brooklyn2448

Hi, I am in school for nursing and we are supposed to research about the roles and responsibilities of the school nurse and wanted to go straight to the source to see what you all have to say ? This is for a community health class. Below are some questions. Feel free to answer one or all. Anything is greatly appreciated. 1.) Describe the nurse’s role in the community and give examples of what he/she does on a daily basis. Real-life examples should be included whenever appropriate. 2.) Identify how and who the nurse(s) would work with for coordination of services to provide a comprehensive health program in the community. 3.)How would the nurse utilize a population-based approach in his or her role? 4.)Does this role include assessment and screening of individuals, families, or groups? If yes, please include examples. 5.)What health education responsibilities does the nurse have in the community? 6.)Does this nurse work with a vulnerable population? If so describe. 7.)Describe an ethical dilemma that this nurse has faced and describe how you would have handle that situation. 8.)How important would record keeping and documentation, including computerization be for a nurse in this role? Thank you, Brooke

Hi, so I am a nursing student and recently had my clinical for peds in a picu setting. I had a child with post craniotomy and am doing a careplan on her. There are so many nursing diagnosis I feel like go along with her care and wondering what the top ones should be? She is 5 years old. Her right side is weak and she can't move it. She doesn't talk. An mri was done and she did have a stroke but it did not effect her language so it is unknown why she cannot talk. The stroke was kind of an expected finding after surgery. She wasn't eating very much. She had battled fever all day. My nursing diagnosis that I came up with: Acute Pain, impaired physical mobility, risk for infection, risk for bleeding, risk for injury, risk for falls, anxiety, fear, impaired verbal communication There are so many risk fors I don't know which would be top 2

GBS+ was another issue I was thinking about. If I do that it all has to be related to the baby. The nursing diagnosis and interventions are not the hard part. It is getting to that. I wrote down what I was thinking. Any feedback are welcome ? Questions that I have to answer include: What are you alert for today? What assessments are needed? What are complications/risks? What interventions were used? Nursing diagnosis: PES For GBS we would be alert for: Jaundice, apnea, respiratory depression, diarrhea, hypoglycemia, lethargy, seizures, abnormal labs (wbc,???), Assess: VS, labs, urine output (foul odor), bowel sounds and stool, body temperature, lung sounds, breathing patterns, blood sugar, skin color, color and consistency of sputum, seizures, vomiting, jitteriness Complications/Risks: Sepsis, pneumonia, meningitis Interventions: Penicillin in mom Nursing diagnosis: Risk for infection r/t GBS+ MOM

When I first got there the only discomfort she had was when the Penicillin was running. She said it hurt and burn. The nurse diluted it with LR and provided her with ice to place over iv site. When the nurse checked her dilation and EFF a short while later she was beginning to have discomfort from labor contractions. She asked for epidural and afterwards we repositioned her so she could rest. She also was very restless when I first arrived. She did a lot of standing and sitting up in bed. Thanks for the response.

Hi, so I am a nursing student and have began my OB rotation. I am trying to understand these new care studies we have to do. Where you start with a problem to get to your nursing diagnosis. I was on a labor and delivery unit. I cared for a 35 year old F, 39 weeks gestation, GBS +. it was decided to induce her labor. She came in the day before I had her. The doctor ruptured her membranes at 2200, she was given a dose of Cytotec to ripen cervix at midnight and had her first dose of penicillin around that time, and began pitocin at 0400. She started on low dose of pit and slow increase until she was at 16units/hr. I came in at 0700 for my clinical and she was dilated 1-2cm, 50% effaced pit was at 12 units. She was pretty restless. We went up to 16 units and the nurse rechecked her dilation and eff 4-5, 80%. She got another dose of penicillin. She was ready for an epidural at this time so the nurse increased rate of LR and called doc for epidural. She rested better afterwards and had a foley inserted. around noon she was 9-10 cm 100% eff. She had the baby (9lbs 2 oz), we monitored her for a few hours before she went to postpartum. As far as nursing diagnosis goes I feel like risk of infection or bleeding could be useful, but my teacher wants a problem/issue to start with. She would not let me use induction of labor because it is too broad. She said I could use AROM. I am open for suggestions. I am having trouble connecting the dots to get from there to my nursing diagnosis. Questions to help get me there are what are you on alert for, what interventions should be used. I am so lost. Maybe I should do one for the baby instead? Help and thank you!