snursee2b

How do you not blow the vein? After blood return, do you release the tournique then advance the needle into the vein? Please help. I get good blood return but end up blowing the vein. Why? I leave the tournique on. Is this why?

I have a 37 year old client who is P2001. She gave birth to a baby girl via C-section. Here are her stats: Hg 10.1, Hct 29, WBC 18.4, Pl 240, T 96.7, P 96, R 18, BP 130/78, F/S 76, Foley 300/4 hrs, BUN/Cr 2/0.4. She is on unasyn for chorioamnionitis. Her babay is in NICU for the same chorioamnionitis. Her meds are unasyn, percocet, tylenol. She is off foley and IV ampicillin. The client lives with her brother and his wife. Her baby's father will play a supporting role but does not live with her. Here are the problems I have come up with. Please feel free to send additional or correct what I have. Prob #1: Activity Intolerance r/t surgical incision, percocet, tylenol Prob #2: Anxiety r/t baby in NICU for chorioamnionitis, client verbalized anxiety about breastfeeding Prob #3: Knowledge Deficit r/t first time breastfeeding, "I don't know what types of food to eat." Prob #4: Impaired Skin Integrity r/t surgical procedure (c-section) Prob #5: Caregiver Role Strain r/t support person needs to provide not only for the client but also, possibly for the baby in order for client to adhere to treatments Prob #6: Risk for Ineffective coping r/t/ adjustment in lifestyle to provide an optimal outcome for the newborn My biggest question is that I do not know how to reflect her and baby's chorioamnionitis. Also, her bun/cr is down and so is Hg. WBC is up. Help! I need this by tomorrow!

Which is a higher priority? 1. A 40 year old woman vomiting or 2. A 70 year old with C-Diff having diarrhea? The answer was 2. Please explain. Isn't diarrhea a normal symptom of C-Diff?

Please help me figure this out! I need an overall 73% passing grade. My grades are weighted as 10%, 10%, 20%, 10%, 10%, 40% (the final). So far my grades are 72, 80, 72, 88, 76. My question is, what do I need to get on the final which is weighted 40% to get an overall 73% passing grade. I hope I haven't confused you all.

Daytonite, I have a hard time listing in order of priority. Please help. I need this for Friday! Here is what I have: 1. Alteration in Nutrition 2. Risk for Aspiration 3. Risk for Infection 4. Impaired Physical Mobility 5. Impaired Skin Integrity 6. Risk For Injury: falls 7. Anxiety 8. Grieving 9. Impaired Verbal Communication

here are my corrections: - impaired swallowing r/t weakness of the swallowing muscles on the left side amb left sided weakness, difficulty swallowing liquids, "mr. f. chokes everytime he eats". - impaired skin integrity r/t destruction of skin layers amb pressure ulcer - stage iii, 12x16cm, red and yellowish in color, no drainage, wheel chair bound, inadequate nutrition, bladder/bowel incontinence. - impaired physical mobility r/t neuromuscular impairment amb reluctance to attempt movement, prolonged bed rest - toileting self-care deficit: incontinence r/t impaired transfer ability/mobility status (toileting) amb pt. wears diaper, indwelling foley catheter - diarrhea r/t infectious process (c-diff enteritis) amb 3 loose liquid stools per day, low na teaching: - impaired verbal communication r/t cerebral impairment amb weak speech, stuttering, difficulty vocalizing words - knowledge deficit r/t new diagnosis amb not correctly performing the prescribed nutritional behavior - alteration in nutrition: less than body requirements r/t dysphagia caused by cva amb weight more than 30% below ideal for height and frame, muscle weakness, 6'2"/138lb, low hg 11.6. low hct 33.8, hx of alcohol abuse, elevated platelet count psychosocial grieving r/t loss of physical abilities amb depression, medication for depression

Thanks a lot for the guidance. Here is what I've come up with: - Impaired swallowing r/t weakness of the swallowing muscles on the left side and diminished swallowing reflex AMB cva with left side weakness, difficulty swallowing liquids, "Mr. F. chokes everytime he eats". - Impaired skin integrity r/t immobility and pressure ulcer AMB pressure ulcer 12x16cm, wheel chair bound, inadequate nutrition, bladder/bowel incontinence - Impaired physical mobility r/t neuromuscular impairment AMB inability to move purposefully within the environment including bed mobility, transfers, and ambulation, reluctance to attempt movement, prolonged bed rest, depression - Alteration in pattern of urinary elimination: Incontinence r/t limited physical mobility AMB pt. wears a diaper, indwelling foley catheter, impaired mobility - Impaired verbal communication r/t cerebral impairment AMB weak speech, stuttering, difficulty vocalizing words. I have to have a teaching and psychosocial diagnoses and am thinking disturbed body image and the verbal respectively. Also, I know some of his labs are abnormal but, how do I tie those in with the diagnoses I have come up with? Your help is greatly appreciated!!

Thanks a lot for the guidance. Here is what I've come up with: - Impaired swallowing r/t weakness of the swallowing muscles on the left side and diminished swallowing reflex AMB cva with left side weakness, difficulty swallowing liquids, "Mr. F. chokes everytime he eats". - Impaired skin integrity r/t immobility and pressure ulcer AMB pressure ulcer 12x16cm, wheel chair bound, inadequate nutrition, bladder/bowel incontinence - Impaired physical mobility r/t neuromuscular impairment AMB inability to move purposefully within the environment including bed mobility, transfers, and ambulation, reluctance to attempt movement, prolonged bed rest, depression - Alteration in pattern of urinary elimination: Incontinence r/t limited physical mobility AMB pt. wears a diaper, indwelling foley catheter, impaired mobility - Impaired verbal communication r/t cerebral impairment AMB weak speech, stuttering, difficulty vocalizing words. I have to have a teaching and psychosocial diagnoses and am thinking disturbed body image and the verbal respectively. Also, I know some of his labs are abnormal but, how do I tie those in with the diagnoses I have come up with? Your help is greatly appreciated!!

I need help with a care plan for a 52year old pt. who has CVA (l. side weakness) with a PMH of ETOH abuse and HTN. He is well oriented with VS- BP 138/78, R 16, T 98.7, Apical 96, P 94. His S1, S2 are normal and incontinent to bladder/bowel. He has difficulty swallowing and hence a decreased appetite. He needs maximum assist with self-care and wheel-chair bound. He has a huge stage III decubitus that is not draining and gets a wet to dry dressing. His WBC is 10.6, Hg 11.6, Platelets 769, Hct 33.8 with Na 134, Cl 96, BUN 14, K 4.6, CO2 28, Creatinine 0.5, Glucose 95. He is 6'2" and 138lb. and has C. Diff. His meds are esomeprazole, thiamine chloride, metoprolol, lisinopril, heaprin, lorazepam, folic acid, ritalin, lexapro and supplements. Help, Help - I'm 1st year with no idea how to begin for a care map and plan.

Does anyone know where I could find some sample test questions on infection (asepsis), wounds, and immobility. My test in on Tuesday and I have no idea how to even focus on so much material.

Thanks this helps alot. Just send those examples as soon as you come across them.

This helps a great deal! Please post question as soon as you come across one. I think that's the type I may be having trouble with.

Does anyone know how to distinguish among, primary, secondary and tertiary interventions? I keep getting the questions wrong on my test. The book doesn't help much. Primary - health promotion and prevention Secindary - screening Tertiary - rehabilitative Yet, I get it wrong

Could I get some advice as to how to answer questions stating which clients I would look at first... I always get those questions wrong on my exams. I am a 1st year student and unfortunately, the teacher does not allow us to get back our exams so I cannot remember exactly how to phrase the question and the choices. But, it almost always says what is the high priority...

I always get this type of question wrong on a test. Does anyone know how I would approach answering "which patient would a nurse keep for herself?" (instead of delegating). The scenarios are always different with someone having a headache or someone in a cast etc. How do I determine which patient is more stable?