CRNE June 2012 - page 3
Anyone started to prepare for CRNE June 2012?... Read More
- 0Apr 14, '12 by janfrn Asst. AdminQuote from ramahiYou got bad advice. Read this thread: http://allnurses.com/canadian-nurses...855-page2.htmlmy friends told me toronto school of health is good so i will try them. anybody has any comments on them
- 0May 23, '12 by allicandoispraythanks pete. yes i have prepared very intensively however the decline is still worrisome and troubling.
there were two questions in one of the prep guides i used and i am not agreeing with the rationale for one. i am wondering if i would be able to post them and get ideas from any of you? wondering if this would be okay...
- 0May 26, '12 by allicandoisprayMr. Del Ray is experiencing an acute exacerbation of right sided heart failure. Which of the following independent nursing actions should the nurse implement to limit spread of Mr. Del Ray's ankle edema?
1. Restricting his fluids
2. Applying elastic bandages
3. Performing range-of-motion exercises
4. Elevating his legs
- 2May 26, '12 by petethecanuck1
My rationale: Patients with right sided HF are susceptible to systemic fluid overload. Restricting fluid intake will help mitigate edema in the lower extremities.
- I could see how answer 4 may look like a possible option. Elevating the patients legs could promote fluid movement and help with edema (in a healthy person). The fact this patient has RIGHT sided HF eliminates #4 as a possible option because the right ventricle has a lower ejection fraction and fluid is "backing up" into the venous system (causing an increased JVP, edema etc). Raising his legs and promoting venous return could in fact exacerbate his condition.