gaajr1

gaajr1 RN

med-surg

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All Content by gaajr1

  1. systolic heart failure

    I was reading about types of heart failure and when I came to systolic ventricular dysfunction, there is a part I did not understand. I did not have a lecture yet but would really be grateful if anyone could please explain it to me? I thought of wait...
  2. It's the same in California too! Good luck and don't loose hope. Meanwhile if you can update your certifications etc. so you have an edge over others.
  3. Hi! Like some of them mentioned, I would recommend taking Kaplan's online Qbank. It has 1200 and odd q's which you could practice from. The best part is the NCLEX screen and question format is almost the same. In my opinion this takes away 25% of the...
  4. patient assessment lab

    Hello Everyone, Today we had our first patient assessment labs. It was an experience! I went in with the impression that the instructor would kind of demonstrate once before we actually do things. But that was not the case, we were thrown in water an...
  5. Daytonite, I aplogise!

    Daytonite, I'm sorry I suddenly disappeared from the scene. I apologise for not acknowledging your last mail regarding my case presentation. Unfortunately, my kids were sick, I had to prepare for 2 tests and prepare for the presentation. But for you...
  6. Our instructors want to know how a particular drug works in the body (action), why is the patient getting it and what are the imp s/s seen. Also, if there is a drug interaction what is it that you have to be aware/do before giving the meds. Example, ...
  7. Question

    http://www.northshore.org/healthresources/encyclopedia/bioterrorism/hf045600.aspx above is a link which gives all the info
  8. When do we learn how to start an iv

    I'm in second semester(med-surg, ob and peds) but towards the end of my first semester we studied everything about IVs; this semester we will be practicing in lab and actually starting an IV during clinical.
  9. Dysrhythmias

    One of the assigned chapters for reading before starting the semester is "Dysrhythmia", ECG etc. While studying various types of dysrhythmia, I was making sure I understood the normal physio before studying the pathophysio of it. But I have come to a...
  10. systolic heart failure

    ghillbert, thanks a lot for the explanation. I think it makes more sense to me now.
  11. systolic heart failure

    Daytonite, it is basically going back to Starling's law, right? As you said the cardiac unit does take timeto sink in, that's why I started to read and trying to understand as much as possible. Thanks for your help.
  12. Dysrhythmias

    Thanks Daytonite and S.T.A.C.E.Y for your suggestions. You are right S.T.A.C.E.Y, I think I was biting more than I could chew. Though I was following the same sequence I was moving on too fast. Thanks a lot for the advice.
  13. nursing student websites

    carlarenee02, it's great that you want to help others! On our sticky thread there are many great sites which you could access. After my first semester I emailed all my classmates to send me imp info/tips that can be passed on to the incoming students...
  14. Preparing for 2nd semester...

    I passed my math test! Well, one thing out of the way. We have to give before the start of every semester, is it the same for all of you? In connection with IVs, we get to do it this semester. Let's see how it goes. This semester we have medsurg, ob...
  15. Preparing for 2nd semester...

    After more than 4 months I'm back at allnurses. It really feels good to be back and I certainly missed the comfort of being amongst you. Between home, kids and 5 days of school I couldn't find time but hope it gets better in the 2nd semester. I start...
  16. concept map

    I'm in first semester and need to make a concept map. I know how to put a concept map together but the problem is this; we are asked to have a theme along which we could put the map. We are graded on our content, creativity and effort. Previous stude...
  17. nursing diagnosis

    Daytonite, I deserve the wake up call. God knows what I was thinking! I will work on it and thanks a lot as always for being so patient.
  18. nursing diagnosis

    I have a question regarding nursing diagnosis. My patient is 69yrs; married, Spanish speaking (can say yes/ no and very short phrases; needs translator), Admitting diagnosis: renal failure diabetes History: HTN, NIDDM, osteoarthritis (however has no...
  19. nursing diagnosis

    Okay how about these: Fluid volume excess r/t decreased renal perfusion AEB .....(high bp, crackles, electrolyte levels) Decreased cardiac output r/t ....AEB bp 186/92; crackles in lower lobes (but I have no more objective data) I'm not sure, I feel ...
  20. Confused: Nursing Diagnosis

    I'm really lost in prioritizing the nursing diagnosis for the following patient. He is 41yrs admitting dx chest pain rule out MI his bp 118/68, RR- 18 bpm chest pain since 3 days pain 7/10 Pt states: "my chest hurts", "I feel I can't breathe properly...
  21. Confused: Nursing Diagnosis

    veleron, the patient was admitted on Thurs night and MI is still not ruled out, for they wanted him to go for a stress test. The patient was NPO after b'fast and test was scheduled at 3pm. For whatever reason the test was cancelled. I have looked at...
  22. Confused: Nursing Diagnosis

    Daytonite, the words of encouragement means a lot to me. I will do whatever hard work it takes to learn things, but the past week between tests, clinicals and home I was really overwhelmed. I was feeling bad for not doing enough for kids and I was ju...
  23. Confused: Nursing Diagnosis

    impress0508 and Daytonite, thanks a lot for your replies. What you tell me makes perfect sense but when I assessed this patient he had no abnormal findings, to substantiate his chest pain. I have all the info I need in front of me. I wrote the patho,...
  24. Confused: Nursing Diagnosis

    Okay, I rewrote the diagnosis, could anyone please tell me if this is right? This is towards my first care plan. Thanks a lot! 1. Acute pain r/t musculoskeletal pain AEB facial grimaces, pain 7/10 scale, and patient states, "my chest hurts", "I feel ...
  25. Confused: Nursing Diagnosis

    Thanks natania! I knew I wa doing something wrong. The only reason I picked ineffective breathing pattern was because patient says I can't breathe properly. But as you said there is no objective data to back it up. I will try writing the 3 diagnosis...