I just need to know the DX....

  1. ok i thought about what the illness/disease these people could be diagnosed with... thats all i have to fugure out... no nursing interventions or anything just naming the illness.... what do u think?


    senerio 2:
    ms. wolfer has been admitted to emergency because she is in acute respiratory distress. Earilier in the day she was playing softball and was hit in the chest by a wild pitch. She presents with markedly diminished to absent breath sounds on the left side, and her distress in increasing rapidly. Her nailbeds and lips are blue. You notice that her trachea has shifted oiff the midline toward the right.


    scerario 3:

    markie jones is a 7 year oild boy admitted through emergency becayse of bilateral rales, ascites, and ankel edemia. His history reveals that he recently had a severe streptococcal throat infection. His urine contains considerable protein and is brownish in color. The onset was sudden

    Scerario 4:

    mildred is a 32 year old women complaining of constant severe cramping pain in her RLQ that started 2 months ago. Her stools are frequent and occasionally bloody. She has lost about 7kg in the past two months and has frequently had pyrexia. She has been bvery tired and listless

    would 2 be a rib fracture??
    is 3 some sort of bladder infection?
    and 4..... appendicitis?
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  2. 16 Comments

  3. by   MollyJ
    Hi Daz,
    Have enough faith in yourself to believe that you can do better than to just have people feed you the answers. No one ever built a knowledge base by just getting someone to feed them the answers. Go do some digging. I would have emailed you this message if your email had been available.

    RE: ct 2. One of the previous posters asked what lays beneath the ribs. this is the key. Rib fx by themselves do not cause much respiratory distress beyond pain with inspiration. This person is having respiratory embarassment. Dig deeper and look at complications of rib fx in your med surg book.

    CT 3. Go look up complications of untreated strep pharyngitis. No this is not UTI.

    CT 4. Go look up appy. Does it evolve over months and involve weight loss? Clue: go look up Cancers 7 warning symptoms.

    Look Daz, I'm betting you are pretty early in your nursing program and your instructors are really asking you to reach on this one. So don't feel discouraged that you cannot just pick the right answer. It takes time and digging in the books. GO dig. Digging causes you to build muscles.

    Hang in there.
  4. by   daz
    i'm just naming the dx no "nursing interventions" involved! i've tried identifying them and all i get is u being mean / mad about me trying to figure it out. No wonder it leads me not being confident in myself. I thought u would be more suspportive of what i thought

    Originally posted by MollyJ:
    Hi Daz,
    Have enough faith in yourself to believe that you can do better than to just have people feed you the answers. No one ever built a knowledge base by just getting someone to feed them the answers. Go do some digging. I would have emailed you this message if your email had been available.

    RE: ct 2. One of the previous posters asked what lays beneath the ribs. this is the key. Rib fx by themselves do not cause much respiratory distress beyond pain with inspiration. This person is having respiratory embarassment. Dig deeper and look at complications of rib fx in your med surg book.

    CT 3. Go look up complications of untreated strep pharyngitis. No this is not UTI.

    CT 4. Go look up appy. Does it evolve over months and involve weight loss? Clue: go look up Cancers 7 warning symptoms.

    Look Daz, I'm betting you are pretty early in your nursing program and your instructors are really asking you to reach on this one. So don't feel discouraged that you cannot just pick the right answer. It takes time and digging in the books. GO dig. Digging causes you to build muscles.

    Hang in there.
  5. by   seattlepeach
    I log onto this forum several times a week, and this time I really feel the need to give my input.

    First of all, let me say that I am a June 2000 RN grad, and therefore know of the pains you are going through in nursing school. But I must balance that by saying that being given the answers by others NEVER led the way to my success or high grades in nursing school. Believe me, I am a kind and sympathetic person, and being fresh out of school, can definitely relate to your frustration....

    BUT, I believe that much of the point of these questions you are being given is to stretch and exercise your problem-solving and critical thinking skills, probably as much as rote, looking-up of pat answers on diagnoses,etc. You have to consider, is this assignment really all about coming up with the exact answer, or rather using a combination of your resources and learning to come up with some definite possibilities, and your rationales for why you may think your answers are possible!

    I guess what I'm really trying to say is, there is more to this assignment than making you look through endless resources for one diagnosis. Look to what you have learned so far in school, add that to what you can get from the scenarios, combine with some research and discussion with your fellow students, and you will come up with possibilities.

    I don't mean to sound rude, but if you spent as much time in research, discussion and problem-solving for answers as you do typing in the scenarios to this web site for others to feed you answers, I'm sure answers would come to you more easily. Again, I have to emphasize that I have been there VERY recently, and know how hard assignments can be, but you have to give it a little more than looking for others to give you the answers. You won't be able to post your NCLEX questions on a forum to seek help for answers, so the more you can figure out for yourself, the better!! And believe me, having recently take the NCLEX (and passed), those questions expect you to deduct outcomes from a scenario in every question. In other words, you have to take what you may already know, and use your own problem solving to come up with a possible outcome or diagnosis that you may have no previous knowledge or learning about!!

    Good luck, and please consider this to be constructive input, which is the spirit in which it was intended, and not trying to put you down.
  6. by   dawngloves
    Whoah! Peace! It seems to me Molly pretty much GAVE you the answers and support to boot!
    If you came here looking for someone to do your homework for you, you are barking up the wrong tree.
  7. by   Stargazer
    Daz, no many how different threads you start, you are getting a consistent message from the people on this board. No one is being mean to you; in point of fact, everyone's replies, including Molly's, have been very patient and nurturing. Many people on the other thread gave you some extremely BROOOAAAAD hints as to what your pts probable diagnoses are. The point that everyone is trying to make is that you are not doing yourself or your future pts any good by asking to be spoon-fed the answers. A big part of nursing, and certainly of nursing school, is learning how to problem- solve. Emphasis on PROCESS. Please don't cheat yourself out of an important part of your education by attempting to short-circuit the process.
  8. by   daz
    Yeaaa and **** u guys too cya
  9. by   seattlepeach
    All I can say is.......my, my, my, WHAT a gracious response. I guess DAZ can't deal with anyone who is trying to help him/her in a REAL way! Wake up DAZ! Everyone is telling you the same thing! I suppose everyone else on here is wrong, even though they are using actual experience to try to help you. No one would be doing you any favors by giving you answers, and if you weren't so immature, you would realize that. If you don't want to hear what others have to say, don't ask questions on a public forum.

    Everyone has tried to be gracious and kind in giving you the kind of help you really nee, and your only response is "**** you all"? Well, after reading that, along with your attempts to basically cheat on your school assignments, I can only hope that you are watched carefully in school before you hurt a patient in clinicals, or worse. Perhaps you should read the code of ethics for your school....I'm sure they have one. Follow that by a big attitude adjustment and some quick maturation, and you may be able to make it in nursing school. Believe me, things are going to get WAY tougher in nursing school before they get easier, and your attitude and demeanor are not those of a successful nursing student nor a nurse.

    Shame on you!
  10. by   Brian
    Daz,

    This BB is not meant for others to do your homework. Many users have tried helping you think through your problems, but it seems as though you are just looking for answers.

    But a response like the one you just left is unacceptable. Sorry, but you are banned from posting on the BB now.


    ------------------
    Brian Short
    http://allnurses.com
    It's how nurses surf the web!
  11. by   ktwlpn
    [QUOTE]Originally posted by bshort:
    Daz,

    This BB is not meant for others to do your homework. Many users have tried helping you think through your problems, but it seems as though you are just looking for answers.

    But a response like the one you just left is unacceptable. Sorry, but you are banned from posting on the BB now.


    [/QUOTE---O MAN....I hope Daz rethinks his or her career choice....I would not want that one at my bedside if I was crashing....

  12. by   woodyRN
    Quote
    Hi Daz,
    Have enough faith in yourself to believe that you can do better than to just have people feed you the answers.

    Great response-
    the hints dropped by Molly were BRICKS, and I detected no meanness in to tone. I wish I could be that tactful with nurses I precept.
    Reading further, I see you really show your "stuff" with your "KMA" response. I've worked w/ people like this before, and fortunately they don't last long.

    [This message has been edited by woodyRN (edited February 23, 2001).]

    [This message has been edited by woodyRN (edited February 23, 2001).]
  13. by   janine3&5
    Okay, if that student makes it out of nursing school, she might just be a very SCARY nurse. I think in this case, it's okay to go ahead and eat your young!
  14. by   susanmary
    Daz, grow up. Fellow posters were very helpful, nearly spoon-feeding you the answers. They were supportive, and encouraged you to piece together the STRONG clues they gave you. What were you expecting, someone to write "The answer to number 1 is....the answer to number 2 is...." etc! I agree with the other posters. The point of your assignment was for you to develop your critical thinking skills -- to use your knowledge and nursing theory and formulate diagnoses. You should seriously reconsider nursing -- it may prove too challenging for you -- you will actually have to THINK for yourself, and not depend on other nurses to do your work or thinking for you.

    If you really want to make it as a nurse, you really need to work on your attitude, and take responsibility for your actions. You also need to grow up -- how could you write such a foul, immature post -- especially to nurses who are TRYING to be supportive. (Just wait until you work as a nurse with YOUR attitude -- see how long you will last.) Wonder how many tries it will take you to pass the board with your critical thinking skills? Wonder how many nursing jobs you will go through because of EVERYONE ELSE. It's always someone ELSE's fault, Daz, isn't it?

    [This message has been edited by susanmary (edited February 23, 2001).]

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