cminmd

Tomorrow I have a patient who is on telemetry. This will be my first patient on a cardiac monitor and I was wondering what I need to know. They use a 5 lead system and I think I will have to replace the leads after AM care. Also, what do I need to...

I was at an OB clinical rotation watching colposcopy procedures. What is the name of the thick golden brown liquid (begins with M) that the physician put on the biopsy site with a cotton swab to stop bleeding? I wrote it down on my clipboard, but i...

That's it! Thanks so much and that is a terrific website!!!!!

I think it was something like mosselles? She said it was used to stop the bleeding- does Mercurochrome or benzoin do that? I thought they were just to kill bacteria? It definitely had a strong chemical smell and had an iodine metallic sheen to the ...

We are just starting our section on ostomies, but I have seen several in clinical settings. I have so many questions. First- why does a urinary diversion not drain out continually, but a fecal ostomy does? I think patients would much rather have to...

No worries, Mate! I have Lewis as well, but maybe they consider that information more "diagnosis" and out of our sphere of practice, but it seems like that is the type of questions patients would ask a nurse "in the room". The only ones I have seen...

Not to be judgemental, but if you can build a pouch for urine that doesn't leak, why can't you build a pouch for feces that doesn't leak? Just by the viscosity of the two samples you would think that it would be harder to keep a liquid from seeping ...

This is what makes me nervous. At our school we are taught that you 1. Must always use Y tubing with normal saline. 2. You have 30 minutes to start a transfusion (not 15) 3. that the blood should transfuse slowly 3-4 hours. 4. use at least an 18 ...

I have a pt with end stage liver and kidney failure. During the week they changed his treatment plan to that of comfort measures only. They pulled the NG Tube, stopped all meds other than for pain and stopped all blood tests. I have to do my conce...

Can "dying" be an abnormal "assessment? I am really confused because when he reviewed my concept map he made it sound like comfort care/ hospice was an actual ND. So I went home with my NANDA and nothing. My patient is mentally altered by the HEn...

I don't get how you go to nursing school online? If you just get your prereqs then have to transfer you might as well go to your closest cheapest community college. How do you take clinicals? This is a hands on profession. I worry you would spen...

Can I put risk of aspiration? The patient was given an NG Tube for feeding because he was at risk for aspiration. Can I put that he is at risk for aspiration due to mechanical irritation of Esophageal Varices?

The patient is in end stage liver disease, renal failure, hepatic encephalopathy, anemia, jaundice, hepatic portal hypertension causing E + G Varices all due to cirrhosis/ Chronic Hep C. He has SO many problems, but only a few that we are still trea...

As a newbie I appreciate the color system. I always feel like a perv trying to read nametags! I don't see the point of only nurses wearing a color. The only hospital I have clinic-ed at had everyone in uniforms- DRs were green scrubs (only if they...

Hi Super Nurses, My fellow students and I try to help each other with evaluating our ND's and patho each week, but we miss a lot because...well, because none of us know what we are REALLY doing! How does this sound? Nsg Dx # 1 Deficient fluid volu...

Does Maslow have sub-levels? In our school they teach us the Hierarchy of Needs, but it seems very general. Physiological, Safety, love Self esteem, self actualization- we never went into what goes on within a level. So I know you don't talk about...

wow!! You should be a professor! Or a tutor!! Since I can't send you real brownies, I will just say THANK YOU!!!!:bowingpur:monkeydance:

How do I teach a comatose patient? This is a care plan for an assignment, not something I will actually do with a patient. In "the real world" I would not have the artificial requirement of one teaching, one risk, 6 actual- I would just make the nd...

I have a patient that has hepatic hypertension causing E/G varices, hepatic encephalopathy, protuberant ascites with fluid wave and + 1 edema in his hands and feet. What can I do for a pt teaching nursing diagnosis? His family has not been availabl...

Hi! I am a fellow nursing student - so take my advice with a grain of salt!!! I also have a patient with GI Bleeding, but his is due to e/g varices. I am doing my nursing diagnosis on the symptoms like fluid volume deficiency due to blood loss an...

Thank you so much!! You are right. I need to drop down anxiety because physical needs come first!

acute pain related to surgical incision, drains and prolific abdominal infection with multiple abscesses as evidenced by patient's report of pain as 6/10, clenched teeth upon movement, grimacing and guarding. risk of falls related to lower extremity...