I am wondering about question 4. I agree HF is a more severe condition, however pink frothy sputum is expected and somewhat stable. An asthma attack, if left untreated could cause acute asphyxiation. Also, it looked like anaphylaxis is higher on the list, and essentially constitutes not being able to breathe if symptoms are prolonged and potentially increasing. What are your thoughts?
Pink frothy sputum could be a symptom of pulmonary edema, but it's definitely a MAJOR complication and considered a severe symptom that needs to be addressed RIGHT now. It's NEVER considered stable. Basically their lungs are filled up with fluids and it has no where to go but up. Patients can't get oxygen exchange if there's tons of fluids covering the alveoli. It's critical and they will have to go to the ICU for emergency treatment.
Question #4 19:23 Kindly clarify why you chose the CHF exacerbation over the acute asthma attack. Both are critical but the asthma attack is a faster downward spiral than the CHF crisis, no?
You have to look at the symptom data to see if it's severe or unexpected. Pink, frothy sputum is HORRIBLE because the lungs have filled with fluids/blood. Asthma with wheezing is expected and moderately bad, not severe. They will still get oxygen exchange.
omg. most if not all the questions you posted were on my NCLEX....I did fail at my first attempt but I'm glad I ran into your account. I hope I pass the second time
I am a little surprised for the last one. I would think it would be #2 because they are at greatest risk for complication, that could be life threatening. Trying to understand the rationale. Thank you for this information!
We used to not let people get up with DVT because we thought it would make the clot move and go to the lungs; but research has shown that getting up for short walks doesn't make the clot move. So bedrest is no longer advised with DVT.
Question #2: 12:00 66yo male with PVD and acute abd pain -> low back sounds like suspected AAA not MI, no? I don’t recall ever hearing of *low* back pain with MI. If that is correct, a potential dissecting AAA would be a more immediate concern than the septic woman. That’s how I would rationalize that choice. Would love your thoughts. Thanks for these videos!
Question #3 16:00 FBAO in a nare could easily travel down the nasopharyngeal airway and become an FBAO, right? I hear your heightened concern with the word “restless,” but could you please share exactly what concerns that might lead to in the 3day post-op tonsillectomy scenario? Without further information or reading into anything, I’m not sure how expected this restlessness would be or what concern that could signal. Please elucidate. Thanks!
it's true that something in the nose could travel down and cause an obstruction, but it hasn't yet and it's unlikely that it will anytime soon. However, restlessness almost always indicates an airway problem (not getting enough oxygen). I know a lot of students don't want to choose answers if it's been at least 24 hours. However, that is not a good strategy. Symptom data of the actual patient is what to pay attention to.
I believe ASK GRAPH was developed by High Yield NCLEX by Dr Z. Correct me if I'm wrong, but I don't believe he is a nurse. I've heard of students using his materials and review course and that's great if they pass. But for my students, I teach differently. Therefore if the H in ASKGRAPH is hemorrhage that would seem odd to me, since hemorrhage is critical. Maybe he means that everything is a priority - not really sure though were he is going with it though. If he sees this, maybe he could clarify.
That's what I figured! Thanks! I think the issue though for students is when there are 2 things on the ASKGRAPH and then how to decide? Do you writing what ASKGRAPH stands for?
Option D has expected lab values for warfarin - so that client is fine! There is no sign of a blood reaction, but in the video I talk about who is the HIGHEST RISK. There is a risk of a reaction, and you have no symptom data, so go see the blood transfusion person.
i just bought your book nuggets and hopefully it will come soon. I failed my first attempt on NCLEX RN and I was looking for a great tutor to help me and I came across your youtube and maybe you are the answer for me to pass my second attempt.
make sure you use a good set of practice questions and study a lot! Remember that the test is about safety - so think about what is safest for your patient if you don't know the answer.
hi! I think you are referring to my NCLEX Nursing Nuggets book - just go to my website thenclextutor.com to see what I offer for the book and tutoring! (The book is just content though - tutoring includes how to use test-taking strategies and getting a study plan set up)
I believe question #3 is wrong. Burn patients should take the highest priority because it can lead to respiratory distress. If a patient has a 2nd degree burn or higher, they are at risk for third spacing, which can compromise their airway because fluid is leaking out of the intravascular cells into the tissue, leading to edema. Can you pls explain?
Hi Susanna, I agree that burns can lead to respiratory distress but the symptom data doesn't yet tell me that they are in respiratory distress just that the kids is crying unconsolably. Which who wouldn't with a 2nd degree burn? it hurts! However, RESTLESS is an airway issue especially after some throat/mouth surgery - there is no doubt the tonsillectomy kid is having an airway issue since restlessness almost always means that someone isn't getting enough oxygen. So choose the client with the actual problem, not someone that could potentially have a problem. Hope that makes sense!
Hi, I came across your your videos here on UA-cam and immediately tried to make a purchase. For some reason your site is having some issues and I’m not able to complete my purchase. Can you please respond so that I can move on and make my payment. I have also tried to send you an email through your site.
Hi Tamara, so sorry about that - not sure why you are having issues. Try again. thenclextutor.com/store - you can email me about it too justine@thenclextutor.com
Hey Justin I'm trying to tagged you under my videos of my review but it's not working. Can you please leave a comment on the video. It's title how I Pass my Nclex-RN in 81 questions. Alot of people trying to purchase the book. I know 2 bought it last week but it's out of stock now.it will also grow your UA-cam channel. Thank you .
I see where you are coming from, but you can only pick one answer and phantom pain won't kill the patient, it just happens to hurt really, really bad...but they will live. I hope that makes sense!
I am wondering about question 4. I agree HF is a more severe condition, however pink frothy sputum is expected and somewhat stable. An asthma attack, if left untreated could cause acute asphyxiation. Also, it looked like anaphylaxis is higher on the list, and essentially constitutes not being able to breathe if symptoms are prolonged and potentially increasing. What are your thoughts?
Pink frothy sputum could be a symptom of pulmonary edema, but it's definitely a MAJOR complication and considered a severe symptom that needs to be addressed RIGHT now. It's NEVER considered stable. Basically their lungs are filled up with fluids and it has no where to go but up. Patients can't get oxygen exchange if there's tons of fluids covering the alveoli. It's critical and they will have to go to the ICU for emergency treatment.
Question #4 19:23 Kindly clarify why you chose the CHF exacerbation over the acute asthma attack. Both are critical but the asthma attack is a faster downward spiral than the CHF crisis, no?
You have to look at the symptom data to see if it's severe or unexpected. Pink, frothy sputum is HORRIBLE because the lungs have filled with fluids/blood. Asthma with wheezing is expected and moderately bad, not severe. They will still get oxygen exchange.
I bought your book...I like it. Thanks for this video...It will help a great deal...God bless you 🙏
Thank you Claudia!
omg. most if not all the questions you posted were on my NCLEX....I did fail at my first attempt but I'm glad I ran into your account. I hope I pass the second time
I hope you pass too! Study hard!
I am a little surprised for the last one. I would think it would be #2 because they are at greatest risk for complication, that could be life threatening. Trying to understand the rationale. Thank you for this information!
We used to not let people get up with DVT because we thought it would make the clot move and go to the lungs; but research has shown that getting up for short walks doesn't make the clot move. So bedrest is no longer advised with DVT.
Question #2: 12:00 66yo male with PVD and acute abd pain -> low back sounds like suspected AAA not MI, no? I don’t recall ever hearing of *low* back pain with MI.
If that is correct, a potential dissecting AAA would be a more immediate concern than the septic woman. That’s how I would rationalize that choice. Would love your thoughts. Thanks for these videos!
pain with MI can be varying, but yes it could be a triple AAA too!
@@TheNCLEXTutor i thought the same of AAA more than mi
Thank you so much . I wish you did section by section of the book
I actually do cover each section! I cover the major topics at my webinars: thenclextutor.com/webinars
Hi i need to buy your book but it says out of stock. Can you please tell me when it will be back in stock?
thank you!
It was supposed to be in this week - so sorry! I'll post a message here as soon as it's available.
Hi Gurveer! The Nuggets are back in stock! thenclextutor.com/store
Question #3 16:00 FBAO in a nare could easily travel down the nasopharyngeal airway and become an FBAO, right?
I hear your heightened concern with the word “restless,” but could you please share exactly what concerns that might lead to in the 3day post-op tonsillectomy scenario? Without further information or reading into anything, I’m not sure how expected this restlessness would be or what concern that could signal. Please elucidate. Thanks!
it's true that something in the nose could travel down and cause an obstruction, but it hasn't yet and it's unlikely that it will anytime soon. However, restlessness almost always indicates an airway problem (not getting enough oxygen). I know a lot of students don't want to choose answers if it's been at least 24 hours. However, that is not a good strategy. Symptom data of the actual patient is what to pay attention to.
Can you please explain A.S.k. G.R.A.P.H. how is hemmorage last?
I believe ASK GRAPH was developed by High Yield NCLEX by Dr Z. Correct me if I'm wrong, but I don't believe he is a nurse. I've heard of students using his materials and review course and that's great if they pass. But for my students, I teach differently. Therefore if the H in ASKGRAPH is hemorrhage that would seem odd to me, since hemorrhage is critical. Maybe he means that everything is a priority - not really sure though were he is going with it though. If he sees this, maybe he could clarify.
@@TheNCLEXTutor thankyou. I only recently heard about this from a UA-cam video, and if anyone would have an answer It would def be you.
From what i understand everything on ask graph is a priority, when you have a priority question you look for one of these 8 it is not in Order
That's what I figured! Thanks! I think the issue though for students is when there are 2 things on the ASKGRAPH and then how to decide? Do you writing what ASKGRAPH stands for?
@@TheNCLEXTutor okay so I do know the pneumonia. But I wasn't sure why sepsis would be before hemmorage. And many others.
Why is question 1about blood transfusion not option D ? It was never indicted there was any sign of blood reaction
Option D has expected lab values for warfarin - so that client is fine! There is no sign of a blood reaction, but in the video I talk about who is the HIGHEST RISK. There is a risk of a reaction, and you have no symptom data, so go see the blood transfusion person.
where can i get that management of care page you use to help you eliminate answers?
Hi! It's in my Nugget Pages book I wrote: thenclextutor.com/nuggetpages
i just bought your book nuggets and hopefully it will come soon. I failed my first attempt on NCLEX RN and I was looking for a great tutor to help me and I came across your youtube and maybe you are the answer for me to pass my second attempt.
make sure you use a good set of practice questions and study a lot! Remember that the test is about safety - so think about what is safest for your patient if you don't know the answer.
Hi how do I get the prioritization book? And do you do one on one teaching? I would have loved one
hi! I think you are referring to my NCLEX Nursing Nuggets book - just go to my website thenclextutor.com to see what I offer for the book and tutoring! (The book is just content though - tutoring includes how to use test-taking strategies and getting a study plan set up)
Could you review Archer Review Nclex Prep program. Its supposed to be comparable to Uworld but cheaper
Yes! I'm actually almost finished with Archer. And will post a review next week :) Can't wait!
@@TheNCLEXTutor Thanks! Can't wait to see what you say
I believe question #3 is wrong. Burn patients should take the highest priority because it can lead to respiratory distress. If a patient has a 2nd degree burn or higher, they are at risk for third spacing, which can compromise their airway because fluid is leaking out of the intravascular cells into the tissue, leading to edema. Can you pls explain?
Hi Susanna, I agree that burns can lead to respiratory distress but the symptom data doesn't yet tell me that they are in respiratory distress just that the kids is crying unconsolably. Which who wouldn't with a 2nd degree burn? it hurts! However, RESTLESS is an airway issue especially after some throat/mouth surgery - there is no doubt the tonsillectomy kid is having an airway issue since restlessness almost always means that someone isn't getting enough oxygen. So choose the client with the actual problem, not someone that could potentially have a problem. Hope that makes sense!
how can I avail your book?
you can buy the NCLEX Nuggets at thenclextutor.com/store
I just purchased your book! I hope to get my hands on it soon!!
you'll love it!
Are you able to state whether the answer you picked was the correct one or not?
All the final answers in the video are the correct answers
What's the name of the book?
It's called: NCLEX Nursing Nugget Pages; available at my website: thenclextutor.com/store
Hi, I came across your your videos here on UA-cam and immediately tried to make a purchase. For some reason your site is having some issues and I’m not able to complete my purchase. Can you please respond so that I can move on and make my payment. I have also tried to send you an email through your site.
Hi Tamara, so sorry about that - not sure why you are having issues. Try again. thenclextutor.com/store - you can email me about it too justine@thenclextutor.com
Garcia Karen Williams Elizabeth Davis Sharon
Hey Justin I'm trying to tagged you under my videos of my review but it's not working. Can you please leave a comment on the video. It's title how I Pass my Nclex-RN in 81 questions. Alot of people trying to purchase the book. I know 2 bought it last week but it's out of stock now.it will also grow your UA-cam channel. Thank you .
I just wrote a comment - thanks! and yes, it's available now :)
@@TheNCLEXTutor it not there. UA-cam deleted it. Can you do it again
Clients with phantom pain must be seen equally to others as they are really feeling that pain in brain and it should be anesthetized by e.g. opioids.
I see where you are coming from, but you can only pick one answer and phantom pain won't kill the patient, it just happens to hurt really, really bad...but they will live. I hope that makes sense!
Archer review?!
Hi Jessica - I'm still working on NCSBN review! However, some student of mine told me they really like Archer!
@@TheNCLEXTutor thank you! 💜