Student resources: Good links
guidelines and standards:
AHRQ, Centers for Disease Control and Prevention, The Joint Commission,
Food and Drug Administration
NCLEX info: National
Council of State Boards of Nursing
Professional associations: American Nurses Association, National Student Nurses'
Career sites: J&J's Discover
Nursing, Career Center at NursingCenter.com, Nursing2007 job satisfaction survey report
Learn a new word
A blocker of L-type calcium channels that also blocks
the calcium-activated potassium channel. It may also have some
provided by stedmans.com
the classic signs of diabetes, think of the 3 Ps:
Review Made Incredibly Easy!, 3rd
edition, Lippincott Williams & Wilkins, 2008.
If you'd like to request a free copy
of the Nursing2009 Career Directory, click here.
your NursingCenter Profile if you've changed your e-mail or physical
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Welcome to the LWW
American Nursing Student E-Newsletter,
brought to you by the editors of Nursing2009
in conjunction with NursingCenter.com--absolutely . Written especially
for nursing students, it includes practice NCLEX questions,
medication errors to avoid, advice on how to care for
dying patients, tips from experienced nurses, and much
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In this issue...
Fighting test anxiety
Drugs: Uloric, ATryn, Gelnique
|| Bridging the Gap: Basic
Yourself: NCLEX practice
||Recommended readings from Nursing2009
||Click on icon to e-mail this to a friend
Tips: Fighting text anxiety
Do you find yourself
getting anxious when it's time to take
a test? The key to staying on top of anxiety
for most successful students is using a combination
of techniques to prepare for tests. Here are
some tips and tricks you can use to fight anxiety.
- Study well.
Studying well is the best preparation for
a test--and the best cure for test anxiety.
Studying can give you a sense of accomplishment
that boosts your self-confidence. By knowing
the material backward and forward, you won't
feel as nervous going into the test.
- Relax your
mind. Relaxation, along with other stress-reduction
techniques, can help lessen test anxiety.
When your body is relaxed, your mind is free
to absorb new information. Try using breathing
exercises or meditation to clear your mind.
- Think positively.
Test anxiety can be the result of low self-esteem.
Focus on being positive about tests. Say to
yourself, "I've studied hard and
I know this material. I can do this!"
Being prepared and having a positive attitude
often lead to success.
- Give yourself
a break. If you start to feel anxious during
a test, consider doing something to break
the tension, such as putting down your pencil,
closing your eyes, and taking a few slow deep
breaths. If your shoulders are hunched, make
a conscious effort to lower them and relax.
If the instructor allows, you might even get
up and sharpen your pencil or ask a question.
Sometimes, you feel anxiety because you're
physically tired and need a break.
- Get your
ZZZs--just not during the test! Rest and relaxation
are great fatigue-fighters. You can do more
when you feel rested and relaxed than when
you're tired. Get enough sleep (at least 6
to 8 hours at a time), change activities from
time to time, exercise on a regular basis,
and relax by allowing yourself breaks for
TV, music, friends, or light reading.
- Sit up straight.
Your posture matters when you're studying
or taking a test. If you're sitting
in an uncomfortable position, it stresses
your muscles. This stress is communicated
to your brain, which in turn creates anxiety.
Slouching can hurt your back and make you
feel tired. Sit up straight and allow your
concentration to return.
- Eat well.
Good nutrition keeps you healthy. It also
can improve your study habits and test-taking
skills. Class time, work time, and study time
often conflict with meal times. To counter
this, avoid skipping meals and eat nutritious
snacks between sessions.
- If you get
sick. Even the healthiest person can get sick.
When you're ill, you can't perform
well on a test. So, if you feel very ill as
a test approaches, contact the instructor.
This shows you care about your performance
and about missing the test. You may be able
to work out an arrangement with the instructor,
and this will help you avoid feeling anxiety
about postponing the test. Be sure to follow
all your doctor's instructions so you
can get well as soon as possible. Avoid using
sick time as study time, and get the rest
- Stay on schedule.
When a test approaches, keep things as normal
as possible. If you normally take a walk before
dinner, keep up with your routine instead
of skipping your walk to study. If you usually
sleep 8 hours a night, avoid the urge to cram
until 2 a.m. Breaking good habits will only
contribute to your mental and physical stress.
Success for Health Professionals Made Incredibly
Easy! by Nancy Olrech, Lippincott Williams
& Wilkins, 2008.
|Drug News: Uloric, ATryn,
Among the new
drugs recently approved by the Food and Drug
(febuxostat), a xanthine oxidase
inhibitor, has been approved for the chronic
management of hyperuricemia in patients with
(antithrombin [recombinant]), a recombinant
form of human antithrombin, has been approved
for the prevention of perioperative and peripartum
thromboembolic events in hereditary antithrombin-deficient
(oxybutynin chloride), a transdermal
antispasmodic gel that's applied to
the skin once daily, has been approved for
the treatment of overactive bladder with symptoms
of urge urinary incontinence, urgency, and
and Drug Administration.
|Bridging the Gap: Basic
you're caring for a Spanish-speaking patient,
sometimes it isn't necessary to translate an
entire sentence. Instead, you may be able to
use one keyword or phrase to convey information
to your patient.
- thank you
hasta luego or
Spanish Made Incredibly Easy!, 3rd
edition, Lippincott Williams & Wilkins,
Yourself: NCLEX practice questions
about passing the NCLEX? The more practice questions
you do, the more confident you'll feel. Try
these, then review the answers and rationales
that follow. Experts recommend taking many practice
questions before the NCLEX, so take advantage
of review courses, books, and other products
to help you succeed and pass the NCLEX. ANSWERS
maintain airway patency during a stroke
in evolution, which nursing intervention
all dietary liquids.
dietary and parenteral fluids.
the client in the supine position.
tracheal suction available at all times.
prevention of osteoporosis includes which
items within reach of the client.
bars in the bathroom to prevent falls.
the optimal calcium intake.
a professional alert system in the home
in case a fall occurs when the client is
client is admitted with right lower quadrant
pain, anorexia, nausea, low-grade fever,
and an elevated white blood cell count.
Which complication is most likely the cause?
nursing intervention should be taken for
a client who complains of nausea and vomitus
1 hour after taking his morning glyburide
subcutaneous insulin and monitor blood glucose.
blood glucose closely and look for signs
blood glucose closely and assess for symptoms
comfort measure can be recommended to a
client with genital herpes?
loose cotton underwear.
a water-based lubricant to the lesions.
rather than scratch in response to an itch.
hydrogen peroxide and water over the lesions.
|Recommended readings from Nursing2009
miss these substantive, peer-reviewed features
from the March issue of Nursing2009.
They'll help you learn about evidence-based
|Answers to NCLEX practice questions
4 Because of a potential loss
of the gag reflex and potential altered level
of consciousness, the client should be kept
in Fowler's or a semiprone position with
tracheal suction available at all times. Thickening
dietary liquids isn't done until the gag
reflex returns or the stroke has evolved and
the deficit can be assessed. Unless heart failure
is present, restricting fluids isn't indicated.
2. 3 Primary prevention of
osteoporosis includes maintaining optimal calcium
intake. Placing items within reach of the client,
using a professional alert system in the home,
and installing bars in bathrooms are all secondary
and tertiary prevention methods to prevent falls.
3. 1 The client is experiencing
appendicitis. A fecalith is a fecal calculus,
or stone, that occludes the lumen of the appendix
and is the most common cause of appendicitis.
Bowel wall swelling, kinking of the appendix,
and external occlusion, not internal occlusion,
of the bowel by adhesions can also be causes
4. 3 When a client who has
taken an oral antidiabetic agent vomits, the
nurse should monitor glucose and assess him
frequently for signs of hypoglycemia. Most of
the medication has probably been absorbed. Therefore,
repeating the dose would further lower glucose
levels later in the day. Giving insulin will
also lower glucose levels, causing hypoglycemia.
The client wouldn't have hyperglycemia
if the glybluride was absorbed.
5. 1 Wearing loose cotton underwear
promotes drying and helps avoid irritation of
the lesions. The use of lubricants is contraindicated
because they can prolong healing time and increase
the risk of secondary infection. Lesions shouldn't
be rubbed or scratched because of the risk of
tissue damage and additional infection. Cool,
wet compresses can be used to soothe the itch.
The use of hydrogen peroxide and water on lesions
Questions & Answers Made Incredibly Easy!,
4th edition, Lippincott Williams &
We welcome your comments,
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