Monday, October 26, 2009

Some questions...

Can I calculate MAP?
-What does MAP indicate?
-What drugs can be used to manipulate MAP?
-What range should MAP be in a head injury pt. and why?
-What are the complications when ICP=MAP?

Do I understand stress response and the summary points listed on pg. 33 of the red book?
-What drugs can a nurse give to manipulate each listed change by the stress response system?
-What objective and subjective assessment findings should a nurse anticipate related to the overall stress response by the body? ie: dependent edema r/t water retention

Do I understand how pressure gradients affect fluid movement?
-What is the appropriate fluid therapy for a pt.? ie: a pt. who is third spacing or has a head injury

Do I know what a sedation vacation is?
-What drugs can a nurse expect to give when a pt. is on a ventilator?

What does the Glascow Coma Score tell me about a pt.?
-What are the usual assessment findings for a pt. with a head injury or a spinal cord injury?
-How does injury to different areas of the spinal cord affect recovery?
-How will these findings change as the pt. improves or decompensates?
-What are the nursing interventions for a pt. who is decompensating?

Do I know the indications, side effects, and nursing precautions of the medications above?
-How can the nurse assess the therapeutic effect of the drug administered?

question of the week

Question of the week for 10.26.09

A nurse is caring for a client with active tuberculosis and has a history of noncompliance. Which of these actions by the nurse would represent appropriate care for this client?

1. Instruct the client to wear a high efficiency particulate air mask in public places.
2. Ask a family member to supervise daily compliance
3. Schedule weekly clinic visits for the client
4. Ask the health care provider to change the regimen to fewer medications

Tuesday, October 20, 2009

question of the week

Question of the week for 10.19.09

A pregnant client who is at 34 weeks gestation is diagnosed with a pulmonary embolism (PE). Which of these medications should a nurse anticipate the health care provider will order?

1. Oral Coumadin therapy every other day
2. Heparin 5000 units subcutaneously BID
3. Heparin infusion to maintain the PTT at 1.5 to 2.5 times the control value
4. Laxatives containing magnesium salts

Wednesday, October 14, 2009

please share

your photos that is-

upload onto this photobucket account:

user id: futurenurses2010
password: pinned 2010

insert sigh of relief here

ladies and (scattered) gentlemen...

one more down, and just a few to go!

Bocce Ball Fundraiser


SNA Bocce Ball Tournament Sign-up!

Tuesday, October 13, 2009

question of the week

Question of the week for 10.12.09

A nurse is teaching a client about precautions with Coumadin therapy. The client should be instructed to avoid which over-the-counter medication?

1. Non-steroidal anti-inflammatory drugs (NSAIDs)
2. Cough medicines with guaifenesin
3. Histamine blockers
4. Laxatives containing magnesium salts

Tuesday, October 6, 2009

Open Curriculum Forum

Open Curriculum Forum

The Nursing Faculty would like to invite any students interested in hearing about and giving constructive advise about the new ADN Curriculum to attend the open forums!

When: Monday October 26th
Time: 1:00pm to 2:30pm
Where: Locke-314

CPK Fundraiser



End of the rotation CPK Fundraiser

Please come and join us for some fun after your final exams. Bring your nursing class and this flyer to CPK to enjoy great food and to socialize! This is also a wonderful time to exchange books and notes with the other half of your class! We hope to see you all there.

CPK is open from 11:00 am to 9:00 pm
SNA will receive 20% of all purchases (includes food, drinks, alcohol, dine-in & take out)

SNA Officers

Debbie, Angela, Sherri & Phil
new postings available in ms. antaran's docushare with topics including:

-multi-system failure
-cardio
-neuro
-pulmonary

Monday, October 5, 2009

The ATI testing date for N007 has been moved from Tuesday to Wednesday according to Ms. Antaran.

question of the week

Question of the week for 10.05.09

A nurse is caring for a client with a deep vein thrombosis. Which finding would require the nurse's immediate attention?

1. Temperature of 102 degrees Fahrenheit
2. Pulse rate of 98 beats per minute
3. Respiratory rate of 32r
4. Blood pressure of 90/50

Saturday, October 3, 2009

question of the week

Question of the week for 09.28.09

A nurse is caring for a client who is diagnosed with asthma and has developed gastroesophageal reflux disease (GERD). Which of these medications prescribed for the client may aggravate GERD?

1. Anticholinergic
2. Corticosteroid
3. Histamine blocker
4. Antibiotic

Friday, October 2, 2009

Curriculum Changes

Hey everyone. I got an e-mail from Debbie O'Sullivan, the President of the Student Nurses' Association that the faculty at Delta College is investigating changing the nursing curriculum. They've already made some proposals and they're looking for student input. They should be having a meeting in the near future, but I don't have a date at the moment. Here are some of the proposed changes in brief, because I didn't want to print out the entire e-mail here. The proposed course list changes can't affect us, but the changes will impact the teaching future nursing students at Delta receive. If you would like a copy, feel free to e-mail me or give my your e-mail in class and I can forward them to you. There are 4 different documents that outline changes. Here's the summary:


Proposed Course List:
First Semester:
ADN 001 Fundamentals of Nursing
ADN 002 Introduction to Medical Surgical Nursing
ADN 003a Pharmacology for Nursing A

Second Semester:
ADN 004 Reproductive, Maternal and Newborn Nursing
ADN 005 Infancy to Young Adult Nursing
ADN 003b Pharmacology for Nursing B

Third Semester:
ADN 006 Neuro-Psychiatric Nursing
ADN 007 Intermediate Medical Surgical Nursing
ADN 003c Pharmacology for Nursing C

Fourth Semester:
ADN 008 Advanced Medical Surgical Nursing
ADN 009 Transition to Practice


Explanation of Proposed Changes to Philosophy and Course Conceptual Model:



Mission statement is elaborated in proposed curriculum to be more aligned with the college mission statement in order to meet NLN and BRN criteria. Updated verbiage includes references to 21st century and outcomes-based education.

The statement regarding Person is shorter in that the need to explain the former Open Systems philosophy no longer exists in proposed curriculum.

Environment is added in philosophy because it constitutes part of the Conceptual Model of the Organizing Framework.
Also, Environment is added
in response to CCR1426 (a) " ...It shall also take into consideration concepts of
nursing and man in terms of nursing activities,
the environment, the health-illness continuum,
and relevant knowledge from related
disciplines."

Philosophy statement regarding nursing is updated to include ANA references

Nursing Education statement modified to describe the Client Needs model and note that the curriculum is outcomes-based in nature.

Health/Illness Continuum added in response to CCR1426 (a) " ...It shall also take into consideration concepts of
nursing and man in terms of nursing activities,
the environment, the health-illness continuum,
and relevant knowledge from related
disciplines."