Adult Health 2
Management
Management
Ms V. is no longer teaching this class, but her materials are useful as a study guide.
We found that using NCLEX practice questions was a good way to prepare.
From Kurt:
For renal I'd say know nursing actions when things go wrong with dialysis AND TRANSPLANT for sure. Know the fundamental causes and effects of renal failure. Stress the importance that "maintenance" phase and chronic renal failure are very very very similar. Try not to freak out about sodium. Know the physiological basis (don't complicate it too much) for sodium changes – remember how that was confusing? - but don't get too wrapped up in it. If you need to, you can do some refreshing on renal A&P, and try to understand why you retain some things, but lose others (electrolytes, etc). But if you don't COMPLETELY understand it after awhile, don't stress out too much. Urea, potassium, phosphate, sodium, anemia, bleeding, and infection were some of the big issues in renal dysfunction if I recall. Ask for help if you need to but ultimately, they are mainly concerned with "what you are going to do about it." We aren't pathologists, after all!
From Kurt: Regarding management: Don't underestimate the management test. I would really stress that they may have to do some outside self-study for management and try to find the most difficult prioritization questions possible... and do a LOT of practice questions for management. The HESI can be hard if you don't do practice questions. If they want to do real well on that HESI, I'd go research the community basics and find community questions. The key underlying community and interdisciplinary communication seemed to be the nursing process.
And THIS pearl of wisdom: corticosteroids. 'nuff said.
