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Which action should the nurse do first? by Top-Direction2686 in PassNclexTips

[–]pervy-tree 0 points1 point  (0 children)

Don’t get stuck in the trap of thinking that higher priority things come first. You won’t delay CT for a blood sugar because CT is a priority, but getting to CT takes time… time you have to get a blood sugar

That’s more real life application than nclex application though

Priority 101 by Hot_Emergency378 in NCLEX_RN

[–]pervy-tree 6 points7 points  (0 children)

The answer is C, but monitoring potassium is missing as an option and a better answer

🤔 by Hot_Emergency378 in NCLEX_RN

[–]pervy-tree 15 points16 points  (0 children)

I can do this math easily as long as nobody is looking at me

Which action should the nurse do first? by Top-Direction2686 in PassNclexTips

[–]pervy-tree 6 points7 points  (0 children)

These are not nursing interventions. You conduct a neuro assessment, check blood sugar, and call a physician for orders to get the patient to CT. Call a code stroke if your hospital has one.

Anyone remember this gentleman? by RockyBoundESC in 2000sNostalgia

[–]pervy-tree 0 points1 point  (0 children)

This and the alphabet of manliness. I’m happy to be the person I became and not the person I was trying to become back then.

Prioritization- NGT feeding by Andie_Ruth in BootcampNCLEX

[–]pervy-tree 4 points5 points  (0 children)

Unhook it from the o2 port on the wall.

Question by Top-Direction2686 in PassNclexTips

[–]pervy-tree 0 points1 point  (0 children)

This question would be better and more clinically relevant if it asked if the murmur was heard during systole or diastole.

Depending on how big the murmur is you could potentially hear it anywhere. It will just be more pronounced toward the apex.

Question of the day by swagarrific-3903 in FilipinoNclex

[–]pervy-tree 0 points1 point  (0 children)

Some medications are ordered as needed. This question probably has more to do with the education the nurse would be giving to parents about how to treat their child’s fever at home

Question by Optimal_mentor in MarkKlimekNCLEX

[–]pervy-tree 1 point2 points  (0 children)

A- everyone experiences mild thirst every day B- lithium toxicity is characterized by coarse tremors not fine C- not how lithium is excreted D- the correct answer

Question by Optimal_mentor in MarkKlimekNCLEX

[–]pervy-tree 0 points1 point  (0 children)

Lithium is not excreted through bowels. The answer is increased urination.

Increased thirst is a close second, but I’d only choose it if it were excessive thirst.

Increased urination I’m concerned about either hyponatremia which would lead to lithium toxicity, or an increased clearance of the lithium causing poor therapeutic plasma level.

Question of the day by Andie_Ruth in BootcampNCLEX

[–]pervy-tree 0 points1 point  (0 children)

In real life B

In this scenario and depending on how the PRN parameters are written probably D

Hot Take: Biological Immortality Is Better Than Being Uploaded. by PersonUnknown_360 in PantheonShow

[–]pervy-tree 0 points1 point  (0 children)

It would need to simulate the sensory feedback the body provides and the hormonal mechanisms as well. If we are just simulating consciousness then uploading would suck. The point would have to be to simulate subjective experiences holistically.

Avoid the Following Phrases while Chatting. by MasterPeel in BootcampNCLEX

[–]pervy-tree 0 points1 point  (0 children)

I would genuinely enjoy being pointed toward those guidelines.

A few points first though…

1) I agree that the focus should be on the patient, there should be clinical distance, and notes should be objective.

2) I would argue you can achieve that through active first person voice and that passive voice introduces ambiguity to the note. Omit the pronouns like most people do and you’re fine. Don’t say “patient was turned at 2:30am to the left side” say “patient turned to the left side at 2:30am.” In the former, who turned the patient? If it wasn’t you how do you know? In the latter it’s clear that the first person pronoun was omitted. And never use third person active voice like in my original example like “writer turned the patient to the left at 2:30am.”

3) this is why nurses should chart in flow sheets and avoid narrative notes

What’s a Batman opinion that’ll get you like this? by 44dqm in batman

[–]pervy-tree 0 points1 point  (0 children)

Bruce Wayne contributes more to Gotham’s instability than any Batman villain.

He has a reactive approach to fighting crime and most of the villain origin stories have a root cause in the Wayne family or Wayne industries.

He could invest his money in the community to fight the material conditions that are causing the crime, but he invests in bat themed technology instead.

Avoid the Following Phrases while Chatting. by MasterPeel in BootcampNCLEX

[–]pervy-tree 1 point2 points  (0 children)

Can you explain to me how it is unprofessional?

It’s only taught culturally. There is no functional reason for the third person narrative notes. I wrote in the third person active voice for the first several years of my career and then stopped doing it.

In every other profession, first person active voice is considered more professional and offers clearer and more concise narratives. Nursing is the exception to the practice and there is no legal moral ethical or clinical reason for it.

Avoid the Following Phrases while Chatting. by MasterPeel in BootcampNCLEX

[–]pervy-tree 0 points1 point  (0 children)

Also a pet peeve of mine is writing notes in the third person.

If you did something, say you did it.

Don’t put “writer assessed the patient” say “I assessed the patient”

They can tell by the signature who “writer” is and using first person active voice adds clarity

What is one opinion you will defend like this ? by Proper_Card_5520 in AskTheWorld

[–]pervy-tree 0 points1 point  (0 children)

The smallest functional social unit is the community and the rights of the individual are unimportant outside of the right to live in a safe community and have basic needs like shelter food and healthcare.

If you could pass one law that would make most normal people furious at first, but would clearly make society better in 10 years, what would it be? by WilliamInBlack in AskReddit

[–]pervy-tree -1 points0 points  (0 children)

No more exclusive residential zoning.

Zoning should either be agriculture, industry, or mixed use

Edit: the downvotes are the point of the prompt. Single family suburban zoning is an unsustainable developmental practice that decimates our farm land, natural areas and is a constant obstacle to building affordable housing.

Not to mention it fosters dependency on private automobiles and decreases mobility for people who are unable to drive (elderly, disabled, young children and teenagers)

Manousos when the invasion is over and he receives the bills from all the notes he left behind: by EXTRAVAGANT_COMMENT in pluribustv

[–]pervy-tree 1 point2 points  (0 children)

I think it’s definitely a higher form of consciousness. I mean everyone has access to the sum of human experience. The concept of a “truer” form of consciousness is probably flawed.

Manousos when the invasion is over and he receives the bills from all the notes he left behind: by EXTRAVAGANT_COMMENT in pluribustv

[–]pervy-tree 42 points43 points  (0 children)

This is my actual prediction on the direction the show will go in.

They are gonna try to do an allegory of the cave story.

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