Aiming4Altruism

Thank you very much, greatly appreciate your help and direction > hmm.. the fluid intake wouldn't matter at all for the mucus?

The fluid intake one makes sense.. But with the coughing and inability to clear throat, those are what the client is feeling.. Would those still go under the disturbed sleep pattern?

Mr. John Anthony is a 61 year old man with a history of chronic bronchitis. He has an 80 pack a year smoking history (two packs a day for 40 years). He is being seen in the clinic for complaints of copious thick secretions and the feeling that he is choking on his own sputum. He states that "except for this respiratory problem, my health is good." Mr. Anthony reports paroxysmal coughing episodes but feels as if he canot clear his throat, even after coughing. On examination his respiratory rate is 28 bpm and respiration is unlabored; he has bilateral wheezes on auscultation, frequently attempts to clear his thraot, and brings up thick yellow mucus with coughing. Mr. Anthony reports that he frequently feels tired in the afternoons and takes a nap after lunch every day. He is independent in all activities of daily living and plays golf three times per week. He eats a well balanced low fat diet. He reports a fluid intake of five to six cups of tea or coffee per day and one mixed drink in the evening. Clustering: 1) copius thick secretions paroxysmal coughing History - chronic bronchitis History - 2 pack a day, 40 years R.R. is 28 respiration unlabored bilateral wheeze - auscultation frequent attempts to clear throat thick, yellow mucus with coughing 2) frequently tired in afternoon take nap after lunch 3) independent in activity gold three times a week 4) well-balanced diet This is the clustering i have come up with so far... I'm not exactly sure where to place the feeling of choking and feeling of inability to clear throat, and also the fluid intake.. I've heard that you should drink clear liquids for mucus problems, so i was thinking of placing the fluid intake under the 1st cluster.. and with the feelings, i'm totally spazzed on where to put those .. Any help would be greatly appreciated Edit:: should the 2nd cluster remain its own or should i place that under the 1st? i'm thinking the mucus problem is affecting his sleeping pattern, thus causing feeling of tiredness in afternoon and the nap..

When a NS become an RN and begins to work in their selected field, are initial assessments cookie cutter? Meaning, every initial assessment consists of the same questions? Sorry if this is a weird question :imbar Thanks in advance.

My school has clinicals in the first semester too. What can i expect to do? I'm thinking baths and bed changes and what not, maybe vitals too.. pretty sure we aren't giving meds out or doing wound dresses.. Thanks in advance

Mm, i try not to concern myself with others grades, i make what i make. As far as the lecture material, powerpoints, and assigned chapters, it's all the same thing. For my fundamentals class, she reads powerpoints that were given with our book, and doesn't post them. But the study guide she gives us is pretty much the powerpoint. My health assessment class is weird, since we have 3 instructors rotating to teach it. Only had 1 so far, and she prefers to read straight from the book and the powerpoint mirrors the studyguide she gives us as well. I'm pretty sure i'm not reading anything extra, so i'm trying to find a groove that will help me read more efficiently. Thanks again.

I believe so.. Go to class on mondays from 12-3pm, tues-fri from 8-11am.. I take a 30 to 60 min break after class and look around the web to clear my head. Then i crack open the books at the library til around 5-6pm and head home, study more, stop at maybe 10 or 11pm and kill time before bed. I study as well on the weekends from 12 or 1 til whenever.. I think i may be reading too thoroughly..

Thanks for the advice everyone. llg, i think i understand what you're saying.. i remember doing that for my lifespan pre-req, i just sat down and read straight thru the chapters. mm, believe it took me 5 hours to cover 4-5 chapters, but this was from 11pm-4am :stone night before the test.. and i skipped 5 pages from the end of each chapter.. wish i could apply that same strategy but not so late, and days before the exam.. well, back to reading . (ps: i really have no other obligations outside school; no kids, SO, job, bills, etc)

Oh, i'm not just reading thru the chapters, i'm making notes in a notebook. I'm just not sure what's making me take so long to get thru a chapter.. My brother (bach. in comp science) told me to skim thru the chapter and focus on important parts... i figure i'm already doing that by using the study guide the instructor provided.

Ok, so i'm technically going to be in my 4th week of my first semester at nursing school (lost two due to ike, yay..) and i'm worried about my reading skills.. At home, it feels like it's taking me hours to read half a chapter, that i feel i should've finished within 2-3.. I'm understanding everything i'm reading, and i managed to make a 92.4 on my first exam.. but i didn't read over 7 chapters out of 16, i believe i may have gotten lucky. I don't want to continue this trend, because i'm worried i may not read something important. Anyone have any tips on increasing reading efficieny? or should i make some sort of schedule to plan what i will read in the aloted time? Thanks in advance! (ps: i'm using the study guide the teacher made for us, so i'm not really reading anything extra, i believe.)