Photographs- Nickelback
Sunday, September 6, 2009
Makulot Gameplan
Mt. Maculot is one of the most popular daytrip destinations. It is so popular that on weekends and summer months, there is a sari-sari store at the campsite. This mountain, at the heart of Batangas, is known as a landmark for locals and travellers alike; it is easily identifiable because of its abruptly terminating east side - forming a cliff that is challenging for rock climbers and breathtaking to everybody else. Others describe the shape of the mountain as 'igloo-like'.
At 830 MASL, the mountain has three destinations: the grotto, the peak and the rockies (685 MASL). These can all be covered by a traverse dayhike. Most climbers head to the Rockies. This rocky formation stands beside Taal Lake, creating a scenic view, encompassing the whole of Taal Lake including the world-famous Taal volcano; as well the plains of Batangas. From a distance looms, on opposite sides, Mt. Makiling and the Tagaytay Highlands. If you follow Batangas Bay to the South you can see Maricaban Island, and beyond that, Mindoro's Mt. Halcon. The climbing time is variable; experienced climbers can reach the Rockies in a matter of two hours. From the Rockies, one can continue to the peak (830 MASL) or the Grotto on the other side of the mountain. You can also do the traverse vice-versa, starting off at the Grotto and ending at the Rockies. The Grotto area is grassy, but it then the trail becomes forested until it reaches the summit - and down. Either way, the trails are steep but Maculot is one mountain where you can stay the visual rewards are really worth the effort.
SPECIAL CONCERNS
There are no permits required in Maculot and it is generally safe, even for beginners. During April weekends, however, there may be too many climbers. The Rockies is quite small and can only accommodate 30 is sufficient for hiking trips.
Although taking less than 10 minute, the trail from the campsite to the Rockies is very steep. Beginners must be assisted during this leg of the trip.
There are two registration sites: the "tindahan" and the brgy. outpost near the mountaineers' store. You only need to register in either one of them. At times, the registration process is not enforced.
Background and Special concern -got from pinoymountaineer.com
Itineraries:
Itinerary for Mt. Maculot climb courtesy of kirishi thru pinoymountaineers site:
(Modified IT for 2 days:)
TRAVERSE- FIRST DAY:
1300 Northern group will meet at JAC Liner-near Buendia (Gil Puyat LRT Station) then lunch at nearby fastfood or foodstore.
1400 Board Lemery-bound bus[LIPA BUS STOP] from Buendia (P124) via JAC Liner
1700 ETA Cuenca Municipal Hall. Either walk or take trike to jump-off
1800 ETA jump-off point, start traverse.
1915 ETA Grotto, pitch tents
1930 cook dinner
2000 dinner
2030 socialan-activities/games/etc
2300 lights out
SECOND DAY:
0700 wake up call
0745 breakfast
0800 take pictures at Grotto
0830 set out for the peak via forested trail
1100 ETA summit...lunch.
1230 start descent to shoulder campsite and rockies
1430 ETA rockies; take pictures
1500 ETA start descent to mountaineer's store
1620 ETA mountaineer's store...tidy up then head back to the highway for Manila-bound bus
ROCKIES- FIRST DAY:
1300 Northern group will meet at JAC Liner-near Buendia (Gil Puyat LRT Station) then lunch at nearby fastfood or foodstore.
1400 Board Lemery-bound bus[LIPA BUS STOP] from Buendia (P124) via JAC Liner
1700 ETA Cuenca Muncipal Hall. Walk or take trike to jump-off. Pay P10 registration fee.
1730 start trek
1915 arrive at campsite, pitch tents
1930 cook dinner
2000 dinner
2030 socialan-activities/games/etc
2300 lights out
SECOND DAY:
0700 wake up call
0745 breakfast
0830 head for Rockies
0845 at Rockies...pictorials
0930 return to campsite
1000 socialan-pahinga...more pictorials
1100 early lunch
1130 start descent
1300 back at jump-off...tidy up then head back to the highway from Manila-bound bus.
Where: Mt Makulot, Cuenca Batangas
When: ?
Who:
NORTHERN GROUP:
1. computerhazard888 - Valenzuela/ 0917-8715623
2. hellokitty888(Cecille)[tentative] - Valenzuela/ 0917-8841770
3. kirishi - Manila/ 0920-8422614 / 4175118
4. goodguy23 - Taguig/ 0915-8783764
5. johnbrew - Manila/ 0923-8891708
6. polarbear -QC/ 0915-6409067
7. sandugo - Pasig City/0929-3003961
8. destined child - Marikina/ 0922-3449624
9. eingheL24(Angela){tentative pa raw] - Marikina
10. yobs -QC/ 0915-1140512(tentative)
11. kuneknek - QC/ 0927-4973204(tentative)
12. GTraveler - Marikina/ 0910-4296305
13. limmax - Manila/Kalookan/ 0922 889-1672 (tentative)
14. vincecarter - Manila/ 0905-2648578
15. yandiler007 - Makati/ 0922-8713493
SOUTHERN GROUP:
1. skateboxx - Batangas /0927-5094528
2. murex- Binan/ 0918-6615168 (tentative)
3. qtnice - 0908-4590260
4. lups - Cavite/ 0908-7650008
5. simplylheng - 0908-1416196
6. edibokyo - Batangas /0916-8802059
7. jeepneyko - San Pedro, Laguna/ 0927-263-3198 (Globe)/ 0923-886-9149 (SUN)
Do's and Don'ts:
• Observe cleanliness
• No military uniform and paraphernalia, or those resembling such items
• Wear pants and long sleeve (leg and arm warmer)
• Waterproof things
• Be polite and courteous to people we meet on the trail
• Bring sufficient cold weather clothing
What to bring:
Individual . . .
- Flashlight
- Head lamp
- Extra Batteries
- Rain Gear (Rain Coat )
- Trail water
- Trail food (energy bar, candies, life saver, banana chips for potassium source)
- Hiking Gear
- Jacket
- Gloves (hand protection)
- Toiletries
- Cup, spoon and fork
- 3-4 L of water
- Weather proof Tent (look for your partner)
- Sleeping bag, fleece blanket
- Earth Pad
- Zip-lock plastic
-personal medication
Others: - Plastic bags and plates
- Knife – 3
- Iwatani 4-5
- Lamps
- Kovea Stove
- Cooking ware – 3 (pan, rice pot, pot (kaldero))-----> biggie size
Etc etc. – radio, camera
Assignments-
Sponsors (Tents):
1. computerhazard888 = 6-8 pax + 4-5pax
2. greenbaythera = 4-5 pax
3. yobs = 4-5 pax (magpapahiram sya if di makakarating)
Sponsors (Foods, etc):
Stoves + butane:
1. kirishi
2. computerhazard888
3. johnbrew
Cooking ware-pan, rice pot, pot----->biggie size?
Lamp-johnbrew, computerhazzard, ?
Meal-
Lunch1- rice, beef tapa,chicken adobo (cooked)
Dinner1-rice, ensaladang talong and bagoong, chicken tinola
Socials- chips, liquor, hotdog
Breakfast- rice, noodles, corned beef, bread, itlog na pula
To buy-?
Rice
Chicken adobo-chicken 1 kg, onion, pepper,soy sauce
eggplant
bagoong
tomato
chicken tinola ingresients
noodles-6 pcs
corned beef- 3 cans
bread- 4 loaves
itlog na pula- 6 pcs
Tuesday, November 6, 2007
NCLEX practice #1
1. The most common reason for an Apgar score of 8 and 9 in a newborn is an abnormality of what parameter?
B) Muscle tone
C) Cry
D) Color
Acrocyanosis (blue hands and feet) is the most common Apgar score deduction, and is a normal adaptation in the newborn.
B) "The stool should have turned to light brown by now. We need to test the stool."
C) "Formula supplements might need to be added to increase the bulk of the stools."
D) "Water should be offered several times each day in addition to the breast feeding."
In breast-fed infants, stools are frequent and yellow to golden, and vary from soft to thick liquid in consistency. No change in feedings is indicated.
B) Maintain the client on bed rest
C) Ambulate for several minutes
D) Apply ice to the extremity
The finding suggests deep vein thrombosis. The client must be maintained on bed rest and the provider notified immediately.
B) Fear of pain
C) Loss of control
D) Bodily injury
While a toddler will experience all of the stresses, separation from parents is the major stressor.
B) children may remain strep carriers for years
C) most play activities will be restricted indefinitely
D) clumsiness and behavior changes should be reported
A major manifestation of rheumatic fever that reflects central nervous system involvement is chorea. Early symptoms of chorea include behavior changes and clumsiness. Chorea is characterized by sudden, aimless, irregular movements of the extremities, involuntary facial grimaces, speech disturbances, emotional lability, and muscle weakness. Chorea is transitory and all manifestations eventually disappear.
B) Lanoxin liquid
C) Os-cal tablet (calcium carbonate)
D) Tylenol liquid (acetaminophen)
Cardizem SR is a "sustained-release" drug form. Sustained release (controlled-release; long-acting) drug formulations are designed to release the drug over an extended period of time. If crushed, as would be required for gastrostomy tube administration, sustained-release properties and blood levels of the drug will be altered. The provider must substitute another medication.
B) observing the client for hypotension
C) abrupt discontinuation of the drug
D) assessing for mild physical symptoms
Central nervous system depressants interact with alcohol. The client will gradually reduce the dosage, under the health care provider''s direction. During this time, alcohol must be avoided.
B) discrimination
C) ethnocentrism
D) cultural insensitivity
Ethnocentrism, the universal tendency of human beings to think that their ways of thinking, acting, and believing are the only right, proper, and natural ways, can be a major barrier to providing culturally conscious care. Ethnocentrism perpetuates an attitude that beliefs that differ greatly from one''s own are strange, bizarre, or unenlightened, and therefore wrong. Ethnocentrism refers to the unconscious tendency to look at others through the lens of one''s own cultural norms and customs and to take for granted that one''s own values are the only objective reality. At a more complex level, the ethnocentrist regards others as inferior or immoral and believes his or her own ideas are intrinsically good, right, necessary, and desirable, while remaining unaware of his or her own value judgments.
B) adhere to pre-planned interview goals and structure
C) allow clients to talk about whatever they want
D) elicit clients' description of their experiences, thoughts and behaviors
The nurse’s understanding of the client rests on the comprehensiveness of assessment data obtained by listening to the client’s self revelation.
B) Obtain cultures of the mucous membranes
C) Flush both sides of the mouth with normal saline
D) Use a soft cloth to attempt to remove the patches
Candidiasis can be distinguished from coagulated milk when attempts to remove the patches with a soft cloth are unsuccessful.
B) speak only a few sentences at a time and then pause for a few moments
C) plan that the encounter will take more time than if the client spoke English
D) ask the client to speak slowly and to look at the person spoken to
The nurse should communicate with the client and the family, not with the interpreter. Culturally appropriate eye contact, gestures, and body language toward the client and family are important factors to enhance rapport and understanding. Maintain eye contact with both the client and interpreter to elicit feedback and read nonverbal cues.
B) explore how the planning committee evaluated barriers to the plan
C) design a different approach to deliver care with fewer staff
D) retain the previous staffing pattern for another 6 months
The manager is ultimately responsible for delivery of care and yet has given a committee chosen by staff the right to approve or disapprove the change. Planned change involves exploring barriers and restraining forces before implementing change. To smooth acceptance of the change, restraining factors need to be evaluated. The manager wants to build the staff''s skills at implementing change. Helping the committee evaluate its decision-making is a useful step before rejecting or implementing the change. When possible all affected by the change should be involved in the planning. The question is whether staff input has been thoroughly taken into consideration.
B) Drug tolerance
C) Severe headaches
D) Postural hypotension
Removing a nitroglycerine patch for a period of 10-12 hours daily prevents tolerance to the drug, which can occur with continuous patch use.
B) Administer the medication with a syringe next to the tongue
C) Mix the medication with the infant's formula in the bottle
D) Hold the child upright and administer the medicine by spoon
Using a needle-less syringe to give liquid medicine to an infant is often the safest method. If the nurse directs the medicine toward the side or the back of the mouth, gagging will be reduced.
B) "How old is your other child?"
C) "Why do you think this a concern?"
D) "Does the baby sleep after feeding?"
Open ended questions encourage further discussion and conversation, thereby eliciting further information.
B) Buck's
C) Bryant
D) Russell
Ninety degree-ninety degree traction is used for fractures of the femur or tibia. A skeletal pin or wire is surgically placed through the distal part of the femur, while the lower part of the extremity is in a boot cast. Traction ropes and pulleys are applied.
B) Acceptance of the termination of the pregnancy
C) Acceptance of the fetus as a separate and unique being
D) Satisfactory resolution of fears related to giving birth
During the first trimester the maternal focus is directed toward acceptance of the pregnancy and adjustment to the minor discomforts.
B) Pulse rate of 98 beats per minute
C) Respiratory rate of 32
D) Blood pressure of 90/50
Clients with deep vein thrombosis are at risk for the development of pulmonary embolism (PE). The most common symptoms of PE are tachypnea, dyspnea, and chest pain.
B) place the client in a high Fowler's position
C) assist the client with pursed lip breathing
D) administer oxygen at 6L/minute via nasal cannula
Use pursed-lip breathing during periods of dyspnea to control rate and depth of respiration and improve respiratory muscle coordination.
B) Apply pressure to the injury site
C) Apply bulky, loose dressing to nose and ears
D) Apply an ice pack to the back of the neck
Applying a bulky, loose dressing to the nose and ears permits the fluid to drain and provides a visual reference for the amount of drainage.
B) increase ingestion of caffeine products
C) apply cold compresses
D) lower the legs to a dependent position
Ischemic pain is relieved by placing feet in a dependent position. This position improves peripheral perfusion.
B) Is performed to detect complications of diabetes
C) Measures circulating levels of insulin
D) Reflects an average blood sugar for several months
Glycosylated hemoglobin values reflect the average blood glucose (hemoglobin-bound) for the previous 2-3 months and can be used to monitor client adherence to the therapeutic regimen.
B) Goals are met with the use of networking, mentoring, and coalition building
C) High visibility and formal power are maintained with a confrontational style
D) Credibility to one's position is enhanced when professional dress and demeanor are employed
Networking, mentoring, and coalition building are positive uses of personal power to meet goals.
B) sustained painful erection
C) inability to achieve erection
D) heaviness in the affected testicle
The feeling of heaviness in the scrotum is related to testicular cancer and not epididymitis. Sexual performance and related issues are not affected at this time.
25. Which statement describes the advantage of using a decision grid for decision making?
B) It is the fastest way for group decision making
C) It allows the data to be graphed for easy interpretation
D) It is the only truly objective way to make a decision in a group
A decision grid allows the group to visually examine alternatives and evaluate them quantitatively with weighting.
B) "I will increase potassium and sodium and restrict fluids."
C) "I will increase sodium, potassium and fluids."
D) "I will increase fluids and restrict sodium and potassium."
The manifestations of
B) Talk with the client to find out about the preferred herbal preparation
C) Contact the client's primary care provider
D) Explain the importance of the medication to the client
Respect for differences is demonstrated by incorporating traditional cultural practices for staying healthy into professional prescriptions and interventions. The challenge for the health care provider is to understand the client''s perspective. "Culture care preservation or maintenance refers to those assistive, supporting, facilitative or enabling professional actions and decisions that help people of a particular culture to retain and/or preserve relevant care values to that they can maintain their well-being, recover from illness or face handicaps and/or death."
B) Ask the client and then the family about the findings
C) Report the bruising to social services to follow-up
D) Document the findings on the admission sheet
"Cupping" is practiced by Vietnamese. The principle is to create a vacuum inside a special cup by igniting alcohol-soaked cotton inside the cup. When the flame extinguishes, the cup is immediately applied to the skin of the painful site. The belief: the suction exudes the noxious element. The greater the bruise, the greater the seriousness of the illness. There is typically no need to ask an adult’s family members.
B) Frequent turning
C) Moisten skin with lotions
D) Apply moist heat to reddened areas
Frequent turning will prevent skin breakdown by relieving prolonged pressure on any one area.
B) mental disorder
C) disorder of any type
D) medical problem
Dual diagnosis is the concurrent presence of a major psychiatric disorder and chemical dependence.
B) physical
C) biological
D) social-cultural
With psychological dependence, it is the client’s thoughts and attitude toward alcohol that produce craving and compulsive use.
B) Confront the nurse about the suspected drug use
C) Sign the narcotic sheet and document the event in an incident report
D) Counsel the colleague about the risky behaviors
The incident must be reported to the appropriate supervisor, for both ethical and legal reasons. This is not an incident that a co-worker can resolve without referral to a manager.
B) "I'm sorry, that is not a good choice, but you could have pasta."
C) "I know that is your favorite, but let me help you pick another lunch."
D) "You cannot have the peanut butter until you are feeling better."
Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.
B) Prescribed use of a monoamine oxidase (MAO) inhibitor
C) Diagnosis of vascular disease
D) Takes antacids frequently
SSRIs should not be taken concurrently with MAO inhibitors because serious, life-threatening reactions may occur with this combination of drugs.
B) "Examining the area would cause difficulty to the child."
C) "Pushing on the stomach might lead to the spread of infection."
D) "Placing any pressure on the abdomen may cause an abnormal experience."
Manipulation of the abdomen can lead to dissemination of cancer cells to nearby and distant areas. Bathing and turning the child should be done carefully. The other options are similar but not the most specific.
B) Nausea with anorexia
C) Alternating constipation and diarrhea
D) Vomiting for over 48 hours
Severe diarrhea is the only problem listed that can lead to metabolic acidosis if untreated.
B) Salivary pH
C) Mini-mental status exam
D) Pre-anesthesia work-up
ECT is delivered under general anesthesia and the client should be prepared as for any procedure involving anesthesia.
B) Protein intake
C) Lactose tolerance
D) Serum albumin
When highly protein-bound drugs are administered to patients with low serum albumin (protein) levels, excess free (unbound) drug can cause exaggerated and dangerous effects.