Bonnie Links to Pain, End of Life and Cancer

LOTS and LOTS of questions!!

Cancer

http://deltarnstudents.blogspot.com/2005/04/practice-questions-cancer.html

http://deltarnstudents.blogspot.com/2005/04/more-questions-again-cancer.html

http://sjdc08rns.blogspot.com/2006/10/question-of-week-102306.html

http://deltarnstudents.blogspot.com/2005/04/cancer-practice-questions.html

http://deltarnstudents.blogspot.com/2005/04/more-practice.html

http://deltarnstudents.blogspot.com/2005/04/drug-practice.html

http://deltarnstudents.blogspot.com/2005/04/n2-pain-and-cancer-practice-test.html

http://deltarnstudents.blogspot.com/2005/08/question-of-week.html

http://deltarnstudents.blogspot.com/2005/03/n2-test-cancer-development.html

Pain

http://deltarnstudents.blogspot.com/2005/03/n4-pain-test.html

http://sjdc08rns.blogspot.com/2006/10/question-of-week-of-100206.html

http://deltarnstudents.blogspot.com/2005/03/pain-test.html

End of Life

http://deltarnstudents.blogspot.com/2005/04/n2-test-end-of-life-care.html

IV Calculations

I found a good site to practice all types of medication calculations.

You can choose the section that you need help in or you can do practice questions, which provide all types of problems.

http://www.dosagehelp.com/

TEA baskets

Please have the TEA baskets completed by December 6th. I should be able to fit them into my car if you bring them to lecture, if not, we can make other arrangements. None of us want to think about the TEA during our break, so I would like to collect them before we begin break.

Thanks!

Nursing Student Success Made Incredibly Easy

We have all enjoyed our Nursing Student Success Made Incredibly Easy Books that NSSP provided us at the beginning of the semester. We are all welcome to keep these books for future use, but if you'd like to give your book to a future 1st semester student, you may turn your book in to Kim Thompson. Before turning them in, put a sticky in your book and tell the next recipient what the most useful part of the book was for you! :)

Cultural posters......

We have chosen a winner out of the posters and we will be announcing it next thursday after your class. Mr. Trout would like to keep your posters for the culinary arts department when you are done with your oral presentations. If you guys can post a response on when they are due I will make sure that I am there to get them. Thank you again for participating and I hope that all of you learned something about diabetes during this project.

Liana

Count Down to the TEA

Many more ppl signed up than anticipated for the TEA. We had a total of 26 ppl for set up, and I think we'll only need about 15 total (including those who will be picking things up for me). Please email me if you can switch from set up to clean up, because we only had 10 ppl there.

Set up ppl can get there at 10am, not 8am. The tables and chairs should be set up for us when we get there.

I will also need either ice chests or big plastic buckets for the soda. It would be a good idea to have towels or something like that for under the sodas just in case they leak (somebody please remind me of this on the day of if I forget!!).

SET UP:Debbie Mehrer & Susan Keller: You two should probably go together to Costco, because I will be ordering around 6-7 sandwich platters and i will ask them to put together a platter of like 120 or so cookies, so it will be probably a 3 person job. If you have someone in mind to help you, please get in touch with them, and let me know who it is so I don't give them additional work! Make sure you have room in the back of your car. As far as ice goes, I am planning on having about 120 drinks (coke, dcoke, sprite and water), please make a judgment call on how much ice we need. Costco opens at 11(!!), but I will prepay for the platters, and I will be asking if they will allow you to enter during business member hours (10am) to pick up the platters.I will be in touch with you about that. If not, just be there at 11am to pick up.

Kristin Morone and Andreya Hooks: Kristin, you can let us know where each of us will be most helpful. Andreya, I will need you to pick up the balloons the day of. I will be ordering these from Party 2000 off of Pacific and robinhood behind Chili's. I think I will be getting about 12. They put them in a bag for you, so it makes transport much easier.

Caroline Ames: Can you please make sure all tables are labeled with the clinical group name? Kim thompson should be getting these to us, but if not, we can make some prior to setting up.

Michelle Berlin
Matt Valerio
Ann Soy
Gemma Sadorra
Marcella bickle
Jessica Kelling
Marilyn Moral
Arlis Barba
Julia Jung
Lisa Newbold
Natalia Edwards
Alan Navarrete
Crystal Ross
Sarilda Chaffin
Rowena Zabala
Susan Gradin
Sheryll Candelaroio
Marian Cruz
Khaer Dimaporo
Ed Tualla
You may leave once set up is through. Depending on how many ppl we have, this could be done fairly quickly. I will try to remember to bring bagels for all of you in order to preserve our sandwiches! Someone may need to call me to remind me of this!!!

DURING (This group will not have much in the way of tasks, except when we are doing the raffle, Melanie will be announcing the raffle ticket numbers and we will need ppl to hand out the prizes. Make sure ALL OF YOU WEAR YOUR SCRUBS so that the first semester students can recognize who we are.)
Brittany Hardy
Katie Strote
Michelle Berlin
Ann Soy
Gemma Sadorra
John de Ramos
John Bigol
Marcella Bickle
May Hunter
Michelle Ragadio
Michael dorsey
Cindy Skillsky
Shareen Kumar
Phoua Yang
Also,Melanie Payne: Speaker. I will be putting together the order of who will speak when. You will get things started. If you can remember the speaker from last time, she was very upbeat, motivating, set expectations for the semester, I'm sure you'll know what to say. I will also have you introduce everyone. I have to go through my list of speakers, but I will be asking Mary Neville, Kim Thompson, Lynne Swanson, Danielle Mathias and a 4th semester student. If anyone knows of someone, please let me know. I will be asking Danielle if she has any suggestions since she is going to be a 4th semester student.

Christine Shipman: set up next sem blog/blog sign up sheet. To keep the line of students moving, you may want to have 2 others at the table with you to help get students signed up.

CLEAN UP:
Kristin, please bring the boxes that the decorations were shipped in, because we will keep the centerpieces and anything else that is reusable for any future semesters to use.
Sue Barnes
Michelle Berlin
Matt Valerio
Ann Soy
Gemma Sadorra
John De Ramos
John Bigol
Chris Seligman
Lucia Lopez
Ijeoma Duru

Remember the TEA is Wednesday, January 9th from noon until 2pm.

!! Disaster Drill- Important Info from Robert !!

Here is the list of people and the locations that you have been assigned to. The * next to your name means that you need to contact Robert ASAP as you have been assigned and there is a lunch waiting with your name on it-literally!Also, you will not be allowed to participate without a picture ID so bring your student ID with you.Pass the word!ROBERT YATER [ryater802@students.deltacollege.edu]

Dameron
Aimee Myhra
Amie Edwards *
Kristine Brown *
Lori Skevington
Marilou Almadrigo
Navneet Athwal
Sharon Jones
ALLA OLESHKO
Austin Peterson

Kaiser Modesto
Jennifer Pinheiro *
Mathew Valerio
Rita Ribiero
Tonya Robinson *

Kaiser Manteca
Ena Schultz
K. Danielle Mathias-Lamb *
Katy Cowden
Maria Montes
Raulyne Ken Fack

Kaiser Stockton
Adriana Montellano *
Kimberly Tecson
Sarah Meerdink *
Shanna Thornton
Stacy Cook *
Theresa Furlong
Blessie Gee

Lodi Memorial
Barbara Jennifer Lewis
Danielle Barrios
Gemekia Molina
Kay Galvan
Nicole Porter
Rachael Ramsey
Rupert Lao
Kimberly Thurman
Cira Arteaga

San Joaquin General Hospital
Aatiqa Pirbhai
Annastasia Butman
Brenn Briones
Jessica Kelling *
Marilyn Moral
Michelle Berlin
Sabrina Rodrigues
Sergey Navrotskiy
Shareen Kumar

Tracy Family Practice
Carey Holm
Crista Ames
Eugene Eastman *
John Bigol
Katie Vasconez *

St Joseph’s
Ashlie Guthrie
Barbara Kelling
Cheri Tassano
Kristen Gromm
Maureen Dunn
Rosa Reyes
Rowena Zabala
Rufina McCarty
Sheryll Candelario
Susan Gradin
Harrison Cole

Woodbridge
Jaquelyne Orr *
Jenifer Williams
Krystal Champion
Randy Kuwamoto
Steven Castelanelli

Doctors Medical Center Manteca
Darlene Machado
Deborah Acevedo *
NilanJana Chakrabarty
Rita Robins *
Sarah King *
Jyoti Battar *

Pain test bank

Here is the link to Bonnie's test bank questions on pain.

http://deltarnstudents.blogspot.com/2005/03/pain-test.html
http://deltarnstudents.blogspot.com/2005/03/n4-pain-test.html

Cardiovascular system terminology

More terms! Yippee!!

- Anastomosis - Surgical connection between blood vessels or the joining of one hollow or tubular organ to another
- Angioma - Tumor of a blood vessel
- Claudication - Process of limping. A dull, cramping pain in the hips, thighs, calves or buttocks caused by an inadequate supply of O2 to the muscles, usually due to narrowed arteries.
- Hyperlipidemia - Excessive amount of fatty substances (lipids) in theblood. "High cholesterol"
- Ischemia - lack of blood supply to a part of the body caused by constriction/obstruction of a bv
- Occlusion - Closed
- Myocardial infarction - Occurs when an area of the heart muscle dies or is permanently damaged b/c of an inadequate supply of O2 to that area, "heart attack"
VERSUS
- Cardiac arrest - Loss of effective heart function, which results in cessation of functional circulation.
- Phlebitis - Inflammation of the vein

Gimme Some Blood!

I hope all of you will be able to make it out to the Blood Drive tomorrow. It will be in Upper Danner Hall from 9am until 2pm.

Appointments are suggested, call 954-5100 to set one up. Tell them that you are with Student Nursing Association when you go.

If any of you are willing to volunteer your time, call Barbara at the number posted above.

Trina

NCLEX/Critical thinking questions - Community based settings for Pt care

1. Which of the following programs illustrates a focus on health in our society?
a. Research on the treatment of AIDS
b. Incarceration of drug addicts
c. Antismoking ads on TV
d. Aggressive therapy for cancer

2. Mrs. Rogers is in acute respiratory distress from pneumonia but refuses to stay for treatment. It is the nurse's responsibility to do which of the following?
a. Restrain the pt until a social worker can talk to her about the possible results of her actions.
b. Call for a psychological consultation to see if she is mentally stable.
c. Notify the physician; discuss the outcomes of the pt's decision and have her sign a release form
d. Call the pt's family and have them discharge her

3. Which of the following actions must be performed by the nurse upon discharging a pt from a healthcare agency?
a. coordinating future care for the pt
b. writing a discharge order for the pt
c. Writing any orders for future home visits that may be necessary for the pt
d. Sending the pt's records to the attending physician.

4. When pts are transferred within or among health care settings, which of the following is most important in ensuring the continuity of care?
a. Notification of all departments of room change
b. Careful moving of all personal items
c. Asking family members to take home the pt's jewelry, money or other valuables
d. Accurate and complete communication

5. Which of the following statements concerning the characteristics of a home care nurse is accurate?
a. Clinical skills are less important in a home care setting than in a hospital setting
b. The nurse should not make independent decisions about pt care
c. The increased autonomy of the nurse reduces the nurse's legal risks.
d. Physical assessment, nursing diagnosis, and infection control are all part of the nurse's role

6. Which of the following statements concerning the unique role of the home care nurse is accurate?
a. Home care is provided to the pt in a setting that is controlled by the nurse
b. The nurse should not feel that she is only a "guest" in the pt's home
c. the nurse must adapt to the pt's environemt instead of the pt adapting to a strange environment.
d. Home care nurses do not need the pt's permission to adjust furniture or pt belongings to provide a safe environment.

7. Which of the following activities would be performed by a home care nurse in the pre-entry phase of the home visit?
a. The nurse gathers supplies that may be needed for the pt
b. The nurse develops rapport c the pt and family
c. The nurse determines desired outcomes, makes assessments and plans and implements care
d. The nurse provides teaching to promote independence in self-care.

Critical thinking:
Identify care priorities for the pts listed below who are being transferred to a home healthcare setting. Include physical, psychological, socioeconomic, environmental, spiritual and cultural assessments for each pt. Think about nursing's role in making necessary resources available to the pt and family.

a. 76yo male, advanced cancer being sent home c a catheter and pca pump. lives alone, son lives 45 min away and has promised to check on him once/day. members of his church have offered to visit him and bring him a meal once/day.

b. 32yo male, advanced AIDS being sent home to spend his remaining days c parents. His life partner died of AIDS the previous year and he is angry about this situation. his parents do not accept his condition and lifestyle but offer to take care of his healthcare needs.

c. young, single mother lives c her boyfreind is released from the hospital c an infant who has Down syndrome. Both the mother and her boyfriend work and two incomes are needed to maintain the household. The mother has expressed concerns about being able to give her infant the proper treatment and attention.

Assessment terminology

I found some terms useful when writing my assessments. These terms pertain to the integumentary system.

Rhytid - skin wrinkles
Acrochordon - skin tags
cicatrix - scar left after the healing of a wound
Comedo - blackhead
Ecchymosis - bruising
Erythema - Redness of the skin
Lentigo - freckle
Leukoderma - localized loss of pigmentation of the skin
Nevus - mole
Pachyderma - thick skin
Xeroderma - dry skin

????

Andreya was never invited to our blog if one of the administtartors could send her an email at andreyah@sbcglobal.net
Thanks!

Cultural posters......

I think that we might have pulled multiples on cultural groups. I am not sure so can each group post an email address of leader and cultural group assignments. eg... indian and native american (same). The posters should be done by Mon. Nov. 5th and the winner of the pizza party will be announced on Nov. 14th. Good luck and thank you for participating.

any questions please email me at lianasmail@yahoo.com or you can call me directly at 925-382-4713 anytime. thank you again

Review Session

Here's what I took away from the review with Julie Kay.

The intervention should match the goal. If it doesn't, you need to reevaluate.

Nursing diagnoses should be CLIENT CENTERED

Nursing diagnoses should be written legally. Example of an ND that is NOT legally advisable is..."Impaired skin integrity related to improper positioning (implies legal liability)". A correctly written ND would be "Impaired skin integrity related to immobility."

Meds: If there is no order, DO NOT pick medication as your answer.
When giving meds: 1. Know what it will do and know what the adverse effects are.
If pt states the med is different than it normally looks or that they do not normally take an antihypertensive, then RECHECK.

SubQ injection: Taut or pinch (depending on the thickness of the subq tissue).
45 o angle with 5/8 " needle
Slow administration
IM injection: Z track method (keeps medication from coming out
90o angle with 1-1 1/2" needle
Aspirate (if you see blood, start over with new needle)

Preoperative prep: VS
Consent - explained by Dr., witnessed by nurse
Chart should be up-to-date
Preop meds given (prophylactic antibiotic, antianxiety)
Explain process through postop/postanesthesia
urinary cath
Medication hung
Four bedrails up

Postoperative: VS compare to baseline
Keep them Oxygenated
Suction
IV pole
Check incision/IV site/Dressing
Basin for nausea
Be aware of flatus

Check surgical site for redness, swelling, heat, odor (normal is red and beefy, her words, not mine!)

ND's dealing with Oxygenation, Circulation, Pain, Anxiety....with 3 interventions

If pt is ambulating, you need to address their pain level
If pt is agitated (test question!), safety first (Secure lines!).

Euthanasia is LEGALLY wrong.
Who has rights to pt's care....the patient.

Pt c impaired mobility: Turn, ROM.....make sure foot drop, contractures, DVT does not occur.

Legal documentation is using medical terminology.

Know your own biases when it comes to spirituality

For meds, units never convert, if a questions talks about insulin the answer should be written in units, not mL's.

**Do not add anything to the questions**

Good luck Everyone!! :o)

N2 posters

Hello everyone, I wanted to give out my information just in case anyone has any questions in regards to the posters that will be due the first week of Nov. from my understanding every clinical group has picked a cultural group already. So really quickly. Every group will need to make two posters. 1.) Will be a poster that incorporates your culture and a sample menu that will cater to the specific ethnic group chosen. 2.) A poster that promotes the main event for this project World Diabetes Awareness Day Nov. 14 in Upper Danner Hall. These posters will be posted around the campus and will be judged. The winning clinical group will get free pizza.

Every poster will need to have the clinical instructors name on the BACK of the posters. BE CREATIVE!!! any question email me. lianasmail@yahoo.com

GOOD LUCK on FINALS!!

Liana

Abbreviations

hey guys
i just came across this website and thought it was pretty cool and thought I'd share it. It has a bunch of nursing abbreviations. http://www.findnursingschools.com/nursing-abbreviations.asp?abbrv
Good Luck with studying!!!

SNA General Membership Meeting Oct 15th - Locke 314 - 1pm

SNA General Membership Meeting Oct 15th - Locke 314 - 1pm

Kim Thompson from the Nursing Student Success Program will share information regarding the benefits of the program and the many ways they may help you complete the ADN program and successfully pass NCLEX the first time.

We lost our Treasurer to the rigors of N7 so that means we have a vacancy that YOU may fill. Please review the description of duties below and if you can commit to a few extra hours here and there for SNA officer activities then feel free to contact me @ goshblogit@gmail.com or come to the meeting and raise your hand.
Treasurer: Keeps financial records, makes deposits and payment requests for club events, manages inventory and ordering.
We will also have an ICC update and vote on support of a member going to the 3 day CSNA conference in San Jose.
SNA gear will be raffled along with a fleece jacket to celebrate the change in weather!

Pictures: Meza's Clinical Group and Dameron Orientation

TEA donation checks - note slight change to address

Check made out to "SJDC"

Sent to:

SJDC
c/o Nursing Department
5151 Pacific Ave
Stockton, CA 95207

The easiest way would be to get the check and hand deliver to the Nursing Office. Then, we know it got there!

Like I mentioned before, please send all donation information(name, address, what was donated) to Lisa Newbold - lisanewbold@yahoo.com or daixybell@gmail.com.

Also, make a note if the contact person from the hospital was different, so that I can update the folder.