tulip5

tulip5

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About tulip5

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  1. So if I understand your current question(s). (1) Why am I adamant his priority problem is dehydration? The answer is: fluid imbalance (current... not risk for) always ranks everything else except issues of oxygenation. End of story. Is your instr...
  2. Evolution and Nursing

    When do you know if something is "proven"? What threshold of proof do you require?
  3. Passing but not learning?

    What is "NS"?
  4. Your priority is dehydration. Why? Because after oxygenation (which appears OK based upon the data you give) the next most important basic human need is fluid and electrolyte balance. You did not tell us what his serum chemistries are, but chance...
  5. Oh, actions... I think some of this takes adjustment of the analgesics. May need something with the opiate. NSAID (ketoralac if she's not bleeding) works GREAT. If she's on morphine, try equianalgesic dose of dilaudid. (different people do better...
  6. Oh... likely nursing diagnosis: (depending upon exact assessment data) Impaired gas exchange RT respiratory depression (opiate/anesthetic) and splinting AEB (vital signs here), pt. not coughing deep breathing, c/o incisional pain, etc.
  7. You've gotten some really good responses here, and I am just going to give you my simple-minded approach to the pretty-freshly-post-op patient. First of all, you must have a system for prioritizing your patient assessment and planning. Here is min...
  8. Risk for bleeding nursing diagnosis

    Ya know what... there are people walking around who have AAA's and don't know it. There are others that know it and are just being monitored... to make sure it doesn't get any worse. And then there are those that are burst and you have WWIII on you...
  9. Nursing Dx/care plan help

    I agree with LauRN. In addition, as you're learning about clinical reasoning... always remember that "RT" (related to) requires that you address causality. I have students who will write a dx like "Knowledge deficit RT coumadin AEB taking drug inc...
  10. Urgency vs Anxiety

    I'm an instructor. But my approach to sizing up students is much like my clinical style... I don't make judgements based upon one thing. If (1) the student looks way too casual during clinical, and (2) isn't answering call lights when not with thei...
  11. AIDS during the 80s

    Yes. I was an RN then. I did not know any RN's who refused to take care of Gays, even those with what we were recognizing as Gay-related diseases such as Kaposi's sarcoma and pneumocistis. But we realized early on that it was body fluid related. ...
  12. Still on my soapbox

    Our state fought back the "non-licensed assistive personnel" push years ago by lobbying our legislature really hard. As a result, certification of CNA's was put into the Nurse Practice Act and is regulated by our State Board of Nursing. But here is...
  13. Working while going to school?

    Yes... almost ALL my students that work while going to school do so because they MUST. (Their job is where the health insurance is, or divorced spouse is not paying child support or whatever.) There is no good answer to whether "2nd semester" is eas...
  14. NANDA NIC and NOC

    Our school uses Ackley and Ladwig which... in its own way (this section for this... that section for that... flip here, turn there...) contains the 3 N's. And I know that Med-Surg I and II faculty (bless their hearts) do their best to show students ...
  15. Working while going to school?

    Nursing school (doesn't matter ADN or BSN) is harder than you can possibly imagine. Not impossible. Just unbelievably demanding. My recommendation is that you clear the decks, make sure your car is in good working order and reliable, you have child...