"make your funeral arrangements because you are going to die" had me CRYING lmao. Professor D. has single handedly gotten me through some of these med surg exams.
Hello, Professor D. I discovered your channel from my little brother currently in nursing school. I graduated in 2009 and took the NCLEX for the first time on April 30th this year and I passed because of you. Thank you so much for all that you do! God bless you!
I am completely amuse for your didactic, smart and very clear explanations. I learned easily and never get tired of your lectures. My classmate told me about how your videos helped her to pass the exit exams and after watch the first one, I drive, I walk my dog, I always listen to your videos. I admire your level of discipline and commitment with your students, even though you just finish a twelve hours shift or just before start your day at 4:00 a.m., you always are there helping the new generations of nurses.Thank you professor D.
I agree, it should be cleaning the perineum before “insertion” (not included in the choices) then inflate the Cather bulb. I guess she was in a hurry and that’s why she said it in other way- but she’s very knowledgeable and I have no doubt ‘bout that. She’s very entertaining too 🤣
In the past, the bulb was "test" inflated, then deflated, before being inserted. This is no longer recommended by the manufacturer and not done until cleaning the perineum and inserting the catheter.
I love the fact that you initiate your lectures with PRAYER, put Christ. I am glad there is a lecturer that still believes in the power of prayer in the name of Jesus. Awesome job. I have been learning. Thank you very much.
God bless you.You are a terrific person because you take the time out to teach us about health..I myself want take the Pnclex for 'licence to practice nursing"🤗💞I been watching your videos,and I must say its been a pleasure and helpful to me‼️💯🤗💞
Thank you so much Professor D. The knowlege is there but you helped me realize omg yesincreasing rbc will add to the blood pressure! like duh but i never thought of it. youre videos are so good.
such a boost of confidence you have given me! I appreciate the fact that your questions are bit more challenging b/c they definitely get me to think more!
Teacher you are a 💥 blast! Thank you so much. I am just a little confused about Indwelling , because the last option that you explain was clean the perineal area ( I understand that it need to be done before). Another question I really didn’t understand was about Intervention (asses the patient is a intervention?) I am sorry teacher I am a little confused
I do have a question about the catheter. In the steps arent u supposed to clean before insertion of the catheter and inflating the balloon? Isn't it the 3 swabs with betadine to decrease risk of infection?
08-01-23 Professor D, could you clarify the answer given to "The nurse is inserting an indwelling catheter....?" It seems to me that it should be 1/4/2/3/5. Three before five. Only because I thought the nurse would need to clran the perineum area before insertion of the catheter and inflating the catheter bulb. Thank you Professor D for your urgent reply to this question?
Mam, I have a query about urine specific gravity in (TIME 5.56 IN video)if pt is recovering from ARF urine specific gravity should decrease ?is it, or my concept is wrong? (in disease condition ARF-specific gravity should be high) I just want to clear it. could u please clarify. your response is appreciated i always watch ur videos and learn so much, and I love ur confidence.
I came to find an answer on this as well. An increase in urine specific gravity, means there are MORE particles in urine, it is thicker, it’s got more solutes in it. Doesn’t this mean the kidneys are not filtering correctly? So a decrease should show that the patient is getting better. Unless I’m this particular disease process the specific gravity was already low to begin with. But as far as I know that only happens with like diabetes insipid is. Right? 😩 IDK!!
@@NexusNursing I'm confused on why we inflate the bulb 1st before cleaning the perineum from clean to dirty with Betadine. Love your videos by the way!! :)
Okay can anyone explain for the indwelling catheter why you would place absorbent pads before the sterile field. In all the Foley catheter videos they place some sort of drape after setting up sterile field
Prof D can you explain to me why the increased hypertension is the answer for the erythropoietin question at minute 14:28? I understand you concept behind it but I feel like the question wasn’t clear for your rationale. I say this because I couldn’t tell if the pt is right now being diagnosed with CKD and he just happen to mention the complication during heath assessment to the nurse. Your reasoning looked to me like the nurse gave the erythropoietin to the pt knowing the hx of HTN. I just need a little clarity. Thank you 😊
Great Question! We don’t care if the dx is new or old. What we do care about is contraindications to the drug and hypertension is one of them. This means that even if the patient is not hypertensive yet, the fact that their bp has gone up is enough for us to warn the HCP and start to monitor the patient more closely.
I take my NCLEX in a day, so I hope you see this question Professor D!! On the question that asks about signs ARF being in the recovery period, you mentioned decrease specific gravity would not be one of those signs, that it should be higher because it's filtering out more...BUT my thought process is when you are in acute renal failure, you have low urine output, which causes concentrated and high urine specific gravity, so when the kidneys are recovering, they yield a higher urine output, which will result in decreased urine specific gravity.. Can you please clarify why that is not the case? I would hate for this question to pop up on my NCLEX and then answer wrong, so I'm praying you happen to get this message and get back to me LOL.. Edit: ONCE AGAIN- YOU SAVED ME from misinformation stored in my brain! After I made this post, I did a little research and found out that the diuretic stage is before recovery stage, and diuretic is a high urine output, which we both know means low specific gravity.. so now it completely makes sense why we would want to see that urine output to slow down and that specific gravity to go up.. I had completely forgot about the diuretic stage being the third stage.. UC! That's why I'm trying to watch every single one of your videos before I go take this exam.. I postponed it one day, so I can make sure I have time to watch each and everyone you've made
I only studied a lot when i went for the first time last year at but the second time was so easy, all thanks to my aunt who introduced me to Mr Marcus am really grateful
Hello Professor D, your videos are helping my classmates and I get through our first semester of nursing school. You teach directly from our book Lippincott CoursePoint Enhanced for Karch's Focus on Nursing Pharmacology, is there any way you can do a video on Chapter 41, Drugs Effecting Male Reproductive System?
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first? a. monitor bp q45 minutes b. lower the head of the chair and elevate feet c. stop dialysis treatment d. administer 5%albumin IV Hi Professor, can you help me answer this question? I am confused between B and C.
I had that same rationale. In a previous question, it is stated that hypotension can cause our kidneys to fail (due to the heart not pumping enough blood to our organs, such as the brain, liver, and kidneys). This specific question states the pt was given erythropoietin (RBC's, right?) a week prior, for their diagnosis of CKD (which I assume the erythropoietin is used to treat anemia, relating to their CKD?). If the red blood cells were low, resulting in the need for the erythropoietin, wouldn't that cause HYPO tension? Then, if given the erythropoietin (goal is to increase the RBC's, correct?) to resolve the anemia, wouldn't we want the pt.'s BP to go up (so they would have resolution for their hypotension, therefore helping their anemia?)? I did not read, anywhere in the question, that the patient actually had hypertension, prior, or after, the erythropoietin treatment. The question only states that the patient had an elevation in their blood pressure- so, for example, if their B/P was 94/62, prior to their erythropoietin treatment, an elevation of their B/P (lets say it was elevated to 118/68) would be a therapeutic result of the treatment. I was thinking that the provider should be contacted for the pt complaining that they are tired all of the time (which is a symptom present with a diagnosis of anemia- a problem, I assume, that this patient initially presented with, provided by the information given in the question, indicating the pt needed erythropoietin, and has a dx of CKD). If the patient is c/o being tired all of the time, the treatment may not have been effective in helping resolve the anemia? I feel like MD may order labs, such as RBC's? or want B/P readings reported?
@@dinaissa1129 Hello, this is a back door we're talking about not some kinda extra class, you really won't expect her to have a Facebook page it's not safe for him
Mr riq is obviously the best ,I studied get questions and answers just in 6 days and passed, the materials she provided was the same question I saw on the exam day
"make your funeral arrangements because you are going to die" had me CRYING lmao. Professor D. has single handedly gotten me through some of these med surg exams.
That's make a sense😂😂
Hello, Professor D. I discovered your channel from my little brother currently in nursing school. I graduated in 2009 and took the NCLEX for the first time on April 30th this year and I passed because of you. Thank you so much for all that you do! God bless you!
I am completely amuse for your didactic, smart and very clear explanations. I learned easily and never get tired of your lectures. My classmate told me about how your videos helped her to pass the exit exams and after watch the first one, I drive, I walk my dog, I always listen to your videos. I admire your level of discipline and commitment with your students, even though you just finish a twelve hours shift or just before start your day at 4:00 a.m., you always are there helping the new generations of nurses.Thank you professor D.
You are awesome. The in dwelling cath question, inflating bulb inside the bladder is after cleaning. ❤️🌺❤️
I agree, it should be cleaning the perineum before “insertion” (not included in the choices) then inflate the Cather bulb. I guess she was in a hurry and that’s why she said it in other way- but she’s very knowledgeable and I have no doubt ‘bout that. She’s very entertaining too 🤣
In the past, the bulb was "test" inflated, then deflated, before being inserted. This is no longer recommended by the manufacturer and not done until cleaning the perineum and inserting the catheter.
I love the fact that you initiate your lectures with PRAYER, put Christ. I am glad there is a lecturer that still believes in the power of prayer in the name of Jesus. Awesome job. I have been learning. Thank you very much.
Hi for the question about ruling out ARF it says what "prerenal" so that's why it's hypotension. Decreased PREfusion to the kidneys.
My most favorite professor.
Prof. D, you are Angel on earth. Am really learning from your videos. Thanks so much
🥰🥰🥰🥰🥰
Great content as usual! Thank you!
I think the catheter one is out of order. You clean with betadine before insertion why would you fill the balloon before insertion
Hi Professor D.
I appreciate all the vital/ informative knowledge you continue to share 🙏😍💯🌠
God bless you.You are a terrific person because you take the time out to teach us about health..I myself want take the Pnclex for 'licence to practice nursing"🤗💞I been watching your videos,and I must say its been a pleasure and helpful to me‼️💯🤗💞
Awesome content, thanks
Thankkkk you...you make it very easy to
Remember and understandable..GOD bless you and all your future endeavors 🙏
This lady is God sent
Here from your Tiktok!.subbed and put you on notification, will watch all ur videos! Thank you for your hard work🥰
Thnx so Prof D, I have learnt a lot from ur videos.
Thank you so much Professor D. The knowlege is there but you helped me realize omg yesincreasing rbc will add to the blood pressure! like duh but i never thought of it. youre videos are so good.
very very helpful God bless you
22:35 on ATI book, it says to call the doctor when it happens during and for severe hypotension we give colloids and slow the rate.
such a boost of confidence you have given me! I appreciate the fact that your questions are bit more challenging b/c they definitely get me to think more!
Great to hear, please don’t forget to support this channel by sharing my content ❤️❤️❤️
That was extremely helpful. Thanks Professor D.
Love it!!! Thank you for being that little voice in my head :- )
Excellent job of teaching!
The ranking of the performance for an indwelling catheter was different from what I learned. I thought you inflated the bulb last
Yes that's the right way. You have to clean the perineum before inserting the catheter. Inflation of the balloon should be the last step.
Why do you place absorbent pads before putting on sterile field
Yes, you are the best.
Damn!!!! You are awesome in explaining! Please keep on putting new Q&A in all. 🙌🏻😘
I have been binging your videos for my nclex on the 8th-I’m SO nervous!
Me too!
Y’all got this!
You are so smart. Such a pro. :)
I love your channel. Thank you for all you do
I'm so happy I found you 😭
thank you so much for all the valuable information.
It's my pleasure
Teacher you are a 💥 blast! Thank you so much. I am just a little confused about Indwelling , because the last option that you explain was clean the perineal area ( I understand that it need to be done before). Another question I really didn’t understand was about Intervention (asses the patient is a intervention?) I am sorry teacher I am a little confused
Great video. Thank you prof D🌷🌷🌷🌷
Thank you sooooo much Professor D!!!! Can you please do a video on professional issues questions I’ve been struggling with those on hesi exit.
i love your videos
Thanks Prof..D great explaination.
very helpful 👌
I appreciate you so much......❤❤❤❤❤❤
Thank you for sharing ❤
You're the best!
Thank you
Hi, for the question involving the insertion of the catheter, wouldn't you clean before inflating the balloon? Im confused
I love your review
You are a gem!
💕
I do have a question about the catheter. In the steps arent u supposed to clean before insertion of the catheter and inflating the balloon? Isn't it the 3 swabs with betadine to decrease risk of infection?
thank you so much!
08-01-23 Professor D, could you clarify the answer given to "The nurse is inserting an indwelling catheter....?" It seems to me that it should be 1/4/2/3/5. Three before five. Only because I thought the nurse would need to clran the perineum area before insertion of the catheter and inflating the catheter bulb. Thank you Professor D for your urgent reply to this question?
Yea I thought so too that inflate the bulb is last step bc that is inserted 😂😂
Why would you place absorbent pad before sterile field can anyone explain
Mam, I have a query about urine specific gravity in (TIME 5.56 IN video)if pt is recovering from ARF urine specific gravity should decrease ?is it, or my concept is wrong? (in disease condition ARF-specific gravity should be high)
I just want to clear it. could u please clarify. your response is appreciated
i always watch ur videos and learn so much, and I love ur confidence.
I came to find an answer on this as well. An increase in urine specific gravity, means there are MORE particles in urine, it is thicker, it’s got more solutes in it. Doesn’t this mean the kidneys are not filtering correctly?
So a decrease should show that the patient is getting better.
Unless I’m this particular disease process the specific gravity was already low to begin with. But as far as I know that only happens with like diabetes insipid is. Right? 😩 IDK!!
Im also confused
Hey Professor D. Would you please review the catheter question? I’m a little confused by the order. If you can please clarify the steps ... 😊 Thanks.
please provide the time frame so I can find it 😉
@@NexusNursing the question confused me as well as I just checked off on Foley’s this week. The question is at 24:21.
What is the question that you have? Which order are you confused about so thatI can explain further.
@@NexusNursing I'm confused on why we inflate the bulb 1st before cleaning the perineum from clean to dirty with Betadine. Love your videos by the way!! :)
@@michellem5595 what’s the time stamp please?
Thank youuuuuuuu!!!!❤️❤️❤️
Is there a difference between when a question asks for "therapeutic communication" vs. "most appropriate response by the nurse"?
Great learning again, many thanks, except the funeral arrangement...lol...
Please do more of ATI questions for medical surgical 1
😩
Okay can anyone explain for the indwelling catheter why you would place absorbent pads before the sterile field. In all the Foley catheter videos they place some sort of drape after setting up sterile field
Any videos on diverticulitis and BPH
Prof D can you explain to me why the increased hypertension is the answer for the erythropoietin question at minute 14:28? I understand you concept behind it but I feel like the question wasn’t clear for your rationale. I say this because I couldn’t tell if the pt is right now being diagnosed with CKD and he just happen to mention the complication during heath assessment to the nurse. Your reasoning looked to me like the nurse gave the erythropoietin to the pt knowing the hx of HTN. I just need a little clarity. Thank you 😊
Great Question! We don’t care if the dx is new or old. What we do care about is contraindications to the drug and hypertension is one of them. This means that even if the patient is not hypertensive yet, the fact that their bp has gone up is enough for us to warn the HCP and start to monitor the patient more closely.
@@NexusNursing ok. So it’s just knowing that the complication is HTN. Not read too much into the question. Thank you. 🙏
@@NexusNursing ok. So it’s just knowing that the complication and contraindication is HTN. Not read too much into the question. Thank you. 🙏
I take my NCLEX in a day, so I hope you see this question Professor D!! On the question that asks about signs ARF being in the recovery period, you mentioned decrease specific gravity would not be one of those signs, that it should be higher because it's filtering out more...BUT my thought process is when you are in acute renal failure, you have low urine output, which causes concentrated and high urine specific gravity, so when the kidneys are recovering, they yield a higher urine output, which will result in decreased urine specific gravity..
Can you please clarify why that is not the case? I would hate for this question to pop up on my NCLEX and then answer wrong, so I'm praying you happen to get this message and get back to me LOL..
Edit: ONCE AGAIN- YOU SAVED ME from misinformation stored in my brain! After I made this post, I did a little research and found out that the diuretic stage is before recovery stage, and diuretic is a high urine output, which we both know means low specific gravity.. so now it completely makes sense why we would want to see that urine output to slow down and that specific gravity to go up.. I had completely forgot about the diuretic stage being the third stage..
UC! That's why I'm trying to watch every single one of your videos before I go take this exam.. I postponed it one day, so I can make sure I have time to watch each and everyone you've made
the client receiving dialysis is complaining of dizziness and light headedness... wouldnt that be a sign of DDS inwhich you would notify HCP?
The last question about the UTI guidance, I’d say void before AND after intercourse
I only studied a lot when i went for the first time last year at but the second time was so easy, all thanks to my aunt who introduced me to Mr Marcus am really grateful
👏👏👏
I love the way you explaination but I think in the question to order or set up to inert the catheter you were wrong
Hello Professor D, your videos are helping my classmates and I get through our first semester of nursing school. You teach directly from our book Lippincott CoursePoint Enhanced for Karch's Focus on Nursing Pharmacology, is there any way you can do a video on Chapter 41, Drugs Effecting Male Reproductive System?
GREAT CONTENT !!!!!!!!
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood pressure drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5%albumin IV
Hi Professor, can you help me answer this question? I am confused between B and C.
B
B
Hi My favor Professor DDDDDD I am trying to access you website but it keep telling to go back to safe website. Please help me to get access
That’s weird, I just had a few colleague go to the website and they had no issues. Maybe try from another device?
@@NexusNursing Okay Prof D. Thanks
good night profesor how are you? D do have any reviews coming in?
isn't erythropoietin supposed to raise th bp? it doesn't say anywhere that he's hypertnesive- just that it's up.
time stamp please
@@NexusNursing 13:30. and thanks for your incredible videos!
I had that same rationale. In a previous question, it is stated that hypotension can cause our kidneys to fail (due to the heart not pumping enough blood to our organs, such as the brain, liver, and kidneys). This specific question states the pt was given erythropoietin (RBC's, right?) a week prior, for their diagnosis of CKD (which I assume the erythropoietin is used to treat anemia, relating to their CKD?). If the red blood cells were low, resulting in the need for the erythropoietin, wouldn't that cause HYPO tension? Then, if given the erythropoietin (goal is to increase the RBC's, correct?) to resolve the anemia, wouldn't we want the pt.'s BP to go up (so they would have resolution for their hypotension, therefore helping their anemia?)? I did not read, anywhere in the question, that the patient actually had hypertension, prior, or after, the erythropoietin treatment. The question only states that the patient had an elevation in their blood pressure- so, for example, if their B/P was 94/62, prior to their erythropoietin treatment, an elevation of their B/P (lets say it was elevated to 118/68) would be a therapeutic result of the treatment. I was thinking that the provider should be contacted for the pt complaining that they are tired all of the time (which is a symptom present with a diagnosis of anemia- a problem, I assume, that this patient initially presented with, provided by the information given in the question, indicating the pt needed erythropoietin, and has a dx of CKD). If the patient is c/o being tired all of the time, the treatment may not have been effective in helping resolve the anemia? I feel like MD may order labs, such as RBC's? or want B/P readings reported?
Nclex exam is so fustrating can't believe I failed again after studying so hard
Wow that's not fair
I saw someone say he could be a scammer, I couldn't stop laughing, really people say a lot of shit these days
@@dinaissa1129 Hello, this is a back door we're talking about not some kinda extra class, you really won't expect her to have a Facebook page it's not safe for him
I've heard of good stories of this same man all over youtube channels and he really helps
Mr riq is obviously the best ,I studied get questions and answers just in 6 days and passed, the materials she provided was the same question I saw on the exam day
Do you do tutoring? struggling with patho
doesn't tina turner have a kidney transplant?
I really thought u had a bookshelf in the back
Everyone does 😂😂😂
00
Why go to school for years to be a nurse, then a nurse practitioner and then to quit them both to do CZcams? Is it really that bad?
She is a practicing Nurse practitioner