Past CPNE testers

Oct 19, 2009 06:47 PM

by LPN_2005

I thought I've read on the EPN board that the clinical associate didn't want them to use Impaired Gas Exchange for a diagnosis. The faculty says different-that we can use that diagnosis, but it seems like the each clinical associate have their own rules on what they expect for the nursing diagnosis. Since I'm trying to study and get comfortable with the most common nursing diagnosis, I want to make sure I'm not wasting my time on the Impaired Gas exchange ND. So, if any past testers can remember if this particular ND was or wasn't allowed.

rttobern · Oct 19, 2009, 08:26 PM

Re: Past CPNE testers

it was allowed for me. Sept. 2009

**LunahRN** · Oct 19, 2009, 10:28 PM

Re: Past CPNE testers

Anything in the diagnosis book is fair game, as long as it fits your patient. But EC does caution against using "Risk for Infection" if the pt is on antibiotics.

I think some of the issues people were having with Impaired Gas Exchange had something do with the way they were using it -- essentially they'd have to have an ABG drawn during their PCS to support the goal the way they wrote it. Really, I'm straining my brain trying to remember the issue, and I can't. LOL.

LPN_2005 · Oct 19, 2009, 11:01 PM

Re: Past CPNE testers

I think that was the reason why the CA told the students they couldn't use Impaired Gas Exchange. Something about an ABG had to be drawn. Just to be on the cautious side, I won't use it!

Originally Posted by LunahRN

I think some of the issues people were having with Impaired Gas Exchange had something do with the way they were using it -- essentially they'd have to have an ABG drawn during their PCS to support the goal the way they wrote it. Really, I'm straining my brain trying to remember the issue, and I can't. LOL.

NC Girl RN · Oct 20, 2009, 01:06 AM

Re: Past CPNE testers

It can be used. It actually would be good for someone with COPD diagnosis.

jlrevis · Oct 20, 2009, 01:15 AM

Re: Past CPNE testers

You can use anything that you want that is in the mosby's dx book, BUT you want to use something that YOU can fix and evaluate within the 2hours you are there (without labs, abg's etc). Make it easy on yourself and stay away from hard dx to fix like that!! Just what I was taught!! Good luck! When and where are you testing?

LPN_2005 · Oct 20, 2009, 08:47 AM

Re: Past CPNE testers

Testing October 30th. Milwaukee, WI. I wasn't nervous before, but now I'm getting apprehensive about the exam. But I'm trying very hard to stay positive! There has been people that passed it the 1st time and I want to be included in that group!

Originally Posted by jlrevis

You can use anything that you want that is in the mosby's dx book, BUT you want to use something that YOU can fix and evaluate within the 2hours you are there (without labs, abg's etc). Make it easy on yourself and stay away from hard dx to fix like that!! Just what I was taught!! Good luck! When and where are you testing?

rttobern · Oct 20, 2009, 03:17 PM

Re: Past CPNE testers

If you are assigned Pulse ox checks and are given Saturation parameters and/or you see that his saturation is low with/without oxygen, you should be able to adjust the mosby's "abg" into low saturation indication. Especially if the patient is requiring oxygen. Why are they requiring oxygen???? No doubt it has something to do with impaired oxygen (gas) exchange. How did they know??? probably a low saturation when checked.

does that make sense. since saturation is being used for oxygenation checks vs. the invasive expensive abg, it should be interchangeable.

I hope I was clear here. lol Re-reading this really makes me shake my head.

LPN_2005 · Nov 01, 2009, 05:57 PM

Re: Past CPNE testers

I passed in Milwaukee this weekend! I kept the careplans as simple as possible. Thanks to everyone who posted information regarding the CPNE!

*caliotter3* · Nov 01, 2009, 06:01 PM

Re: Past CPNE testers

Yaaaay!!! Another slayer of the CPNE!

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Past CPNE testers

Past CPNE testers

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