5. Same condition as above, which conclusion accurate?
a. Pt severely hypoxic
b. O2 low but poses no risk for pt
c. Pt’s paO2 c/in normal range
d. Pt requires O2 c very low O2

6. same condition, possible cause?
a. COPD
b. DKA c kussmaul’s
c. MI
d. PEmbolus

7. which intervention should the nurse anticipate in a pt c ARDS?
a. Tracheostomy
b. Intermittent positive pressure breathing
c. Mechanical vent
d. Insertion of a chest tube

8. Which condition can put a pt at risk for ARDS?
a. Septic shock
b. COPD
c. Asthma
d. HF

9. which assessment would be most appropriate for determining correct placement of ETT in a mech vent pt?
a. assess skin color
b. monitor RR
c. verify amount of cuff inflation
d. auscultate lung sounds bilaterally

10. which nursing intervention would promote effective airway clearance in a pt c ARD?
a. Administer O2 q 2hrs
b. Turn pt q 4hrs
c. Admin sedatives
d. Sxning if cough ineffective

11. which is a complication associated c mechanical ventilation?
a. GI hemorrhage
b. Immunosuppression
c. Increased CO
d. P Emboli

12. The nurse would anticipate which of the following ABG results in a pt experiencing a prolonged, severe asthma attack?
a. low PaCO2, high PaO2, low pH
b. High paco2, low pao2, low pH
c. High paco2, high pao2, high pH
d. Low paco2, low pao2, high pH

13. A pt’s ABG values are as follows:
pH 7.31, paO2-80, PaCO2-65, HCO3-36
Which s/sx would the nurse expect?
a. cyanosis
b. flushed skin
c. irritability
d. anxiety

Answers in the comments section.

Brush up on Acid-Base imbalance

2008-09-23T16:20:00.001-07:00

Acid - Base Quiz

Memorial for one of our own

2008-09-11T12:23:00.000-07:00

One of our fellow SJDC nursing students passed away on September 5th in a motor vehicle accident. Melissa was a nursing 4 student from Tracy. Her obituary is below. Donations can be made to Tracy federal credit union, acct #22363.

Melissa Granados
05/23/1981 — 09/05/2008
Services will be Friday for lifelong Tracy resident Melissa Granados, 27, who died Sept. 5 in a car accident that also led to the death of her 5-year-old son, Ayden Weaver. Ms. Granados was born in Tracy and lived here her entire life. She was a nursing student at San Joaquin Delta College and had received a scholarship to study nursing from the National Trucking Association’s San Joaquin County chapter. She was also involved in breast cancer awareness activities, in remembrance of her mother, Darlene, who died of the disease in 2002. Ms. Granados was also an avid San Francisco Giants and 49ers fan and enjoyed playing basketball and soccer. Ms. Granados is survived by her father, Donald Granados, of Tracy; sisters, Tricia Rittger and Staci Granados, both of Los Osos; and many aunts, uncles, nieces and nephews. She was preceded in death by her mother, Darlene Granados; and grandmother, Connie Basruto. Friday’s services, which will include a service for Ayden, will begin at 1 p.m. at Fry Memorial Chapel, 550 S. Central Ave. Burial will be private. Donations in Ms. Granados’ name may be sent to the Ayden Weaver and Melissa Granados Memorial Fund, Tracy Federal Credit Union, account No. 22363.
Published on 09/10/2008

Heart Dz Quiz

2008-09-10T17:56:00.001-07:00

1. Which condition most commonly results in CAD?

a. atherosclerosis

b. DM

c. MI
d. Renal failure

2. Atherosclerosis impedes coronary artery blood flow by:

a. plaques obstruct vein

b. plaques obstruct artery

c. Blood clots form outside vessel wall

d. Hardened vessels dilate to allow blood to flow thru.

3. Which serum cholesterol level increases risk of CAD?

a. 100mg/dl

b. 150

c. 175

d. 200

4. which is done first for a pt exhibiting s/sx of CAD?

a. decrease anxiety

b. enhance myocardial O2ation

c. Admin sublingual NTG

d. Educate pt about sx

5. Landmark for obtaining apical pulse

a. left 5th intercostal space, midaxillary line

b. left 5th intercostal space, midclavicular line

c. left 2nd intercostal space, midclavicular line

d. left 7th intercostal space, midclavicular line

6. which blood test is most indicative of cardiac damage?

a. lactate dehydrogenase

b. CBC

c. Troponin I

d. Creatine kinase

7. Primary reason for administering Morphine to MI pt?

a. sedate

b. decrease chest pain

c. decrease anxiety

d. decrease O2 demand on heart

8. Most commonly responsible for MI?

a. aneurysm

b. HF

c. coronary artery thrombosis

d. renal failure

9. Which Dx tool used to most commonly deterine location of myocardial damage?

a. cardiac cath

b. cardiac enzymes

c. echo

d. ECG

10. First intervention for pt experiencing MI?
a. morphine

b. O2

c. sublingual NTG
d. obtain ECG

11. Most common complication of MI?

a. cardiogenic shock

b. HF

c. arrhythmias

d. pericarditis

12. which sx might a R sided HF pt exhibit?

a. adequate UO

b. polyuria

c. oliguria

d. polydipsia

13. Dyspnea, cough, expectoration, weakness, and edema are classic s/sx of:

a. pericarditis

b. htn

c. MI

d. HF

14. after undergoing cardiac cath, pt has a puddle of blood under his buttocks. which step should you take first?

a. call for help

b. obtain VS

c. Ask the pt to "lift up"

d. apply gloves and assess the groin

15. which type of pain characteristic of angina?

a. knifelike

b. sharp

c. shooting

d. tightness

16. drug of choice for angina pectoris?

a. aspirin

b. lasix

c. NTG

d. nifedipine

17. predominant cause of angina?

a. increased preload

b. decreased afterload

c. coronary arty spasm

d. inadequate O2 supply to the myocardium

18. which dx test used most often to dx angina?

a. CXR

b. echo

c. cardiac cath

d. 12 lead EKG

19. Primary tx goal for angina?

a. reversal of ischemia

b. reversal of infarction

c. redxn of stress and anxiety

d. redxn of associated risk factors

20. Earliest sign of Cardiogenic shock

a. tachycardia

b. decreased UO

c. presence of 4th heart sound

d. ALOC

CV questions

2008-09-08T18:37:00.000-07:00

1. which of the following is a compenstory response to decreased CO?
a. decreased BP
b. ALOC
c. dec. BP & diuresis
d. inc. BP and fluid volume

2. which is used to describe the amount of stretch on the myocardium at the end of diastole?
a. afterload
b. cardiac index
c. CO
d. preload

3. one hour after administering IV lasix to a pt c HF, a short burst of Vtach appears on the monitor. which lyte imbalance should the nurse suspect?
a. hypoCa
b. HyperMg
c. hypoK
c. hyperNa

4. to reduce risk of coronary artery spasms, whicy type of med is the physicial most likely to prescribe?
a. Beta blocker
b. ACE inhibitor
c. inotropic vasodilator
d. Ca channel blocker

5. pt c HF is receivfing lasix 40mg IV. the MD orders 40 mEq KCl in 100mL D5W, to infuse over 4 hr. the pt's serum K level is 3.0. at which infusion rate should the nurse set the pump?
a. 25mL/hr
b. 10
c. 100
d. 50

6. a pt being tx'd 4 Vtach, why should teaching include eating foods such as bananas?
a. bananas high in carbs
b. high in K
c. low in Na
d. high in fiber

7. BP 126/80, MAP is

Also, links to test bank questions
med I
med II
med III
med IV
med V

Swan Ganz Insertion and Waveform

2008-08-31T00:13:00.000-07:00

This shows actual insertion of a Swan Ganz and what the waveforms look like. I don't know about you guys, but I am always pleasantly surprised when I learn something and it is actually like real life!!

Swan Ganz Insertion and Waveform

You really only need to watch 3:20-5:30 of this video.

Oh, by the way. . . it is in Spanish, which is interesting, and you kind of feel like you should be on E as you listen to it (you will know what I am talking about when you watch it).

Also, this man made a good analogy for hemodynamics.

Understanding Hemodynamics

N7 Hemodynamic Basics

2008-08-28T17:12:00.000-07:00

Hey guys, check out this Nursing CEU site. Quick easy read with mini quizzes

HEMODYNAMIC BASICS

Take the test in the comment section.

You can also check out Nurse Bob's Hemodynamic monitoring in the ICU

Early bird questions

2008-08-26T16:34:00.000-07:00

Here are some questions regarding cardiac, so that I can actually practice before I get the test!!

Be forewarned that there is sound on the cardiac quiz site, so check your volume!
EKG simulator

Cardiac Quiz

Heart meds

Rhythms and Meds

Links to test banks

2008-08-25T10:27:00.000-07:00

http://deltarnstudents.blogspot.com/2005/09/n4-test-neuro-icp-chapter-55.html
http://deltarnstudents.blogspot.com/2005/09/n4-test-head-injuries-and-icp.html
http://deltarnstudents.blogspot.com/2005/09/n4-test-cerebral-bleeding-and-icp.html
http://deltarnstudents.blogspot.com/2005/12/n4-n7-critical-care-neuro-quiz.html

http://deltarnstudents.blogspot.com/2005/12/n4-neuro-and-cranial-nerves-quiz.html

http://deltarns2007.blogspot.com/2005/10/disorders-of-fluid-volume-osmolality.html
http://deltarnstudents.blogspot.com/2005/10/n4-test-fluid-imbalances.html

http://futurenurses2008.blogspot.com/2008/04/n7-pharmacology-positive-inotropic.html
http://futurenurses2008.blogspot.com/2008/03/n7-pharmacology-antidysrhythmic-agents.html
http://futurenurses2008.blogspot.com/2008/04/n7-pharmacology-antianiginal-agents.html
http://futurenurses2008.blogspot.com/2008/03/n7-pharmacology-antihypertensive-agents.html
http://futurenurses2008.blogspot.com/2008/03/n7-pharmacology-diuretic-agents.html

RAA system

2008-08-24T13:27:00.000-07:00

here is a great diagram showing how the RAAS works.

thank you wikipedia!!

RAAS diagram

Nursing 6 study resources

2008-08-23T14:39:00.000-07:00

Companion website:
There are some great resources in our textbook's companion website. Check out this link: Maternal & Child Nursing Care.

It offers printable versions of the "Critical Concept Reviews" appearing at the end of each chapter (good quick chapter reviews!), and it also provides NCLEX questions (about 10/chapter).

Here are links to the first assigned chapters:

33 - Growth and Development
34 - Nutrition
35 - Pediatric Assessment
36 - Influences on the Child
37 - Health Promotion and Maintenance (infancy/early childhood)
38 - Health Promotion and Maintenance (older child/adolescent)
42 - Pain Assessment and Management

For additional NCLEX practice, animations and more, see the companion CD that should have been included at the back of your textbook.

Charting Errors

2008-08-20T16:14:00.000-07:00

These are from actual medical charts.

The baby was delivered, the cord clamped and cut and handed to the pediatrician, who breathed and cried immediately.

Exam of genitalia reveals that he is circus sized.

The skin was moist and dry.

She stated that she had been constipated for most of her life until 1989 when she got a divorce.

The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.

Bleeding started in the rectal area and continued all the way to Los Angeles.

Both breasts are equal and reactive to light and accommodation.

She is numb from her toes down.

While in the emergency room, she was examined, X-rated and sent home.

The lab test indicated abnormal lover function.

Occasional, constant, infrequent headaches.

Examination reveals a well-developed male lying in bed with his family in no distress.

Patient was alert and unresponsive.

When she fainted, her eyes rolled around the room.

Nursing 7 Lecture Audio

2008-08-14T21:24:00.000-07:00

In the right-hand column there are links to the Nursing 7 lectures.

Keep checking for more audio links.

Revving back up

2008-08-13T01:29:00.000-07:00

Student Nurse Journey is a great general site you might want to peruse. You'll see there are lots of good resources there. Among many other bits of relevant information, it offers nursing fundamentals videos on many basic skills, such as:

Other areas of interest on the site include:

Pediatric nursing
Med-surg topics (by body system)
Assessments
Writing, charting and reporting
Medications (classes, administration, etc.)
Care plans

N6

2008-08-06T05:37:00.001-07:00

School is almost here again!! I got a message from Julie Kay and if you don't already know.... Nursing 6 doesn't start until monday Aug 18th. I was confused about thursday being the first day of school, but we get 1 more week. See you all in soon.

-Maureen

Next SNA Meeting

2008-05-15T12:00:00.000-07:00

The Nursing Market isn't what it used to be!! Get your foot in the door, gain some experience, get to know about your hospitals.

Two speakers will be at the next SNA meeting this Monday (note the different time) to talk about work experience/study and Versant.

This meeting is essential to get a jumpstart on your nursing career.

See you there!

Mrs. McAtee's Group

2008-05-14T14:57:00.001-07:00

Just wanted the group to know I called county to set up a shadow day with Mrs. McAtee and according to the person answering the phone in the volunteer center, they no longer do shadowing and haven't for about a year now. I'm going to ask Mrs. Ippolito to pass that message along to McAtee to see what that's all about. Just thought I would let you guys know! N5 is just about over and so is our first year. Yay!

Nursing 4 -- renal system exam topics

2008-05-12T12:39:00.000-07:00

Links:

Renal failure (from Critical Care Medicine Tutorials)
Summary of Renal and urological systems (from Docushare/FSison)
BPH (short animation/video)
Prostate Cancer (video library)

Take Me Out to the Ball Game!!

2008-04-27T08:43:00.001-07:00

Take me out to the ball game . . .
and support the SNA!

Who: Stockton Port’s and SNA
What: Relaxation and fun!
When: Sunday May 18th at 2:05
Cost: $5.00 per person on Homerun Hill
(with one dollar benefiting the SNA)
Bring a blanket and your family!

Order forms and money must be turned in to the nursing office or any SNA officer by Wednesday May 7th!

Reiki SNA Meeting

2008-04-21T22:10:00.001-07:00

Reiki proved to be a new, exciting topic for us at the SNA Meeting! Below are the Meeting Minutes...

SNA Minutes for April 21st

I. Nominations for SNA positions next semester
a. Lisa read all position descriptions
b. Michelle Berlin nominates self for president - lisa Newbold second, nomination accepted
c. Lisa Newbold nominates Sue Barnes for vice president – Kristin Morone second, nomination accepted
d. Trina eagal nominates andrea traylor-cwik for secretary - Kristin morone second, nomination accepted
e. Sonya gill nominates self for treasurer – Kristin morone second, nomination accepted
f. Ana Hernandez nominates Ogechi for president elect – Kristin morone second, nomination accepted
II. Approval of monetary request form
III. Vote on Nicole/Danielle’s request for money for graduation
a. Kristin - $400 for graduation flowers
i. Sue Barnes moves that we give $400 to graduating class
ii. Wendy seconds
iii. Motion passed
IV. badges – requesting students purchase 2 – 3 patches for lab coats and scrubs
a. motion requested, second and passed
V. Port’s game Interest
a. $1 off if 25 tickets purchased, $2 off if 100 tickets purchased
b. May 18th
c. Collect money first, then order tickets
VI. Fundraising ideas
a. BJ’s 28th 11am-11pm, bring flyer
VII. Memorial day – traveling Vietnam Wall Interest – tabled to next meeting, need more information
VIII. Announce next meeting topic
a. Versant
b. Work study
IX. Reiki (Toni Barnett)
a. Body and mind heal self
b. Take responsibility for your own healing…does not conflict with any religions
c. Chakras – energy vortex (feed energy to organs and glands)
d. Aura –
i. Purple/blue – giving, love, service to others
ii. Green – money
iii. White – spiritual protection
** shows up in aura before it manifests in the physical body
e. healing addresses cause, curing addresses symptom
f. aura_maven@yahoo.com, 916-723-7052 – does the aura photos
g. All people have auras and chakras, so this type of healing is within all of us
h. Nurse developed therapeutic touch, which is more acceptable in the nursing world.
i. $60 for a Reiki treatment, generally

SNA Meeting this Monday!!

2008-04-15T18:31:00.001-07:00

Nursing is an innovative field with specialties that are focusing on more than just medicine. Join us at the next SNA Meeting to learn about the spiritual aspect of healing.

SNA Agenda for April 21st

I. Approval of monetary request form
II. Vote on Nicole/Danielle’s request for money for graduation
III. Port’s game Interest
IV. Fundraising ideas
V. Memorial day – traveling Vietnam Wall Interest
VI. Announce next meeting topic
a. Versant
b. Work study
VII. Reiki (Toni Barnett)

Interpreting arterial blood gases (ABGs)

2008-04-09T19:22:00.001-07:00

Here's an excellent online tutorial on ABGs from Hansen Nursing.

Also, if you want something printable to refer to, here's some good information from the Kozier site:

Congradulations

2008-04-07T13:36:00.000-07:00

only 5 more tests to go
don't forget to study for your ATI test next monday.
treat yourself to something special today you deserve it.
Jenn Stevens

HIV in 3D (video clips)

2008-04-05T06:04:00.000-07:00

For the visual learners among Nursing 4 students, here are some outstanding short clips showing the retrovirus in 3D:

Targeting HIV replication
HIV replication and life cycle
HIV resistance
Protease inhibitors

more books

2008-04-04T15:42:00.000-07:00

If you haven't registered into your evolve textbook site yet, do it now. You'll find the link on the inside of your textbook cover or 1st page.
You can register for as many of these books as you want, you do not have to buy the books to register for them. You just register for the free online resources. I have registered for about 10 of them right now. There are assessment books, and patho books- I like to just look under the chapter subjects and find questions to answer. Gives you all the rationales. You can find a lot of good links to study on the subjects that you want.

HELP

2008-04-04T10:43:00.000-07:00

did anyone go to the study skills with Semillo on Wednesday - I forgot
anything would be helpful. thanks and smart studying we will do great
Jennifer Stevens

Learning can be fun!

2008-03-30T09:32:00.000-07:00

The online resources that come with our Lewis book include Web links to lots of good additional information. People are always trying to explain complicated stuff in creative, new ways. I am grateful they do! Here's just a sample of supplementary information you can find on the Evolve site:

HIV Infection Overview (from Cell's Alive!) with animations and video clips

Cell-mediated and humoral immunity - includes a good visual of different types of cells

Immune System Defender Game - well-done, and fun!

Cartoon-like illustrations - from NobelPrize.org - the cells in the immune system with clear, simple descriptions. Highly recommended for anyone who's having trouble picturing things (like me!).

Tootsie Pops = viruses: an immunologist's "dumbed-down" description of the cells of the immune system and HIV. (Not too dumbed down for me, though. I need this sort of thing to reach those occasional "aha" moments!)

Fluid, Immune response and HIV

2008-03-28T21:58:00.000-07:00

One click away from questions! Oh the excitement!!

Fluids
Disorders of Fluid Volume, Osmolality, and Electrolytes
Immunoglobulins
How the Immune System Protects
MedSurg Immune Responses
Inflammation and Infection
Immune Response and Inflammation
Autoimmunity
Infection Interventions
Inflammation and the Immune Response
Med Surg and HIV
HIV

Test Taking Tips for Nursing Students

2008-03-24T18:27:00.000-07:00

The key is to move quickly but carefully through each question. If you miss one important word, the whole meaning of the question could be changed.
Don't spend too much time on any one question -- skip the hard questions (or take a guess, and mark them) and then come back, if you have the time.
Before you look at the answer choices, try to understand what the question is asking – is it an assessment question? Does it relate to another stage in the nursing process? Is patient safety an issue? Identify key words in the stem that may set a priority, indicate negative polarity, etc.
Also – before looking at your choices – try to think of what YOU would do, THEN look at them. Maybe the one you thought of is there.
There are many people who will advise that your first choice is usually right. If you find that you're second-guessing yourself, and going back to change answers, only to discover that you've changed to the wrong choice, this one may apply to you!
Maslow's hierarchy of needs is a good guideline, where basic physiological needs come first.
Remember your ABCs (airway, breathing, circulation). Anything related to oxygenation is usually the #1 priority.
Positioning can be big, too. Especially if the patient is at risk for aspiration.
Therapeutic communication is also an area you'll encounter again and again. Be sure you recognize the hallmarks of therapeutic communication. The answers that sound client-centered, respectful, and promote maximum client independence are usually your best bet.
Practice doing NCLEX-style questions every day (Bonnie Boss recommends a minimum of 10 a day). For starters, do the questions in your textbook, accompanying study guide and using online resources from the publisher that relate to the chapters you're studying.

Other good resources for test-taking:
Book: Test Success – Test-Taking Techniques for Beginning Nursing Students (authors: Patricia M. Nugent and Barbara A. Vitale). The whole book is good, but Chapter 7 (Test-taking techniques) is especially good for helping you to analyze questions.
Free online: Top Ten Test-Taking Tips (Link to: Evolve student development videos) with Linda Anne Silvestri
Interactive tutorial: MEDS Successful Problem Solving and Test-Taking for Beginning Nursing Students (This tutorial software is available on the medspub.com site or free in the computer lab)

SNA Meeting Minutes

2008-03-24T18:14:00.000-07:00

We had a GREAT turnout at the most recent SNA meeting, which provided all those who attended some great tips on how to survive different semesters in the nursing program. Here are the minutes from that meeting.

SNA Meeting Minutes for March 24th

Meeting began at 1305
I. Continued research on fundraising and community service projects
II. NSSP – Robin Shum and LaShonna Parker–
a. Stress Management – time is a big factor
i. I’M SOR
1. Identify goals in life, what do you like? (*if you enjoy what you are doing, your stress will be lower. Have a positive attitude!)
a. Don’t get too worried about details. Look at big picture.
b. Don’t wait until the last minute to complete assignments/study.
2. Modify
3. Simplify
4. Organize – split up your time accordingly
a. Planner
b. Look at one week. How much time did you spend on different activities? Analyze it.
c. Modify your lifestyle to make best use of your time and reduce stress.
i. Grocery stores not as full at night (time saver!)
ii. There is always a solution to things that happen in life. Don’t let stress affect your health.
iii. Planning doesn’t mean anything unless you take action.
5. Recognize
**I LIKE NURSING!!
**Knowing and not doing is like not knowing. (I like that!)
ii. Relaxation and Health
1. eating habits – eat breakfast
2. get exercise
3. emotional health is important
4. schedule time for yourself to sit still or do something you enjoy
5. relaxing music
III. Danielle Mathias-Lamb
a. Don’t study more, study smarter
b. Nursing 4 very important!!
c. Know how theory applies to real world
i. Ask questions to instructors and nurses
d. Keep pamphlets that can and will come up again in later classes
i. Organized into body systems or what will work for you
e. grasp the concepts, everything else will follow
f. Books that helped Danielle
i. Critical Care Nursing Care Plan, 2nd Ed. - Delmar
ii. Study guide for Medical-surgical Nursing; Critical thinking in client Care, 3rd ed. – Lemone/Burke
iii. Nursing Diagnoses reference manual, 5th ed. – sparks/taylor
iv. Illustrated Study guide for the NCLEX – RN exam, 6th ed - Mosby
v. Memory notecards – pathophysiology and fluids and electrolytes (Mosby’s)
IV. Erin Shelby
a. Use your resources/study guides!!
b. It is very beneficial to study in groups
c. Prioritize
d. DON’T STRESS!!
e. Theory is only a few hours a week vs 12-20 hours of clinicals.
i. Get through theory and focus your learning on clinicals.
V. Ana Hernandez
a. Study smart!! – article, “Undergraduate Medical Education is NOT Rocket Science: But that does NOT mean it’s easy!
VI. Questions
a. Nursing 4?
i. Romena’s lectures follow the textbook
ii. Use study guide that goes with Lewis textbook.
1. It is a guideline for what to study
2. Why are the answers in the study guide wrong (not just right)
3. You may not get to all reading, doing questions, look at tables is good
4. Taking tests in nursing skills lab
b. don’t wait until you are failing to speak with the Nursing Student Success program
c. Everyone learns different, so find the person who learns how you learn.
VII. Nominations for SNA Leadership Award
a. Majority vote for Danielle Mathias-Lamb and Nicole Porter to be given award
VIII. Raffle
IX. 4th semester students, Nicole Porter and Danielle Mathias-Lamb requested funds from SNA for graduation flowers. TBD at next SNA meeting
Meeting adjourned at 1435

Using SBAR for more effective professional communication

2008-03-24T17:53:00.001-07:00

SBAR is a standardized way of communicating with other healthcare givers. It promotes patient safety because it helps physicians and nurses communicate with each other. Staff and physicians can use SBAR to share what information is important about a patient. It improves efficiency because this standardized form of communication helps caregivers speak about patients in a concise and complete way.

Utilized extensively in medicine, and originating from the nuclear submarine service, SBAR stands for:

Situation
Background
Assessment
Recommendation

A sample of how to use SBAR

Talking the Talk — Hospitals Use SBAR to Standardize Communication (from NurseWeek)

Good stuff

2008-03-23T18:58:00.000-07:00

The student development site from Evolve offers nursing students tips on time management, test-taking, and includes some nifty printable "quick reference guides" at the bottom. Try it, you'll like it...

2008-03-19T12:35:00.000-07:00

Hi guys going into Nursing 4. If I did it than you all definately can do it. I am available if anyone needs help.....it's all still somewhat fresh in my mind! Good luck all, I will be enjoying Mental Health....Whew!

Maureen

N-04, the very LAST day at Dameron. A few of us are missing... SHAME ON YOU, Michael!

2008-03-13T21:17:00.000-07:00

2008-03-11T20:05:00.000-07:00

SNA Agenda for March 24th

I. Community service projects
a. Canned food drive
b. Family ties
c. March of dimes
i. Support Delta Heat, represent SNA
ii. May 17th, Weber Point Event Center – 221 North

Center St.
d. Cystic fibrosis walk

II. Fundraising projects
a. Cell phone/toner collection
b. Donating back for dinner after pinning ceremony – Outback Steakhouse, BJ’s, Elephant

Bar, Bud’s, etc
c. Donating back if delta student eats at Baja Fresh (or other eatery)

III. Danielle Mathias-Lamb (4th semester student)

IV. Erin Shelby (3rd semester student)

V. Kristin Morone, Lisa Newbold, Michael Dorsey, Trina Eagal (2nd semester students)

VI. Q&A

VII. Confirm nominations for SNA Leadership Award (Nicole Porter and Danielle Mathias – Lamb)
a. Any other nominations
b. Vote

VIII. Raffle

Nursing 4: Cranial Nerves

2008-03-04T22:35:00.000-08:00

Nursing 4 will add cranial nerves to the health assessment.

I - Olfactory - smell
II - Optic - vison
III - Oculomotor - most eye muscles
IV - Trochlear - superior oblique
V - Trigeminal - facial sensation or muscles of mastication
VI - Abducens - lateral rectus
VII - Facial - facial expression or taste
VIII - auditory/hearing or balance
IX - Glossopharyngeal - pharynx sensation
X - Vagus - pharynx and larynx muscles
XI - Accessory - trapezius and sternocleidomastoid
XII - Hypoglossal - tongue muscles

The classic mnemonic students use to memorize the 12 cranial nerves in order is: On Old Olympic Towering Tops A Finn And German Viewed Some Hops

Here's some general information:
Cranial Nerves
Review Information

Assessing cranial nerves - demonstration videos:
Cranial Nerve I (Olfactory)
II (Optic): Visual acuity, pupillary light reflex
III, IV and VI (Oculomotor, trochlear and abducens)
V and VII (Trigeminal and facial)
Abnormal Cranial Nerve VII (sensory, taste)
VIII (Acoustic)
IX, X, XI and XII

ANA giving free access to "Members Only" Nursingworld.org!

2008-03-04T20:18:00.000-08:00

Click on this link to sign up for free membership to ANA's Nursingworld.org
It is a great site with articles, policies, interviews and other great stuff that we can get free!

http://www.cnsa.org/ANA.html

Keep 'em Coming!

2008-02-25T21:02:00.000-08:00

Please continue to take pictures of your clinical groups and experiences, because we will also have a video to do at graduation! Remember, the photobucket site is
http://photobucket.com
login: futurenurses2009
password: may2009

You can make a new folder or just put it in the main file

Looking for last minute study help for Neuro test?

2008-02-24T09:03:00.000-08:00

You're not alone! Check out the evolve website to print out chapter summaries for Neuro. http:evolve.elsevier.com. You may have to register on the website (kind of a pain), but once you do, navigate to the Course Doucument for the Lewis book and you can print out Key Points and the Nursing Care Plans that are in the book. A lot of the key point from Romena's lectures in the quick reference.

good luck! -Christine

Neuro stuff

2008-02-13T04:50:00.000-08:00

Here is some Neuro review from Dr. Itaya.

http://docushare.deltacollege.edu/dsweb/Get/Document-69166/chapter06NeuronalSignaling.ppt

http://docushare.deltacollege.edu/dsweb/Get/Document-69168/chapter07SensoryPhys.ppt

...and a cool page I found

http://www.neuroskills.com/

...and stuff on Docushare from Nursing 101
http://docushare.deltacollege.edu/dsweb/Get/Document-49177/Epilepsy.doc
http://docushare.deltacollege.edu/dsweb/Get/Document-49189/Parkinson%27s+Disease.doc
http://docushare.deltacollege.edu/dsweb/Get/Document-49178/Types+of+Strokes.doc

Next SNA Meeting

2008-02-07T18:55:00.001-08:00

Resp. Stuff

2008-02-05T06:05:00.000-08:00

This is a collection of a bunch of resp. questions from a friend of mine in 7. Some of them look familiar but she told me to know these questions inside and out.

NCLEX Examination Review Questions Chapter 17
1.
The majority of the body’s water is contained in which of the following fluid compartments?

A.
interstitial
B.
intracellular
C.
extracellular
D.
intravascular

3.
An elderly woman was admitted to the medical unit with dehydration. A clinical indication of this problem is

A.
weight loss.
B.
full bounding pulse.
C.
engorged neck veins.
D.
Kussmaul respiration.

4.
Implementation of nursing care for the patient with hyponatremia includes

A.
fluid restriction.
B.
administration of hypotonic IV fluids.
C.
administration of a cation exchange resin.
D.
increased water intake for patients on nasogastric suction.

5.
A patient is receiving a loop diuretic. The nurse should be alert to which of the following symptoms?

A.
restlessness and agitation
B.
paresthesias and irritability
C.
weak, irregular pulse and poor muscle tone
D.
increased blood pressure and muscle spasms

6.
Which of the following patients would be at greatest risk for the potential development of hypermagnesemia?

A.
83-year-old man with lung cancer and hypertension
B.
65-year-old woman with hypertension taking β-adrenergic blockers
C.
42-year-old woman with systemic lupus erythematosus and renal failure
D.
50-year-old man with benign prostatic hyperplasia and a urinary tract infection

7.
It is especially important for the nurse to assess for which of the following in a patient who has just undergone a total thyroidectomy?

A.
weight gain
B.
depressed reflexes
C.
positive Chvostek’s sign
D.
confusion and personality changes

8.
The nurse anticipates that the patient with hyperphosphatemia secondary to renal failure will require

A.
calcium supplements.
B.
potassium supplements.
C.
magnesium supplements.
D.
fluid replacement therapy.

9.
The lungs act as an acid-base buffer by

A.
increasing respiratory rate and depth when CO2 levels in the blood are high, reducing acid load.
B.
increasing respiratory rate and depth when CO2 levels in the blood are low, reducing base load.
C.
decreasing respiratory rate and depth when CO2 levels in the blood are high, reducing acid load.
D.
decreasing respiratory rate and depth when CO2 levels in the blood are low, increasing acid load.

10.
A patient has the following arterial blood gas results: pH 7.52; PaCO2 30 mm Hg; HCO3– 24 mEq/L. The nurse determines that these results indicate

A.
metabolic acidosis.
B.
metabolic alkalosis.
C.
respiratory acidosis.
D.
respiratory alkalosis.

11.
The typical fluid replacement for the patient with an ICF fluid volume deficit is

A.
isotonic.
B.
hypotonic.
C.
hypertonic.
D.
a plasma expander.

NCLEX Examination Review Questions Chapter 26
1.
The mechanism that stimulates the release of surfactant is

A.
fluid accumulation in the alveoli.
B.
alveolar collapse from atelectasis.
C.
alveolar stretch from deep breathing.
D.
air movement through the alveolar pores of Kohn.

2.
During inspiration, air enters the thoracic cavity as a result of

A.
contraction of the accessory abdominal muscles.
B.
increased carbon dioxide and decreased oxygen in the blood.
C.
stimulation of the respiratory muscles by the chemoreceptors.
D.
decreased intrathoracic pressure relative to pressure at the airway.

3.
The ability of the lungs to adequately oxygenate the arterial blood is determined by examination of the

A.
arterial oxygen tension.
B.
carboxyhemoglobin level.
C.
arterial carbon dioxide tension.
D.
venous carbon dioxide tension.

4.
The most important respiratory defense mechanism distal to the respiratory bronchioles is the

A.
alveolar macrophage.
B.
impaction of particles.
C.
reflex bronchoconstriction.
D.
mucociliary clearance mechanism.

5.
A rightward shift of the oxygen-hemoglobin dissociation curve

A.
is caused by metabolic alkalosis.
B.
is seen in postoperative hypothermia.
C.
facilitates release of oxygen at the tissue level.
D.
causes oxygen to have a greater affinity for hemoglobin.

6.
Very early signs or symptoms of inadequate oxygenation include

A.
dyspnea and hypotension.
B.
apprehension and restlessness.
C.
cyanosis and cool, clammy skin.
D.
increased urine output and diaphoresis.

7.
During the respiratory assessment of the older adult, the nurse would expect to find

A.
hypercapnia while at rest.
B.
increased breath sounds in the lung apices.
C.
decreased pH and increased PaCO2 levels.
D.
increased anteroposterior chest diameter.

8.
When assessing activity-exercise patterns related to respiratory health, the nurse inquires about

A.
dyspnea during rest or exercise.
B.
recent weight loss or weight gain.
C.
willingness to wear oxygen in public.
D.
ability to sleep through the entire night.

9.
The vibration of tactile fremitus is best assessed using the nurse’s

A.
palms.
B.
fingertips.
C.
stethoscope.
D.
index fingers.

10.
Which of the following is an abnormal assessment finding of the respiratory system?

A.
presence of rhonchial fremitus
B.
inspiratory chest expansion of 1 inch
C.
percussion resonance over the lung bases
D.
symmetric chest expansion and contraction

11.
A diagnostic procedure done to remove pleural fluid for analysis is

A.
thoracentesis.
B.
bronchoscopy.
C.
pulmonary angiography.
D.
sputum culture and sensitivity.

NCLEX Examination Review Questions Chapter 27
1.
In assessing a patient with pneumococcal pneumonia, the nurse recognizes that clinical manifestations of this condition include

A.
fever, chills, and a productive cough with rust-colored sputum.
B.
a nonproductive cough and night sweats that are usually self-limiting.
C.
a gradual onset of nasal stuffiness, sore throat, and purulent productive cough.
D.
an abrupt onset of fever, nonproductive cough, and formation of lung abscesses.

2.
An appropriate nursing intervention for a patient with pneumonia with the nursing diagnosis of ineffective airway clearance related to thick secretions and fatigue would be to

A.
perform postural drainage every hour.
B.
provide analgesics as ordered to promote patient comfort.
C.
administer oxygen as prescribed to maintain optimal oxygen levels.
D.
teach the patient how to cough effectively to bring secretions to the mouth.

3.
A patient with TB has a nursing diagnosis of noncompliance. The nurse recognizes that the most common etiologic factor for this diagnosis in patients with TB is

A.
fatigue and lack of energy to manage self-care.
B.
lack of knowledge about how the disease is transmitted.
C.
little or no motivation to adhere to a long-term drug regimen.
D.
feelings of shame and the response to the social stigma associated with TB.

4.
A patient has been receiving high-dose corticosteroids and broad-spectrum antibiotics for treatment of serious trauma and infection. The nurse plans care for the patient knowing that the patient is most susceptible to

A.
candidiasis.
B.
aspergillosis.
C.
histoplasmosis.
D.
coccidioidomycosis.

7.
The type of lung cancer generally associated with the best prognosis because it is potentially surgically resectable is

A.
adenocarcinoma.
B.
small cell carcinoma.
C.
squamous cell carcinoma.
D.
undifferentiated large cell carcinoma.

8.
The nurse identifies a flail chest in a trauma patient when

A.
multiple rib fractures are determined by x-ray.
B.
a tracheal deviation to the unaffected side is present.
C.
paradoxic chest movement occurs during respiration.
D.
there is decreased movement of the involved chest wall.

9.
The nurse notes tidaling of the water level in the tube submerged in the water-seal chamber in a patient with closed chest-tube drainage. The nurse should

A.
continue to monitor this normal finding.
B.
check all connections for a leak in the system.
C.
lower the drainage collector further from the chest.
D.
clamp the tubing at progressively distal points away from the patient until the tidaling stops.

10.
A nursing measure that should be instituted after a pneumonectomy is

A.
monitoring chest-tube drainage and functioning.
B.
positioning the patient on the unaffected side or back.
C.
range-of-motion exercises on the affected upper extremity.
D.
auscultating frequently for lung sounds on the affected side.

11.
Guillain-Barré syndrome causes respiratory problems primarily by

A.
depressing the CNS.
B.
deforming chest-wall muscles.
C.
paralyzing the diaphragm secondary to trauma.
D.
interrupting nerve transmission to respiratory muscles.

12.
A patient with COPD asks why the heart is affected by the respiratory disease. The nurse’s response to the patient is based on the knowledge that cor pulmonale is characterized by

A.
pulmonary congestion secondary to left ventricular failure.
B.
excess serous fluid collection in the alveoli caused by retained respiratory secretions.
C.
right ventricular hypertrophy secondary to increased pulmonary vascular resistance.
D.
right ventricular failure secondary to compression of the heart by hyperinflated lungs.

13.
In responding to a patient with emphysema who asks about the possibility of a lung transplant, the nurse knows that lung transplantation is contraindicated in patients

A.
with cor pulmonale.
B.
who currently smoke.
C.
older than 50 years of age.
D.
with end-stage lung disease.

NCLEX Examination Review Questions Chapter 28
1.
Asthma is best characterized as

A.
an inflammatory disease.
B.
a steady progression of bronchoconstriction.
C.
an obstructive disease with loss of alveolar walls.
D.
a chronic obstructive disorder characterized by mucus production.

2.
In evaluating the asthmatic patient’s knowledge of self-care, the nurse recognizes that additional instruction is needed when the patient says,

A.
"I use my corticosteroid inhaler when I feel short of breath."
B.
"I get a flu shot every year and see my health care provider if I have an upper respiratory infection."
C.
"I use my bronchodilator inhaler before I visit my aunt who has a cat, but I only visit for a few minutes because of my allergies."
D.
"I walk 30 minutes every day but sometimes I have to use my bronchodilator inhaler before walking to prevent me from getting short of breath."

3.
A plan of care for the patient with COPD would include

A.
chronic corticosteroid therapy.
B.
reduction of risk factors for infection.
C.
high flow rate O2 administration.
D.
lung exercises that involve inhaling longer than exhaling.

4.
The effects of cigarette smoking on the respiratory system include

A.
increased proliferation of ciliated cells.
B.
hypertrophy of the alveolar membrane.
C.
destruction of all alveolar macrophages.
D.
hyperplasia of goblet cells and increased production of mucus.

5.
One of the most important things that a nurse can teach a patient with emphysema is to

A.
move to a hot, dry climate.
B.
perform chest physiotherapy.
C.
obtain adequate rest in the supine position.
D.
know the early signs of respiratory infection.

6.
The major advantage of a Venturi mask is that it can

A.
deliver up to 80% O2
B.
provide continuous 100% humidity.
C.
deliver a precise concentration of O2
D.
be used while a patient eats and sleeps.

7.
Diagnostic studies that the nurse would expect to be abnormal in a person with CF are

A.
insulin tolerance and blood glucose.
B.
pancreatic enzymes and hormones.
C.
sweat test and vitamin B tolerance test.
D.
pulmonary function test and sweat test.

Questions from lecture

Lung stiffness or decreased lung compliance is the pathophysiology of which condition?
○ emphysema ("floppy, old balloon," too much air, does not come out)
○ bronchitis (obstructive disease)
○ cystic fibrosis (too much abnormal mucus production)
● pleural effusion (fluid in the pleural space which makes the lungs stiff)
○ administer humidified oxygen (2)
○ place in semi-Fowler’s position (1)
○ provide nebulizer treatment with bronchodilator (3)
○ discuss factors that precipitate attacks (4)

Which condition is an example of ventilation in excess of perfusion?
○ bronchitis
○ hypoventilation
○ hypopnea
● pulmonary embolus

When assessing respiratory system of 80-year-old man, the nurse will expect to find:
○ decreased anteroposterior diameter
● decreased chest wall compliance
○ bronchovesicular sounds at the apex of the lungs
○ increased respiratory excursions

The nurse is caring for a 45-pack year history of smoking patient. The nurse recognizes that the patient will most likely have decreased respiratory defenses due to impaired:
● mucociliary clearance
○ cough reflex
○ ability to filter particles from the air

Upon assessment of a patient with pneumonia, the nurse knows:
○ typical pneumonia symptoms are caused by Mycoplasma pneumoniae
● manifestations of pneumonia varies, depending on the causative organ
○ variety of microorganisms, but the pathophysiology is the same, regardless of cause
○ all patients with pneumonia will have a productive cough

To prevent aspiration pneumonia with patient on continuous nasogastric feeding, the appropriate nursing action would be:
○ keep patient turned to their side to allow secretions to drain out
○ administer bolus feeding rather than continuous
● check for stomach residual frequently
○ administer feeding at lowest and acceptable rate

Child’s mother and father are both carriers of CF gene. What is the genetic basis for this child to have CF?
● 25% of each pregnancy

Planning care for patient with cystic fibrosis, the nurse understands that the most important therapeutic approach to promote pulmonary function in the patient is:
● chest physiotherapy

Patient with COPD usually receive low oxygen doses via nasal cannula. The nurse understands that what problem may occur if the patient receives too much oxygen.
○ hyperventilation
○ tachypnea
● hypoventilation
○ increased snoring

For patient with COPD, what is the main risk factor for pulmonary infections?
○ fluid imbalance with pitting edema
○ decreased fluid intake and loss of body weight
● pooling with respiratory secretions
○ decreased anteroposterior diameter of chest

The nurse if monitoring a patient who is experiencing an acute asthma attack. What observation would indicate an improvement in condition.
○ pulse oximetry of 88%
○ pulse rate of 110 bpm
○ productive cough with rapid breathing
● respiratory rate of 18 breaths/min

When receiving an adrenergic beta2 agonist for asthma, complaints of palpitations, chest pain, and headaches, what should the nurse do:
● withhold drug until additional orders are obtained from the physician
○ tell patient not to worry, these are expected side effects from drug
○ ask patient to relax, breathe slowly, and deeply for several minutes
○ reassure the patient that these effects are temporary and will subside as the body becomes accustomed to the drug

Loss of surface area for gas exchange is an example of which condition?
● emphysema
○ bonchitis
○ cystic fibrosis
○ pleural effusion