http://allnurses.com This forum was opened for nursing students to use to ask nurses questions regarding assignments including interviews. Feel free to post your requests here. Enjoy! en Sat, 21 Nov 2009 02:26:36 GMT vBulletin 60 http://img.an-file.info/misc/rss.jpg http://allnurses.com http://allnurses.com/nursing-student-assistance/anyone-cath-themselves-440196-new.html Fri, 20 Nov 2009 22:20:41 GMT Now, I know people stick themselves all the time to practice blood draws, and students often do IM... Now, I know people stick themselves all the time to practice blood draws, and students often do IM saline injections on each other, but has anyone ever done a self cath? I don't even want to ask if people have practiced cathing each other, that would be just a whole different level of closeness as a nursing class.


So come on stories, I know someone has done this :P ]]> Nursing Student Assistance Product http://allnurses.com/nursing-student-assistance/anyone-cath-themselves-440196.html http://allnurses.com/nursing-student-assistance/oh-yes-another-440153-new.html Fri, 20 Nov 2009 19:06:22 GMT Hi everyone, I'm hoping someone can help me out with this...

My patient is a 66-year old male admitted with abdominal pain, nausea, vomiting, and diarrhea x3days. He has a history of end stage COPD. Barium enema was positive for diagnosis of diverticulitis and his WBC count (20.01) indicates he has an infection brewing in there. After 3 days of antibiotic therapy, his white count is back to a more normal 6.62 and his symptoms have stabilized.
The patient needs to have a bowel resection for prevent future flare ups and possible bowel perforation, however his pulmonologist has advised that with his COPD history, he may likely not survive anesthesia or be unable to come off the ventilator post-op.

I am charged with coming up with 1 NANDA prioritized nursing diagnosis with 4 interventions and 2 collaborative diagnoses.

So far I've come up with:

Priority: Risk for infection related to compromised bowel circulation secondary to chronic diverticular disease
Interventions:
- Educate patient on signs and symptoms of infection related to diverticulitis
- Instruct patient to take entire course of prescribed antibiotics
- Encourage increased fluid intake of 2000-3000 mL per day
- Instruct patient to eat a high fiber, low fat/low residue diet

I'm not 100% certain what exactly a collaborative nursing diagnosis is, but I came up with:
- Impaired elimination
- acute pain

Any guidance or feedback would be greatly appreciated! Thank you ]]> Nursing Student Assistance Leaky1021 http://allnurses.com/nursing-student-assistance/oh-yes-another-440153.html http://allnurses.com/nursing-student-assistance/questions-related-peptic-440143-new.html Fri, 20 Nov 2009 18:12:04 GMT I have some questions related to Peptic Ulcer. This is more of a personal note. I've done a bit of research with the supposed to be diet of patients with ulcer. Most books says something about High Fat, High Carbohydrate Low Protein Diet.
Only problem with this is that this diet isn't very healthy. I've thought about french-fries, burgers, but what if I don't get enough exercise to burn away the fat...plus if I do exercise I need protein.
So what are examples of good foods/diets high in fat, high in carbohydrate and low in protein? Most books discourage drinking milk for patients with PUD or Duodenal Ulcer.
Should I drink milk instead for the protein instead and go right ahead to the high-fat, high carb, low protein diet?
I really need help..

Thank you in advanced for answering!!
:redbeathe With Love!
creyzi4zb12 ]]> Nursing Student Assistance creyzi4zb12 http://allnurses.com/nursing-student-assistance/questions-related-peptic-440143.html http://allnurses.com/nursing-student-assistance/pregnant-nursing-school-440132-new.html Fri, 20 Nov 2009 17:32:31 GMT I really don't mean to sound inconsiderate but I really don't understand pregnant women who have decided to start nursing school. There are two women that I know of that are very pregnant right now in my nursing program, and it's coming to the end of our first semester.. and they are either going to deliever by the end of this semester or the beginning of next semester. I just don't understand how these women will finish the program and handle a new born baby? It just doesn't seem like they put very much thought into family planning and educational planning when they got pregnant? I've seen our next semester schedule and we're going to have 15 hours of clincial experience on its own each week.. that doesn't include traveling to and from school and clincial sites, or the amount of time that will need to be spent studying and preparing for class and clincial experiences.

I guess it's just making me angry because I don't see how these women could possibly give their patient, kids, families, and education the adequate time and not end up giving up one of them.. and the most likely to be dropped would be nursing school. And if they do decide to drop out of the program, then why didn't they think about applying to nursing school or pursuing nursing school til their children were older. Because someone else who doesn't have a million obligations outside of nursing school could have their seat, instead of them dropping out of the program.

I know there is the option of having extra help with children while the new mothers are in school, but as some point they are going to go home and spend time with their families, and their children? Also, it's not like a woman can have a baby on Friday, and then be back at school on Monday.. I'm sure it has happened before but the repercussions of those actions could not have been good.

If anyone can give me some insight into how I can better understand these women and their thought process.. or just give me some words to understand so I don't go crazy with anger.

Thanks! ]]> Nursing Student Assistance desikudi313 http://allnurses.com/nursing-student-assistance/pregnant-nursing-school-440132.html http://allnurses.com/nursing-student-assistance/question-about-patient-440074-new.html Fri, 20 Nov 2009 01:21:38 GMT If a patient is on a continous nasogastric tube feeding how do you change the bed? Do you just keep... If a patient is on a continous nasogastric tube feeding how do you change the bed? Do you just keep the bed in semi-fowlers position? ]]> Nursing Student Assistance melissat217 http://allnurses.com/nursing-student-assistance/question-about-patient-440074.html http://allnurses.com/nursing-student-assistance/motivation-439968-new.html Thu, 19 Nov 2009 14:03:31 GMT hi, eveybody im so bummed. I feel like no matter which way or how i study i get nowhere when it... hi, eveybody im so bummed. I feel like no matter which way or how i study i get nowhere when it comes to theses test. The school i attend is on a trimester schedule and this quarter isnt going as well as i hope. Not saying that it is going like bad but i have so much potiental. I have 3 more classes after today in chem and a/p and then a final. How do i study for this i have tried reading over my notes which helped more and saying it out loud which helped me more. For chemistry i just dont know what to do and i feel really dumb sasying that because i do very well wit chem and math.

I just want a very decent gpa tis quarter and very high gpa's next quarter considering the fact that the nursing schools that I am applying to averege for this year classes was a 3.6-3.7 which i know i can get beyond that. Theses test are really just messing me up.



ANY] suggestions i dont want to give up because it is my passion to become a nurse . Im starting to lack faith though ]]> Nursing Student Assistance IClaimNursingSchool http://allnurses.com/nursing-student-assistance/motivation-439968.html http://allnurses.com/nursing-student-assistance/ccac-nursing-2010-a-439963-new.html Thu, 19 Nov 2009 12:51:55 GMT Anyone know any good anatomy & micro professors? Also anyone one else taking anatomy along with nursing 101? ]]> Nursing Student Assistance BMWZ42004 http://allnurses.com/nursing-student-assistance/ccac-nursing-2010-a-439963.html http://allnurses.com/nursing-student-assistance/stuck-what-should-439956-new.html Thu, 19 Nov 2009 08:41:08 GMT i have to teach my class about the diabetic complications neuropathy and gastroparesis. i have all... i have to teach my class about the diabetic complications neuropathy and gastroparesis. i have all the info but i'm having trouble thinking of fun, entertaining, hands on props or a good attention getter...any ideas would be greatly appreciated! ]]> Nursing Student Assistance nikki!lynn http://allnurses.com/nursing-student-assistance/stuck-what-should-439956.html http://allnurses.com/nursing-student-assistance/dimensional-analysis-problem-439948-new.html Thu, 19 Nov 2009 06:21:33 GMT can someone pls give me the dimensional analysis for the following problem? I've been using it all along, but now I'm not doing something right...

Order: Heparin 40,000 units IV in 1 L 0.9% NS at 1,000 units/hr.

Calculate the rate in mL/hr ________________


please if anyone can help, I would appreciate it.. ]]> Nursing Student Assistance KayDubb http://allnurses.com/nursing-student-assistance/dimensional-analysis-problem-439948.html http://allnurses.com/nursing-student-assistance/need-help-passing-439946-new.html Thu, 19 Nov 2009 06:19:29 GMT Does anyone have any suggestions on how to study and pass critical care nursing exams? I am... Does anyone have any suggestions on how to study and pass critical care nursing exams? I am drowning with 1 exam (endocrine and GI) and the final exam to go. ]]> Nursing Student Assistance kathoward40 http://allnurses.com/nursing-student-assistance/need-help-passing-439946.html http://allnurses.com/nursing-student-assistance/stabilization-of-cva-439940-new.html Thu, 19 Nov 2009 05:05:30 GMT *Mr. X is a 59 year old male with a history of uncontrolled hypertension. While eating dinner at... Mr. X is a 59 year old male with a history of uncontrolled hypertension. While eating dinner at home, Mr. X. tells his wife that he feels lightheaded and begins to show signs of facial droop, slurred speech, and looses consciousness. Mrs. X. calls 911 immediately. The paramedics arrive and transport the patient to the nearest hospital ED.

Mr. X. is brought into the ED and you are the nurse assigned to care for this patient. The patient vital signs are BP 198/100, HR 122, RR 26 (labored), temp. 100.8 F, remains unconscious, and responds to painful stimuli only (rapidly pulling away from the painful stimulus). Write a nursing care plan for this patient using the nursing process (assessment, planning… etc.). What scientific principles would you use to support the goals, objectives, interventions, and evaluation efforts needed to stabilize this patient?

I am not an ED nurse, but I feel that the process of stabilizing CVA is interdisciplinary and emergent. All of the safety, and self-care care deficit needs are taken care of after the stroke team has succeeded in stabilizing the patient, right? As such, I am having trouble trying to figure out what a nursing care plan during the acute stabilization phase should consist of. Nursing care plans do not usually include interventions by other disciplines, do they? However, wouldn't the care plan look incomplete and not so comprehensive without them? ]]> Nursing Student Assistance CollaborateRN http://allnurses.com/nursing-student-assistance/stabilization-of-cva-439940.html http://allnurses.com/nursing-student-assistance/breast-cancer-439889-new.html Thu, 19 Nov 2009 00:28:49 GMT I have to write a 5 page paper concerning breast cancer and the following scenarios.... You... I have to write a 5 page paper concerning breast cancer and the following scenarios....

You have been diagnosed with invesive ductal breast cancer. 5 out of 10 lymph nodes taken were (+) for cancer. There are no other signs of metastasis. The tumor size was 2.1cm and was grade 3. The tumor was (+) for estrogen, progesterone, and was HER 2 positive. The tx plan will include the following: Modified radical mastectomy, mediport placement, andriamycin with cytoxan and taxol to be given every 3 wks for 4 doses; herceptin every 3 wks for one yr; arimidex daily for 5 yrs. The herceptin and arimidex will begin after the adriamycin/cytoxan/taxol is finished. Mammograms on the remaining breast will be done yearly. CAT scans to chech for metastasis will be done every 6 months for 2 yrs and then yearly. You will be seeing the oncologist and getting lab work (CBC, CMP, tumor markers) every 3 months for3 yrs and then every 6 months for 2 more years and yearly after that to chech for metastasis. Your mediport will remain in place for 5 yrs and needs flushed monthly when not in use. State how you will inform your family and school-age children.

Any thoughts??? ]]> Nursing Student Assistance mfatony http://allnurses.com/nursing-student-assistance/breast-cancer-439889.html http://allnurses.com/nursing-student-assistance/clinical-assignment-worksheet-439904-new.html Thu, 19 Nov 2009 00:00:08 GMT I am a new nursing student. I am doing my clinical assignment worksheet and my pt has a cerebellar... I am a new nursing student. I am doing my clinical assignment worksheet and my pt has a cerebellar mass. I have to define it and give symptoms. I defined cerellum and mass. That was all I could find in my mosby's. There we not any symptoms so I used cerebellar tumor symptoms. Is this correct? ]]> Nursing Student Assistance felicity3912 http://allnurses.com/nursing-student-assistance/clinical-assignment-worksheet-439904.html http://allnurses.com/nursing-student-assistance/cerebellar-mass-439875-new.html Wed, 18 Nov 2009 23:03:50 GMT Can someone please help. I have to do my clinical assignment worksheet. I am a 11 weeks into... Can someone please help. I have to do my clinical assignment worksheet. I am a 11 weeks into nursing school. I am have to define and give symptoms for cerebellar mass. It is not in my mosbys dictionary. I broke it down into cerebellar and mass. I still don't have any symptoms. I don't know of any reputable websites to find this info. A fellow nursing student told me about this site. ]]> Nursing Student Assistance felicity3912 http://allnurses.com/nursing-student-assistance/cerebellar-mass-439875.html http://allnurses.com/nursing-student-assistance/skills-check-offs-439869-new.html Wed, 18 Nov 2009 22:32:58 GMT looking for any helpful hints of advice on this one ... in the program i am in right now, we have... looking for any helpful hints of advice on this one ...
in the program i am in right now, we have 3 chances to pass a skills check-off before we get "remediation" and once that happens, they basically put you on probation and will drop you out of the program if they think you are inadequate...

all semester long, i have had trouble with the skills check-offs because i get so nervous, everything just flies out of my head. i have a very hard time focusing and sorting out the thoughts in my head when i get nervous... i normally nail it on the second try, but today i screwed up on the straight catheter check-off for the 2nd time!

i do really well on the tests and in clinical, i just need some advice on how to get through the skills check-offs... i practice them at home but i don't have anyone to critique what i am doing so it's kind of pointless if i don't realize i am doing something wrong...

i am on medication for anxiety but for some reason it's not doing the trick ...

if any of you have any words of wisdom i would appreciate it! ]]> Nursing Student Assistance black.sweater http://allnurses.com/nursing-student-assistance/skills-check-offs-439869.html