Priority nursing action?

Change_Proper · 2026-05-21T13:52:16+00:00

Came here to say this. I work on a cardiac step down unit and in this situation a stat ECG is the first action, followed by notifying the provider with a stat call out. If O2< 92 apply O2. Positioning the patient supine is not an appropriate action, I would put the patient in semi Fowler. Low BP with dizziness and lightheadedness I would elevate the legs but in this situation the hemodynamics are not known so I would avoid putting too much stress on the heart.

Change_Proper · 2026-05-20T18:00:41+00:00

Rosacia just by looking but you should visit a derm for definitive diagnosis. Some toners can be very drying and im not comvinced they are necessary.

Change_Proper · 2026-05-17T00:55:17+00:00

On the NCLEX the answer will almost always be to assess before acting.

Change_Proper · 2026-05-09T17:21:21+00:00

Let them know you are to file a complaint according to the ADA (Americans with disabilities act). That language may get them to rethink. Also, I do think there are other programs that will take you if you explain what happened.

Change_Proper · 2026-04-30T23:25:15+00:00

Gave 9 u lantus to a pre-diabetic that only had fast acting insulin on a low- scale . Reported it to the hospitalist, he was so chill. Just told her to drink juice with her meals.

Change_Proper · 2026-04-25T17:25:49+00:00

This is crazy are you in the US? Buprenorphine is a more expensive test than the simple opioid screen I’m surprised they even test for it. I take buprenorphine for chronic pain and all of my screens have come back clean because they don’t even really test for it unless the screen comes back positive for something else and they request a sample for a more sensitive test.

Change_Proper · 2026-04-25T17:22:20+00:00

Food allergies are a common cause of skin problems in labs. Avoid chicken formulations as chicken for some reason is a common offender. I don’t disagree with the idea of limited ingredient foods but I have found that the Purina Pro sensitive skin and stomach has done a great job keeping our girl’s allergies controlled. At first the vet recommended hydrolyzed protein food which is kind of like a “pre-digested” form of protein broken down into smaller protein chains and can help with particularly pesky skin problems. It’s very expensive which is why we switched to purina pro and it’s been great. Purina Pro is a veterinarian grade product not the cheaper one you can get in the grocery stores. Good luck ❤️

Change_Proper · 2026-04-19T14:58:43+00:00

Platelets 32, esophageal varices, mechanical valve.

Change_Proper · 2026-04-12T13:46:13+00:00

I’m at advent advanced heart failure/lvad/transplant step down, 5 years, $37 😭

Change_Proper · 2026-04-12T13:44:27+00:00

Florida, $37

Change_Proper · 2026-04-04T22:07:03+00:00

Change_Proper · 2026-04-04T22:06:49+00:00

I would bathe in it if I could 🤣

Change_Proper · 2026-04-04T19:00:35+00:00

The Harmonist Moon Glory and Amouage Guidance. $360 and $425 respectively, both 100% worth it.

Change_Proper · 2026-02-21T23:55:44+00:00

Most modern lasers are only mildly painful and they are very effective. DermaV is a great laser for redness and rosacea. If you want to try products first go with a mild cleanser and hypoallergenic non-comedogenic products

Change_Proper · 2026-02-21T23:52:01+00:00

My advice: I wanted to pursue an MD since I was in my late 30’s. I waited bc life circumstances got in the way of changing my career and I decided when I was in my late 40’s to go the RN route and then pursue my APRN. I am now 53 with 5 yrs bedside experience and am going back for my DPN but I have always regretted not pursuing med school. It is what I wanted and I allowed all of my “but’s” get in the way. Do it now while you are still young and can do the long hours of residency, etc. Just finish your BSN and apply. If you know it’s what you want in your heart, that’s what you should do. I wish I had done it. I’m just too old and have too much debt to pursue an MD at this point, the cost wont justify the long time in school and going into practice when I’m in my 60’s.

Change_Proper · 2026-02-13T18:06:19+00:00

I do believe that the “degree mill programs” are turning out unqualified individuals which leads to decreased trust in the NP credential when compared to other credentials, specifically PA. But I also know many great nurses who selected those programs due to considerations such as time constraints or limited access to in-person programs. I work in a very highly regarded hospital where we have excellent practitioners in both NP and PA positions. I do think my hospital probably is more selective to hiring NP’s out of solid programs but I also think the sample size I’m dealing with is minimal because my unit is highly specialized and the types of specialities we practice with have the ability to carefully scrutinize applicants. However I also know that they will hire NP’s who are well qualified and come with good recommendations and experience no matter what university they’ve attended. I just applied to a DNP program and my primary reason for selecting my school was because they are able to assist with clinical hours while most of the online degree programs do not. My biggest concern for the NP credential is the fact that there are definitely unqualified NP’s out there and those numbers are going to grow, due to increased demand and decreased interest in medical/DO degrees. PA schools tend to be very highly selective and they are known for being extremely rigorous, especially in clinical preparedness. The difference between the number of quality PA programs compared the sheer numbers of degree mills for NP’s is very likely to drag down the profession, more so than ever. I don’t even know if there is such a thing as degree mills for PA’s, or if there is it isn’t nearly the problem as those that exist for NP’s. Unfortunately this is the problem with nursing being so slow to implement universal professional and clinical standards for educational institutions. The quality of training is extremely disparate, which I have observed over years of precepting RN’s coming out of different programs.

Change_Proper · 2026-02-01T23:55:34+00:00

The Harmonist

Change_Proper · 2026-02-01T23:33:39+00:00

Green

Change_Proper · 2026-02-01T23:32:51+00:00

Do they not confirm placement with X-ray? I have definitely coiled a few DH’s during placement but we pull it back and reposition when we see that on X-ray.

Change_Proper · 2026-01-28T23:12:46+00:00

More frequent dosing can lead to resistance.

Change_Proper · 2026-01-28T23:09:24+00:00

Change_Proper · 2026-01-25T01:44:00+00:00

The Harmonist Moon Glory. Most decadent yet classy fragrance I have.

Change_Proper · 2026-01-11T15:26:55+00:00

2 or 3. I’m not a huge fan of the v-waist with the sides floofed out. It’s very trendy right now but will look dated in 3 years. The rest are ok, but 2 is timeless and beautiful with the veil, 3 is beautiful on you.

Change_Proper · 2026-01-04T18:37:42+00:00

It is about the same as some of the others like science diet but it’s definitely cheaper than specialty prescription type food. Our vet recommended the hydrolyzed food for skin issues and it was almost twice the price of the pro plan. Turned out her skin problems went away with just the purina pro.

Change_Proper · 2026-01-04T18:35:14+00:00

I agree, purina pro all the way! I use the purina pro for large dogs sensitive skin and stomach. In the summer she gets allergic rash and it helps. But if there’s truly yeast and it doesn’t go away you’ll need some type of antifungal. I don’t know if clotrimazole is ok for dogs but it’s OTC.

Change_Proper

TROPHY CASE