I just need to know the DX....

Nurses General Nursing

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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?

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).]

I have a scenario for y'all to solve, and I need an answer...after all, this is the homework hotline, right?

There is an undergraduate nursing student suffering from self-esteem disturbance related to knowledge deficit, ineffective individual coping related to inappropriate use of defense mechanisms, and impaired social interaction related to confrontational communication style...

What are some nursing interventions that are appropriate for this case? rolleyes.gif

Originally posted by Rileycat:

I have a scenario for y'all to solve, and I need an answer...after all, this is the homework hotline, right?

There is an undergraduate nursing student suffering from self-esteem disturbance related to knowledge deficit, ineffective individual coping related to inappropriate use of defense mechanisms, and impaired social interaction related to confrontational communication style...

What are some nursing interventions that are appropriate for this case? rolleyes.gif

Haldol 10mg with 2 mg Ativan, STAT! Than q 6h untill attitude adjusment achieved

Lets be careful not to hit below the belt!

The last two responses lack the professionalism I would expect from licensed nurses.

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Nursing assistant

Originally posted by chili2641:

Lets be careful not to hit below the belt!

The last two responses lack the professionalism I would expect from licensed nurses.

Why is it that whenever sombody make light of somthing sombody always has to come out with "Thats not very proffesional". I have NEVER had a patient complain about my light heartedness, in fact most enjoy it. I DO hear complaints form patients about snooby staff who are trying to be little ms. (or mrs./mr. don't wnat to be politically incorrect too) perfect. Usually sounds somthing like "I'm glad your hear today, such and such had a stiff broom up ......" Tell me are Tattoo's and earings and long hair in men unproffesional also? Is using laymans terms to explain what your about to do to a patient unproffesional? Guess i'm screwed and should loose my licenese than. Chili2641, try spending some time in the humor section, and lighten up.

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