Hurst Review this Summer!

Please join us for the
Hurst Review Session

On July 9th - 12th, Hurst Review Services will be conducting a NCLEX Live Review at Delta College. We need everyone who is interested to please go to their web site and sign up ASAP! The 4 day in-service is normally $350 but for new 4th semester nursing students we will only pay $250. The Nursing Success Program will be paying the other $100. Thanks so much Kim. To hold your spot please pay the $50 deposit. Hurst's web site is www.hurstreview.com . At the top of their web page you can click on "Review Schedule". Then scroll down to July 9th and click on the Delta College Review Session for more information or to sign up. If you have any additional questions or concerns, please call or email Angela Aistrup or Debbie O'Sullivan.

Angela Aistrup: 209-477-6686 or aaistrup@sbcglobal.net
Debbie O'Sullivan: 209-451-4781 or dopta@comcast.net

We are looking forward to see you there!

question of the week

for the week of 05.26.09

An older adult client with tuberculosis has difficulty coughing up secretions for a sputum specimen. Which nursing action is appropriate?

1. "Spray the oropharynx with saline"
2. "Ask the client to drink a warm liquid"
3. "Force fluids for the next eight hours"
4. "Raise the head of the bed to at least 45 degrees"

the bridge we trek

is the road we take
to our next destination.

it is nothing but a mere dash or hyphen
stuck between point A and B.
oh yet, how this bridge intimidated us.
it was wooden and it was wobbly.
unsteady to the touch,
uneasy on the eyes.
it made us second guess ourselves,
and caused our anxiety to erupt as it has never done before.
with the crowd of travelers beside us
and the glorious reward just the end of the way,
how could we possibly think about turning around?

winds of worry,
waves of tears,
earthquakes of nervous tremors,
and typhoons of complications,
life tried to destroy this bridge,
so it appeared,
a thousand times over.

but we did not fret,
not enough to jump off at least.
for the crowds of travelers surrounding us
soon became friends.
a new support system flourished.
sturdy beams of friendship,
arches of comic relief,
and caring ears smoothed the path over.
there were even bright lights,
in ever changing forms,
which illuminated the way,
making the bridge we trek
not so unbearable after all.

we have made it through one year friends.

you could say the worst part is over,
or the hard part is only beginning,
but halfway home sounds much better.

congratulations on completing one year of nursing school!

question of the week

for the week of 05.18.09

A nurse admits a client transferred from the emergency room (ER). The client, diagnosed with a myocardial infarction, is complaining of substernal chest pain, diaphoresis and nausea. What should be the first action taken by the nurse?

1. "Get the PRN 12 lead EKG taken"
2. "Administer morphine sulfate as ordered"
3. "Flexion of the legs with rebound tenderness"
4. "Hyperflexion of the neck with rebound flexion of the legs"

finals schedule for N005:

Monday, May 18, 2009 starting at 0800
-75 questions worth 75 points

ATI will be on May 20, 2009 (Wednesday) in computer lab. Don't forget your ATI passcodes!

0745 – CMH Tue/Wed
0915 – BHC Tue/Wed
1030 – CMH Thu/Fri
1145 - BHC Thu/Fri & DSPS students

almost there!!

question of the week

for the week of 05.11.09

Which of these clients, all of whom have the findings of a board-like abdomen, would the nurse suggest that the health care provider examine first?

1. "An older adult client who stated, "My awful pain in my right side suddenly stopped about three hours ago."
2. "A pregnant woman of eight weeks newly diagnosed with an ectopic pregnancy."
3. "A middle-aged client admitted with diverticulitis and has taken only clear liquids for the past week."
4. "A teenager with a history of falling off a bicycle without hitting the handle bars."

question of the week

for the week of 05.04.09

A client comes into the community health center upset and crying stating “I will die of cancer now that I have this disease.” And then the client hands a nurse a paper with one word written on it: "Pheochromocytoma." Which response should the nurse state initially?

1. "Pheochromocytomas usually aren't cancerous (malignant). But they may be associated with cancerous tumors in other endocrine glands such as the thyroid (medullary carcinoma of the thyroid)"
2. “This problem is diagnosed by blood and urine tests that reveal elevated levels of adrenaline and noradrenaline”
3. "Computerized tomography (CT) or magnetic resonance imaging (MRI) are used to detect an adrenal tumor"
4. "You probably have had episodes of sweating, heart pounding and headaches"