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s_le2006

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  1. If I remember correctly there were 2 tests and 1 final when I took that class. The first test I studied a lot and got a 76. I didn't know what else to do and all the studying I did for the first test didn't seem to help so I didn't study at all for the second one and still got a 76 (before ?s were thrown out). So I really don't know what to tell you, as far as study tips go. I can tell you that I remember that there were several ostomy questions on one of thosetest. She had a lot of those "What would the nurse's best response be" type questions. If it helps any, I've heard from people that had to retake it that its easier now that it was when I took it. The only advice I can give you is just take things one week at a time. Don't focus on things too far ahead. Good luck!
  2. no i'm in the 7th quarter. I wish i could help you out with the a&p ppt thing, but i didn't take a&p at beckfield so i don't have what you need. I just knew you went to beckfield because i remember doing that RN interview 1st quarter and the fact that you're from NKY gave it away. Good luck anyway. Sorry I couldn't help you out.
  3. you go to beckfield don't you
  4. but what can you say if you don't know what's causing the pain?
  5. what if we don't know that the chest pain is cardiac. If we assume it is would "Acute pain related to myocardial ischemia AEB pt report of pain rated 8/10. Pt. says it feels like pressure on my chest and it burns". I got the impression however, that the pain may just be heartburn. Therefore it wouldn't be cardiac related and myocardial ischemia wouldn't work. Troponin I was
  6. I am helping a friend revise a paper that is due tomorrow. The requirement is to come up with 5 nsg dx for a pt that we've taken care of. She has come up with the following: 1)Risk for decreased cardiac perfusion R/T hyperlipidimia, obesity, and positive family history of heart disease. 2)Actue pain of idiopathic nature AEB pt. C/O burning and heavy pressure in center of chest and rates pain 8/10. 3)Activity intolerance R/T fear of pain AEB fatigue, SOB with activity and sedentary lifestyle. 4)Knowledge deficit R/T new condition AEB questioning members of healthcare team about what causes chest pain. 5)Imbalanced nutrition: more than body requirements AEB BMI 48.2 and in the 98th percentile for age. Here is the scenario. Middle aged woman. Had lap band a few years ago, but is still obese. Extremely sedentary lifestyle. No hx of htn but does have hx of hyperlipidemia. Takes Zocor. Also has rheumatoid arthritis. Hx of depression takes cymbalta. Admits to "eating everything in sight". Was just started on asa. I spiffed the first dx up, but I think they are out of order as far as prioritizing them. I think they're a little weak as well as far as the way they are written. Please help out. I told her I'd look this over for her! Thanks!
  7. I just wanted to let everyone know that my son and i are doing fine. We moved out that weekend as planned, and everything went well. The ex hasn't caused any major problems so far. I'm still in school and doing well. So sorry that i haven't gotten back to update everyone; i don't have easy access to a computer anymore, so i apologize to everyone who was worried. Thanks to all of you for your support and concern!
  8. Yes, makes much more sense now! Thanks so much for you input! There was nothing in my book about the subject (except for a few paragraphs talking about a "shift to the left").
  9. ok..i'm getting a little confused. So you are saying if there is a shift to the right a bacterial infection is clearing or its gotten so bad that the body can't keep up with it. I have it written in my notes that a right shift could indicate a viral infection. I'm really confused...is this correct?
  10. I've got one more question, maybe you could answer dolcebellaluna....with a shift to the right is the WBC count low? In my notes I wrote that with a shift to the left WBC is high and with a shift to the right it's low. (The instructor was talking really fast and it's possible that I wrote it down wrong). Does that sound right to you?
  11. I'm sitting here doing my study guide for my next test. My instructor mentions that we should know what a shift to the right is. I've looked through my book and can't find anything. He mentioned it in lecture. From what I gather in my notes, monocytes and lymphocytes are high in with a right shift and this usually indicates a viral infection. I guess I was just wondering if this is correct. I just wanted to see if anyone could give me more info or add anything. Thanks in advance!
  12. is this a case study or did you actually take care of this pt?
  13. Question: I have to come up with a care plan for a pt admitted to the hosp. with dysphagia and a weight loss of 25 lbs over the past 2 months. On the day that I took care of him he had already undergone a transhiatal esophagastrectomy, jeujunostomy, and pleural chest tube instertion (turns out is was an esophageal tumor). So I guess my question is, do I address the dysphagia in the careplan, or his post-op needs? In one part of the paper I'm supposed to describe in detail his chief complaint (at admission it was dysphagia and weight loss), but at the time of care he was unable to verbalize whether he still was having trouble swallowing or not. Would appreciate any input!
  14. try qualified medication aide (QMA). Thats what they call it indiana.
  15. Someone kept eating my lunch at work, so one night another coworker and I ordered a pizza and left a few slices in the breakroom in the box labeled with our names....after licking each remaining slice in the box. Came back 3 hours later and every piece was gone.

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