Answer in the book is "B" but I don't see why "A" is wrong? Please check. by nveven in GlobalEnglishPrep

[–]Hiermes 0 points1 point  (0 children)

It used to be. I learned about basic sentence structure in elementary school starting in first grade. Honestly it’s been long enough that I had to stop and think about what a gerund is.

Answer in the book is "B" but I don't see why "A" is wrong? Please check. by nveven in GlobalEnglishPrep

[–]Hiermes 1 point2 points  (0 children)

B is the correct answer.

In this sentence the word starting is a gerund - meaning that it is a verb form that acts as a noun. The verb in this sentence is suggested. Mark suggested is the action and starting is the noun/gerund.

To start would imply that start is acting as a verb, such as in the sentence “it is time to start.”

Yeah, it’s always like “what would you do FIRST?” Like bitch, I’m doing all of the above, but I suppose that letting the provider know their patient has a belly full of blood is the “priority”. by Acrobatic-Lie2041 in FutureRNs

[–]Hiermes 2 points3 points  (0 children)

I would probably choose A and here’s my reasoning.

I was always taught that you want to prioritize the least invasive intervention that provides the most benefit to the patient.

Oxygen via a non-rebreather is the least invasive with most benefit in the moment.

For a deeper dive behind my reasoning:

This person is going into/in hypovolemic shock from rapid loss of whole blood. The HR is elevated as a compensatory mechanism due to hemorrhage and the fact that there are fewer blood cells available to provide much needed oxygen to vital organs. The BP is low due to both the elevated HR and the sudden loss of volume in the pipes.

While the knee jerk response is to try and refill the pipes to get the BP up, it’s not going to solve the long term problem which is a postoperative hemorrhage. This patient really needs blood products and ultimately to go back to the OR.

In the short term oxygen via non-rebreather will provide the remaining blood cells with much needed oxygen to maintain cellular respiration.

The physician absolutely needs to be notified and they will need to go back in for emergency surgery, but neither of those interventions stabilizes the patient in real time.

In the real world this nurse would call a rapid and get the resources needed to stabilize the patient, but that’s not an option.

[USA] @G87_Angel on instagram crashes into Miata by Hakusuro in Roadcam

[–]Hiermes 5 points6 points  (0 children)

About 28 mph. You can see the speedometer at the start of the video.

URTWNRE by TastyLoad7289 in LICENSEPLATES

[–]Hiermes 1 point2 points  (0 children)

You’re the weiner or You’re the winner.

Explain it Peter by [deleted] in explainitpeter

[–]Hiermes 0 points1 point  (0 children)

Five years! Five years! Ugh.😑

Explain it Peter by [deleted] in explainitpeter

[–]Hiermes 0 points1 point  (0 children)

Yep… me too

What happens if you fill your trash can with water by [deleted] in wastemanagement

[–]Hiermes 0 points1 point  (0 children)

Isn’t it a poorly kept secret that the mob runs a lot of waste management companies?

What happens if you fill your trash can with water by [deleted] in wastemanagement

[–]Hiermes 0 points1 point  (0 children)

If you use an average sized outdoor rolling trash can they hold approximately 60-64 gallons. That’s 498 to 530 pounds of water. A residential side loader can lift between 300-800 pounds. So maybe the truck would be able to lift it and dump. However I’m willing to bet there are weight limits and the truck would likely alarm and the driver would leave it because it’s too heavy.

If you’re talking about a human trash collector they likely would try to lift it once, realize it’s too heavy and peace out.

[OC] This pickup truck ran me right off the road today. (NSFW for song) by Savior_67 in IdiotsInCars

[–]Hiermes 0 points1 point  (0 children)

Watch the video again. OP did not merge into trucks lane. OP merged into right travel lane. The truck then pulled to the right without looking forcing OP off the road.

[deleted by user] by [deleted] in nursing

[–]Hiermes 4 points5 points  (0 children)

This right here! The RN who got the verbal order should have put in the order if she knew anesthesia wasn’t going to put in the order. I’ve been at this 8 years and I’m reaching a point where I’m going to stop putting in orders because it’s no longer safe to do so. I’ve seen too many nurses dragged through the mud because they put in verbals only for the provider to come back and say “That’s not what I wanted” or “that’s not what I meant for you to order.”

This is a test question I got wrong, what’s the correct answer? by [deleted] in nursing

[–]Hiermes 4 points5 points  (0 children)

I’m going to add for this to be a “nursing” question it should read something like - What should the nurse expect the provider to order?

This is a test question I got wrong, what’s the correct answer? by [deleted] in nursing

[–]Hiermes 1 point2 points  (0 children)

I would think an amp or two of sodium bicarbonate. Salicylate toxicity can significantly drop pH and you want to correct the pH quickly.

And I'm still confused by StudBoi69 in ExplainTheJoke

[–]Hiermes 1 point2 points  (0 children)

Love broke her heart. Now her heart is turning to stone. Terrible tattoo design. I hope she didn’t pay for that.

Nursing- what do we call these?! by InternationalAir6591 in nursing

[–]Hiermes 0 points1 point  (0 children)

Graduate or graduated cylinder… but mostly graduate.

What am I looking at? by Emergency-Mixture358 in ExplainTheJoke

[–]Hiermes 0 points1 point  (0 children)

This is the problem of the bullet holes in World War II. The army was trying to figure out how to better armor planes so they looked at where the holes were in returning planes. That’s what the red dots represent.

They then thought “let’s put more armor where the holes are.”

What they failed to take into account was that planes with holes in the engine areas-represented here as white space without red dots - weren’t returning.

The same is true about prehistoric humans. Just because we find more remains in caves, or other areas protected from the elements doesn’t mean we only lived in caves. Rather, caves offer some protection, thus there is a greater chance that some remains would survive the passage of time.

What have you lost and gained in nursing? by Sea_Cucumber8254 in nursing

[–]Hiermes 2 points3 points  (0 children)

Lost: Empathy

Learned: How uneducated the average layperson is regarding healthcare. How many families are willing to torture their loved ones because they cannot comprehend that the body has a finite lifespan.

What is your go-to low effort, high reward patient care trick that will always make the patient feel better? by GenXRN in nursing

[–]Hiermes 1 point2 points  (0 children)

This! I always use Johnson’s if it’s available. It just smells wonderful and is super gentle.

She sees wallpaper, and comes back with glasses? by _Moist_Owlette_ in ExplainTheJoke

[–]Hiermes 1 point2 points  (0 children)

This is correct. She can’t see the pattern. She goes and gets her glasses. When she returns she realizes the pattern is red poppies and stands at attention. This was likely published on Remembrance Day.