Friday, February 24, 2006
Hello all!! Hope that your experiences are going well! I need a replacement chair to plan the welcome tea for the new students coming in August!!!! It is tradition and expected of the previous class to plan it for the next semester's!!! Please email me if you are interested in chairing...GUYS and GIRLS...you all should help by giving money as requested and showing support by going on the day of the tea. It is a tough job to plan a reception for 80 people, hospitals and faculty but you can do it...I have a binder with detailed information on sponsors...there is money out there about 400 dollars to help you pay for what you need...I need someone ASAP to get this binder and start planning. My email is rnstudychris@aol.com first person to email me a chair request will get it...you will then need to put together a committee. Mary Neville needs a name soon guys...thanks!! Christine Moles ;)
skills lab
I can't remember where to get our skills lab info for julie kay on monday can anyone tell me please. thanks margaret
Tuesday, February 21, 2006
For those who couldn't make it today...
Mrs. Semillo's study session for quiz #5
1. No RED meat
2. Check for allergies to Shellfish and iodine
3. Use STERILE container, sterile syringe w/ sterile needle, clean port with anitmicrobial swab, clamp below port, collect sample
4. Peaceful and dignified death. Keyword: Autonomy. allow the pt to make as many decisions as possible
5. wipe front to back (female, clean to dirty (male), sterile container, start stream and catch 30-60mL
6. Provide pt with as much info to make a reasonable decision when donating organs
7. Assess activity/strength/tolerance, orthostatic hypotension- check pulse and BP when pt is laying down, sitting up, and standing
8. Under STERILE conditions: open pkgs, apply sterile gloves, open all the pkg, check equipment (inflate and lubricate), drape and cleanse pt, identify orifice, insert, and check urine
9. Change in bowel movements, bleeding
10. Keep bag below waist, equipment management- do not let the bag get full, empty it
11. increase fluids, diet: high fiber, low fat, exercise, medication education
12. assess, ROM/motor/strength of extremities--. atrophy/musclemass, CV (decrease Cardiac output), Resp. (decrease Tidal volume), GI (decrease motility, bowel sounds, peristalsis--> constipation), Pain level
13. prepare for loss, prepare to cope, Helps to move on, find inner peace, Have a healthy mental outlook and wellness in life
14. Give self (sit with pt)
15. Skin care (clean/dry), equipment management
16. SUBJECTIVE: pain, frequency, urgency, amount (oliguria, anuria, polyuria, nocturia), OBJECTIVE: Amount (30mL/hr or 1500-1700mL/24hrs), odor, color
17. 1-denial, 2-anger, 3-bargain, 4-depression, 5-acceptance
18. FVD (decreased fluid and electrolytes: K should be 3.5-5.0), Skin breakdown, altered mental status
If I missed something, feel free to add it to this...
1. No RED meat
2. Check for allergies to Shellfish and iodine
3. Use STERILE container, sterile syringe w/ sterile needle, clean port with anitmicrobial swab, clamp below port, collect sample
4. Peaceful and dignified death. Keyword: Autonomy. allow the pt to make as many decisions as possible
5. wipe front to back (female, clean to dirty (male), sterile container, start stream and catch 30-60mL
6. Provide pt with as much info to make a reasonable decision when donating organs
7. Assess activity/strength/tolerance, orthostatic hypotension- check pulse and BP when pt is laying down, sitting up, and standing
8. Under STERILE conditions: open pkgs, apply sterile gloves, open all the pkg, check equipment (inflate and lubricate), drape and cleanse pt, identify orifice, insert, and check urine
9. Change in bowel movements, bleeding
10. Keep bag below waist, equipment management- do not let the bag get full, empty it
11. increase fluids, diet: high fiber, low fat, exercise, medication education
12. assess, ROM/motor/strength of extremities--. atrophy/musclemass, CV (decrease Cardiac output), Resp. (decrease Tidal volume), GI (decrease motility, bowel sounds, peristalsis--> constipation), Pain level
13. prepare for loss, prepare to cope, Helps to move on, find inner peace, Have a healthy mental outlook and wellness in life
14. Give self (sit with pt)
15. Skin care (clean/dry), equipment management
16. SUBJECTIVE: pain, frequency, urgency, amount (oliguria, anuria, polyuria, nocturia), OBJECTIVE: Amount (30mL/hr or 1500-1700mL/24hrs), odor, color
17. 1-denial, 2-anger, 3-bargain, 4-depression, 5-acceptance
18. FVD (decreased fluid and electrolytes: K should be 3.5-5.0), Skin breakdown, altered mental status
If I missed something, feel free to add it to this...
Monday, February 20, 2006
Quiz 5 # 15
A pretty inclusive list of interventions for intestinal ostomies can be found in the ATI Fundamentals book on p345. Also, I included from Planning on p1390 about Setting Priorities.
Can someone post directions for adding to a post? That seems to keep everybody's notes together but I don't know how... Thanks!
Can someone post directions for adding to a post? That seems to keep everybody's notes together but I don't know how... Thanks!
Sunday, February 19, 2006
Comparison
I'm trying to compare the Handbook of Nursing Diagnosis, Tenth Edition and Nurse's Pocket Guide: Diagnoses, Interventions, and Rationales, 9th Ed. from Skyscape prior to purchasing. Does anyone know of the benefits of one over the other?
Saturday, February 18, 2006
Friday, February 17, 2006
Hey Liana there was a new message from Mrs. Semillio on the grade sheet. This is what she posted. The dates of the study session are mixed up, but Rena posted the right date and time. Hope this helps
MESSAGES – 17 February 06
For next week’s quiz, in calculating dosages, please review Ch. 3, Reading Medication Labels, in Curren. Know drug name, dosage strength. Be able to calculate a medication dosage by reading the label. Have a good weekend. Remember, Monday is a holiday.
I also double checked my numbers regarding Q#4. I did add that point #20 to all of your scores already. So no more points. Sorry
A student left a cell phone in the Forum. I have it. If it is yours, come to my office. Student of cell phone found.
Okay. You guys convinced me. I will have a study session on Monday, 2/21 at 1400-Room will be posted on either L228 or in front of my office. Can someone announce it on your BLOG to notify the other students.
MESSAGES – 17 February 06
For next week’s quiz, in calculating dosages, please review Ch. 3, Reading Medication Labels, in Curren. Know drug name, dosage strength. Be able to calculate a medication dosage by reading the label. Have a good weekend. Remember, Monday is a holiday.
I also double checked my numbers regarding Q#4. I did add that point #20 to all of your scores already. So no more points. Sorry
A student left a cell phone in the Forum. I have it. If it is yours, come to my office. Student of cell phone found.
Okay. You guys convinced me. I will have a study session on Monday, 2/21 at 1400-Room will be posted on either L228 or in front of my office. Can someone announce it on your BLOG to notify the other students.
Tragedy in the Philippines
I just wanted to post this eventhough it's not Nursing related. If everyone can just say a prayer for the tragedy in the Philippines where an entire farming village was wiped out by a landslide. Thanks !
http://www.comcast.net/news/index.jsp?cat=GENERAL&fn=/2006/02/17/328433.html
Rupert
http://www.comcast.net/news/index.jsp?cat=GENERAL&fn=/2006/02/17/328433.html
Rupert
Thursday, February 16, 2006
N1 Quiz#5
789321Thanks for your help Rupert, it was great to compare answers. My question is regarding #11. I interpret the question as how to alleviate it. Found answer in tx 1393 under interventions and in lecture "bowel" pg 11 - From Kkc
Here is an update to Rupert's list For #2) Page 1340 under "Diagnostic examinations" and table 44-4For #15) Urinary pages 1327-1330, specifically the bottom of page 1329Number 14: I would read pages 1217-1222 becuase it discusses factors for acute to long term care with sleep problems - From Austin
18 February, 2006 12:35 1. Discuss the education necessary for obtaining a stool specimen for occult blood. (Txt 1386-87 , Box 45.3)
2. Discuss the assessment of the client undergoing a radiographic exam using radiopaque contrast media. (Txt 1389, Box 45.5) RADIOPAQUE CONTRAST - A radiopaque substance (e.g. metal) will be highlighted (appear white) on a plain x-ray. The use of iodine containing radiopaque contrast dyes allow enhancement of the anatomy demonstrable with conventional x-ray. (http://www.medhelp.org/glossary2/new/gls_3945.htm)
3. Discuss the procedure for obtaining a sterile urine specimen from a urinary catheter. (Txt 1335, Box 44.2)
4. Discuss the primary goal(s) for the dying client. (pg.8 lec/dying)(Txt 580)
5. Discuss instructions necessary for the client to obtain a "clean catch midstream" urine specimen. (Txt 1336-37)
6. Discuss the nursing interventions for the client regarding organ donation. (Txt 588-89)
7. Discuss the nursing interventions for the bedfast client beginning to ambulate. (Txt 1476, Box 46.11)
8. Describe the procedure for urinary catheterization. (Txt 1351, Box 44.2)
9. List the warning signs for colon cancer. Pg 1388 Box 45-4 - from Jaylyn
10. Discuss the necessary information to provide to assistive personnel when caring for the client with a urinary catheter. (Txt 1359, Box 44.3)
11. Discuss the education necessary for the client with constipation. (Txt 1379, Box45.1)
12. Discuss the nursing interventions for the client with impaired mobility. (Txt 1446)
13. Discuss the purpose of anticipatory grief. (Txt 571)
14. Discuss the nursing interventions for the client with sleep pattern disturbance. (Txt 1216-17)
15. Discuss the nursing interventions for the client with urinary or bowel diversions.
(Txt 1380/Bowel) (Txt 1377/Urinary, bottom of page)
16. Discuss the data necessary to evaluate a client's urinary status. (Txt 1331/Assessment)
17. Describe and discuss Kubler-Ross's Stages of death. (Txt 570, Box 29.2)
18. Discuss the nursing diagnoses for the client with severe diarrhea. (Txt 1379)
Wednesday, February 15, 2006
Quiz #4 emphasis
At Ms. Semillo's study session, she emphasized on these:
#1 Know drainage types, and where/when it would be found.
#2 Secondary is usually infected
#3 How does the pain affect activities of daily living?? AND know the difference between acute and chronic pain (duration)
#4 immobility-->ischemia->lack of blood supply
#6 foley insertion, and trach suctioning...anytime skin integrity is broken or something is inserted to a sterile cavity.
#7 know PQRST, AND use of pain scale/rating. Medicate according to pain level.
#8 Handwashing!!! Procedure, disinfection, mishandling of equipment
#10 Turn the patient q2h
ALSO!!! Know the calculations DA... We can use calculators...
1000mcg/mg, 1000mg/1g, 5mL/1tsp, 65mg/1grain
#1 Know drainage types, and where/when it would be found.
#2 Secondary is usually infected
#3 How does the pain affect activities of daily living?? AND know the difference between acute and chronic pain (duration)
#4 immobility-->ischemia->lack of blood supply
#6 foley insertion, and trach suctioning...anytime skin integrity is broken or something is inserted to a sterile cavity.
#7 know PQRST, AND use of pain scale/rating. Medicate according to pain level.
#8 Handwashing!!! Procedure, disinfection, mishandling of equipment
#10 Turn the patient q2h
ALSO!!! Know the calculations DA... We can use calculators...
1000mcg/mg, 1000mg/1g, 5mL/1tsp, 65mg/1grain
Test Taking strategies
Hints for the next exam...
To help insure success I just was to give some test taking hints. Remember to focus on Mrs Semillo's lectures and use the book as back up for what you don't understand. She take a lot directly out of her lecture.
Identify who the client of the question, (It could be the patient or the family); is it a positive or negative question, ( the appropriate or inappropriate intervention) and remember that when choosing a response the nurse always has the time to do the most appropriate intervention' what ever it is. ( Don't bring real life into answering the question). Look for similar words in the question and response.
When you come down to two answers, Look for the global answer it will always be the best answer. It will encompass every step or intervention listed as an answer.
And always trust your gut feeling unless you read the question wrong. Do not read into the question. Take it for face value.
More of these test taking strategies are on the computer program in L231. I highly recommend everyone go through the program. It takes about 1 1/12 hours.
I am also willing to work with any one who would like assistance. Good Luck.
Caralee
To help insure success I just was to give some test taking hints. Remember to focus on Mrs Semillo's lectures and use the book as back up for what you don't understand. She take a lot directly out of her lecture.
Identify who the client of the question, (It could be the patient or the family); is it a positive or negative question, ( the appropriate or inappropriate intervention) and remember that when choosing a response the nurse always has the time to do the most appropriate intervention' what ever it is. ( Don't bring real life into answering the question). Look for similar words in the question and response.
When you come down to two answers, Look for the global answer it will always be the best answer. It will encompass every step or intervention listed as an answer.
And always trust your gut feeling unless you read the question wrong. Do not read into the question. Take it for face value.
More of these test taking strategies are on the computer program in L231. I highly recommend everyone go through the program. It takes about 1 1/12 hours.
I am also willing to work with any one who would like assistance. Good Luck.
Caralee
Special study session for quiz 4
Ms. Semillo is having a special study session for quiz 4 this afternoon in room L313 I believe at 1:30 for anyone wanting to attend.
Sunday, February 12, 2006
Pharm Answers
Answers are posted up on Docushare for Pharmacology. Here is the message from Richard:
Hello Everyone, We will start class with the exam. I will provide the Scantron. You will need to bring a number 2 pencil. Below are the answers to the sample questions:
1. C 2. A 3. C 4. C 5. C 6. D 7. C 8. A 9. C 10.A See you all tomorrow evening Richard
Also go to his docushare and print out the lecture outline for exam 2
http://docushare.deltacollege.edu/dscgi/ds.py/View/Collection-5817
Hello Everyone, We will start class with the exam. I will provide the Scantron. You will need to bring a number 2 pencil. Below are the answers to the sample questions:
1. C 2. A 3. C 4. C 5. C 6. D 7. C 8. A 9. C 10.A See you all tomorrow evening Richard
Also go to his docushare and print out the lecture outline for exam 2
http://docushare.deltacollege.edu/dscgi/ds.py/View/Collection-5817
PDA Suggestions
I am looking into buying a PDA but I'm not really sure which one to get. (I'm not very electronically inclined) I have a MAC computer and I am looking as several PDA models including the Palm Z22. Does anyone have any tips, helpful hints or suggestions?
Friday, February 10, 2006
Update to Austin's quiz #4 study guide
The blue lettering is an addendum to Austin's origonal quiz #4 post. if anyone has anything else to add, or modify, then please copy this document and use a different color. thanks
#1 Describe the various types of wound drainage. text p.1494 table 47-2 , p.5 lecture notes
#2 differentiate between primary and scondary wound healing. text 1492
#3 Discuss the assessment of a client with chronic painLook on page 1234 and page 1241 and in box 42-5 on same pagep. 3,9 lecture notes
#4 discuss the etioloty of pressure ulcers. text 1487 p. 12 lecture notes
#5 discuss the assessment of a client with infection or inflammation. text p. 780-783, lecture notes p.6
#6 Give examples of sterile proceduresPage 802 803-816 under sterile procedures. Also include skills 33-2, 33-3, and 33-4
#7 discuss goals of the terminally ill client in the variuos stages of pain. text p. 586t
#8 Discuss potential risks for developing nosocomial infectionsPg 779-780 and box 33-2 on page 780, also look on page 11 in the infection section from the lecture notes
#9 Describe and discuss the components of pain assessmentPg9-10 in pain section of lecture notes, also pages 1242-1245 in fundamentals
#10 discuss the nursing interventions for the immobile client to prevent skin breakdown. text p. 1430-1431
#11 Discuss the education necessary for the client with an infection Page 19 under "infections" in the lecture book, p.11 lecture notes table 35-2, text p. 787
#12 discuss the purpose of wound irrigation. text p.1543
#13 discuss the evaluation of the client with an infection. text p.816-818
#14 Discuss the health education necessary to prevent the transmission of infectionsPg 776-777, Table 33-2, Pages 788-789 788-794
#1 Describe the various types of wound drainage. text p.1494 table 47-2 , p.5 lecture notes
#2 differentiate between primary and scondary wound healing. text 1492
#3 Discuss the assessment of a client with chronic painLook on page 1234 and page 1241 and in box 42-5 on same pagep. 3,9 lecture notes
#4 discuss the etioloty of pressure ulcers. text 1487 p. 12 lecture notes
#5 discuss the assessment of a client with infection or inflammation. text p. 780-783, lecture notes p.6
#6 Give examples of sterile proceduresPage 802 803-816 under sterile procedures. Also include skills 33-2, 33-3, and 33-4
#7 discuss goals of the terminally ill client in the variuos stages of pain. text p. 586t
#8 Discuss potential risks for developing nosocomial infectionsPg 779-780 and box 33-2 on page 780, also look on page 11 in the infection section from the lecture notes
#9 Describe and discuss the components of pain assessmentPg9-10 in pain section of lecture notes, also pages 1242-1245 in fundamentals
#10 discuss the nursing interventions for the immobile client to prevent skin breakdown. text p. 1430-1431
#11 Discuss the education necessary for the client with an infection Page 19 under "infections" in the lecture book, p.11 lecture notes table 35-2, text p. 787
#12 discuss the purpose of wound irrigation. text p.1543
#13 discuss the evaluation of the client with an infection. text p.816-818
#14 Discuss the health education necessary to prevent the transmission of infectionsPg 776-777, Table 33-2, Pages 788-789 788-794
Mr. Svilla's Study Guide and practice q's (convenient format)
1. The 5 components to the Nursing Process and how it relates to medication administration
2. The 6 rights to medication administration
3. The 3 safety checks before giving a medication
4. Pharmakokinetic and Pharmakodynamic principles and terminology
5. Defining terms from your drug guide (mechanism of action, indication, etc)
Here are some sample questions...I'll post the answers by Sunday
1. A patient is in severe pain. Which of the following routes of administration would be the most expeditious?
a. Oral
b. Intramuscular
c. Intravenous
d. Transdermal
2. Therapeutic index is the ratio of a drugs LD50 to its ED50. A large therapeutic index means that:
a. a drug is relatively safe.
b. the drug is not safe
c. there is overlap between the therapeutic dose and the lethal dose.
d. the drug is too toxic for 50% of the population.
3. A drug with a strong attraction to albumin would have a distribution that is:
a. higher than the distribution of a drug with a weaker attraction.
b. no different than the distribution of a drug with a weaker attraction.
c. lower than the distribution of a drug with a weaker attraction
d. decreased by the presence of a drug that displaces the drug from the albumin.
4. On Monday a patient begins taking a daily dose of a drug with a half-life of 1 day. If he takes the same dose every day, on what day will his plasma drug levels reach plateau?
a. Wednesday
b. Thursday
c. Friday
d. Saturday
5. The binding of a drug to its receptor is ____ reversible.
a. never
b. rarely
c. usually
d. always
6. A patient is receiving warfarin, a drug with a strong attraction to albumin. While taking the warfarin, the patient begins to take a second drug that also has a strong attraction to albumin. The nurse would assess for:
a. decreased effects of the warfarin
b. therapeutic effects of the warfarin.
c. subtherapeutic levels of warfarin.
d. toxic levels of warfarin.
7. When one drug alters the absorption of a second drug taken at the same time, the drug interaction would be classified as:
a. a direct chemical reaction.
b. pharmacodynamic.
c. pharmacokinetic.
d. combined toxicity.
8. Your patient is taking a drug that has been determined highly hepatotoxic. You should counsel him to:
a. avoid alcohol and acetaminophen.
b. come in for a liver biopsy on a monthly schedule.
c. avoid strenuous activity and contact sports.
d. notify you immediately if his appetite increases.
9. The ED50 indicates the dose required to produce a:
a. minimal response in half of the population.
b. toxic response in half of the population.
c. therapeutic response in half of the population.
d. sustained response in half of the patients.
10. Which of the following statements is most correct in regards to the placebo effect?
a. It is caused by psychologic factors rather than physiologic ones
b. When it occurs, indicates that the patient is malingering
c. It is a rare effect, only seen with psychotropic medications
d. It always serves a beneficial purpose
2. The 6 rights to medication administration
3. The 3 safety checks before giving a medication
4. Pharmakokinetic and Pharmakodynamic principles and terminology
5. Defining terms from your drug guide (mechanism of action, indication, etc)
Here are some sample questions...I'll post the answers by Sunday
1. A patient is in severe pain. Which of the following routes of administration would be the most expeditious?
a. Oral
b. Intramuscular
c. Intravenous
d. Transdermal
2. Therapeutic index is the ratio of a drugs LD50 to its ED50. A large therapeutic index means that:
a. a drug is relatively safe.
b. the drug is not safe
c. there is overlap between the therapeutic dose and the lethal dose.
d. the drug is too toxic for 50% of the population.
3. A drug with a strong attraction to albumin would have a distribution that is:
a. higher than the distribution of a drug with a weaker attraction.
b. no different than the distribution of a drug with a weaker attraction.
c. lower than the distribution of a drug with a weaker attraction
d. decreased by the presence of a drug that displaces the drug from the albumin.
4. On Monday a patient begins taking a daily dose of a drug with a half-life of 1 day. If he takes the same dose every day, on what day will his plasma drug levels reach plateau?
a. Wednesday
b. Thursday
c. Friday
d. Saturday
5. The binding of a drug to its receptor is ____ reversible.
a. never
b. rarely
c. usually
d. always
6. A patient is receiving warfarin, a drug with a strong attraction to albumin. While taking the warfarin, the patient begins to take a second drug that also has a strong attraction to albumin. The nurse would assess for:
a. decreased effects of the warfarin
b. therapeutic effects of the warfarin.
c. subtherapeutic levels of warfarin.
d. toxic levels of warfarin.
7. When one drug alters the absorption of a second drug taken at the same time, the drug interaction would be classified as:
a. a direct chemical reaction.
b. pharmacodynamic.
c. pharmacokinetic.
d. combined toxicity.
8. Your patient is taking a drug that has been determined highly hepatotoxic. You should counsel him to:
a. avoid alcohol and acetaminophen.
b. come in for a liver biopsy on a monthly schedule.
c. avoid strenuous activity and contact sports.
d. notify you immediately if his appetite increases.
9. The ED50 indicates the dose required to produce a:
a. minimal response in half of the population.
b. toxic response in half of the population.
c. therapeutic response in half of the population.
d. sustained response in half of the patients.
10. Which of the following statements is most correct in regards to the placebo effect?
a. It is caused by psychologic factors rather than physiologic ones
b. When it occurs, indicates that the patient is malingering
c. It is a rare effect, only seen with psychotropic medications
d. It always serves a beneficial purpose
Pharm. Test on Monday !
Does anyone know if Mr. Sevilla is providing the scantrons for the test or we need to provide our own ? The practice questions/tips are already posted on docushare !
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