This is a video for those in the med-surg nursing course to review content over gastrointestinal disorders and start learning scenarios that may occur with these clients as well as getting practice with our test-taking strategies.
With their pain on McBurney’s point turning to RIGHT side would not be the best answer. You’re right that we do like to turn patients on their side when they are vomiting - but also keep in mind that’s mostly for patients that are unconscious or cannot protect their airway and in this situation left side would be more appropriate and if they aren’t unconscious the side lying position may not be necessary at all However bigger picture or focus here is that while turning to their side is important - when a question asks you what to do “first” it is not about logic it’s about priority- really it’s asking you “what action if I don’t do will kill the patient the quickest”- turning the patient to their side will not treat the problem and will delay definite treatment It’s annoying I know 😅 I wish it was more logical or practical answers to give you but nursing school exams are focused on safety and recognizing the most important interventions that are going to have the most important impact to patients outcomes. Let me know how else I can help
There's also way too much talking about explaining before getting to the correct answer. I love the practice questions, but lost interest in sticking with it because of all the long-winded explanations before getting to the answer.
@@kimp.dr.n2652 thank you for the suggestion- everyone learns a little differently so I definitely get it. I’ve heard some people like the explanations and some don’t. Hope you find some resources that work well for you!
see..id get seven wrong...., number 7: at work..in real life , because it happens; we rule out cardiac first: because i know the heartburn/chest pain IS expected with GERD , i WILL get the TUMS......BUT Myocardial infarction rule out , which is considered MUCH more serious than the expected GERD pain is my first focus,,, so im automatically gonna assess pain. before we grab the antacid.. shouldn't my first nursing action be to : dO a pain assessment to rule out textbook signs of MI ( what does the pain feel like, is it traveling down your arm/shoulder, does it feel like an elephant on your chest or sharp and stabbing or burning ) , grab some vital signs so i can document that i made my assessment on this chest pain to make sure my next intervention with the calcium carb was appropriate, JUST in case it really was an MI masked/mistaken for the "expected" chest pain from GERD. i hope that made made sense how i processed it. lol
Yeah it was hard for me too because I had years of experience working in a hospital and I was always thinking practically and real life versus perfect nursing school world. You always have to look at the answer choices provided (and I’ll tell you sometimes it’s frustrating because the answers your chose are NOT there 😅) and figure out “if I have all the resources and time in the world what action would be the best or most effective or most directly impact patients outcome” Nursing school is super tricky but they are more looking at your overall judgment and ability to assess for dangerous situations and what to do first versus practical thinking. Let me know how else I can help.
