Phases of reality shock
Stress management
How to prepare to become an RN
Pharmacology
Med Calc
100
“I just love nursing, I am so glad that the stress of school is over and my career has begun.”
What is the honeymoon phase
100
"I observed a nurse during her med pass today. Wow, does she go fast, she was done with morning med pass by 0900. When I start my med pass, I know I won't be done by 0900 but maybe I can try to be done by 1000. I will practice safely though and if I seem to be struggling, I will ask for help."
What is set realistic goals?
100
"Today is my first day of work I believe that I have had a good education and am well prepared for my first day. However, even though I feel well prepared, I may need some help."
What is be confident- but not too confident.
100
Ondansetron(Zofran) is classified as what kind of med?
What is an antiemetic.
100
Order: 0.75mg IM of a medication. Available: 0.25mg per mL.
What is 3mL
200
“I am beginning to dislike the nursing profession. How can I give proper nursing care when I am the only nurse responsible for giving meds and doing treatments for 30 patients.”
What is shock and rejection phase?
200
"Tiffany, I begin my first nursing job today. I am so nervous about making a med error."
What is sharing your worries with friends, family, and co-workers.
200
"Today, the nurse that was training me told me to leave the cup of meds I just poured at the residents beside while the resident was in the bathroom. I was very shocked and disappointed she asked me that. I wanted to tell her that she shouldn't do that. Instead, I insisted that I say in the room until the resident came out of the bathroom.
What is show your patients, doctors and co-workers respect, even if you are questioning their decision.
200
Ketorolac(Toradol) is classified as what kind of med?
What is NSAID?
200
Order: Baclofen 15mg po tid for three days. Available: 10mg Baclofen in a 100 tablet bottle. How many tablets per one dose?
What is 1 1/2 tab
300
“I am so glad that I stayed in nursing. Sure nursing has its tough moments. But it’s the moments when I can make the residents laugh to see that smile on their face that makes it worth while.”
What is recovery phase
300
"My nursing supervisor told me I will be caring for a resident, tomorrow, with a colostomy and that I will be changing their colostomy appliance with her. I am going to go home tonight to look up how to change a colostomy appliance and what to document, so that I can feel better prepared"
What is increase your knowledge to help alleviate your fears?
300
"Even though I don't take criticism well, I asked my supervisor how I did for my first week of work. I plan to periodically ask her how she thinks I am doing."
What is ask for honest feedback on your performance-it is how you will learn best?
300
Metronidozole(Flagyl) has two classifications, what are they?
What is anti-ulcer and anti-infective.
300
Doctor orders 30ml of an antibiotic mix with 0.9% NS to infuse in 20 minutes by IV. How many ml/hr should the IV infuse at?
What is 90ml/hr.
400
The new nurse may feel like a failure or feel mad that they were put in a made to fail situation.
What is shock and rejection phase?
400
"Annaleisha is always complaining about how being a new nurse is terrible. I am going to manage my stress and be more prepared for stressful events so that I don't feel like that."
What is think positive?
400
"Even though I was way behind on my work, I had to take a break to call up my mom to cry about the stressful day I had so far."
What is take time to vent- you will be stressed out at times.
400
What are the two classifications of omeprazole(Prilosec)?
What is PPI and anti-ulcer.
400
Order: 1500ml 0.9% NS in 10 mins. Drop factor is 15 gtt/ml. At what rate in gtt/min should the IV infuse?
38 gtt/min
500
In this phase, the nurse is able to evaluate work situations objectively and predict actions and reactions of the staff effectively.
What is recovery phase?
500
"I have this journal that I keep in my car. After work or if I get a lunch break, I will write down a situation that was tough for me to handle and right just in general how my day went. That's how I can reflect on my day and see what do I need to do, to become better at my job."
What is writing brings clarity?
500
"I am getting overwhelmed taking the med cart by myself. I don't want to seem like I can't handle being a nurse, but I don't feel like I am practicing safe. So I think I will ask the supervisor if I can reduce the number of patients I am responsible until my speed comes up."
What is ask for help?
500
What is the two different classifications of lomotil(Lonox)?
What is an opioid and anticholingergic.
500
Order: 0.5g po of an antibiotic. Available: Capsules labeled 250mg
What is 2 capsules.
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