RNUM2121

I was accepted for the DNP-NNP program for Spring 2021! Same thing with FAFSA and I just received a letter from financial aid but no statement on what the aid would be! Just following this!

Looking for advice. I will graduate in December with my BSN from the Sinclair School of Nursing, University of Missouri, Columbia. I have absolutely loved the NICU. I enjoy working with children and would not be opposed to women's health, but am thinking I would rather not work in a geriatric setting. I would like to get my NP but am having trouble deciding a specialty because I honestly have not disliked any setting I have worked on. Currently considering FNP, PNP, or NNP. Any recommendations or helpful ways to decide? I have completed shadowing and clinical hours. Thank you!

As far as an assessment goes...The patient is A&O x3, normocephallic with no JVD. He has an irregular heart beat and tachycardia (120's) despite the use of Beta blockers and Ca Channel blockers. The patient's BP is also elevated. His O2 status remain around 94% and he is on 5L/min humidified air NC. He has diminished breath sounds in the lower lobes bilaterally. The patients bowel sounds are normal but he does have tenderness and distention. His UO is normal for the 60mg of furosemide he is on however, urine is amber and has some sediment. The patient is voiding through a Foley Catheter, which I do not believe is the best option for this patient (but I am a student). He also is insistent on remaining prone in bed most of the day. His skin integrity is poor with hemosiderin throughout. He also has several necrotic toes r/t DM type II.

Oh I agree!! There is obviously more going on with the patient but this is what I had the most evidence for to create 15 outcomes and interventions. For fluid volume excess so far I have... 1.Patient's volume is normal as evidenced by UO of 30 ml/hr. 2.I&O within normal limits 2000ml 3.Patient's sodium levels are within normal range 135-145. 4.BP is within normal range 120/80. 5.Patients HR is between 60-90 6.Patient implements turn schedule & increases activity q2 hrs. 7.Patient perform's normal ROM. 8.Patient performs ADLs as necessary. 9.Patient has significantly decreased evidence of edema in lower extremities. 10.Patient maintains normal electrolyte balance. 11.Patient verbalizes increase in knowledge in prevention and maintenance of fluid volume excess. 12.Fluid volume in normal range as evidenced by weight gain of 5lbs. 13.Remains free of jugular vein distension. 14.Maintains normal peripheral pulses and cardiac output. If any of these are wrong or could be better just let me know! Im still learning

Hello, I am doing a care plan for a Male patient who has morbid obesity, HF, DM type II, and COPD. For nursing diagnosis I was thinking excess fluid volume and ineffective tissue perfusion. I need 15 desired outcomes for each. Does anyone have more suggestions. Im on 11 and have run out of ideas. Thanks!