Kacee890

Well im only 21, but have my favorite names...I like unique names that arent too far out there, I want four children and unlike most others I notice boys names more often then girls names :) Boys: Ryder, Lane, Hunter, Finnley, Rowan Girls: Leah, Averi or Avery, Amery or Amerie, Johannah, Reagan My mans favs are Ryder John and Avery Eileen My nieces are Evy Lynn *which I absolutely love her name*, Aly Marlene, Izy Renz (Renz is a family name) and Brooklyn Ann My nephews are Blake Patrick and Culley Joseph

What is the average flow rate for someone recieving 2 units of packed red blood cells for anemia? Also, what type of solution is packed red blood cells? Is it considered a hyptonic, isotonic or hypertonic solution? When a person is a anemic and needs to recieve blood are they at risk for a fluid vloume imbalance? My instructor said my main diagnosis should be Risk for deficient fluid volume and I dont understand why that would be the priority diagnosis. I am not sure what I would do for interventions ??? Any help would be much appreciated thanks...

I am a second year nursing student having difficulty writing a care plan. I had a 83 year old client who had a fall and was anemic. She had guiac stools and recieved a blood transfusion on the day I cared for her. her only other hx was hypothyroidism which was controlled by medications, hypertension which was controlled by medications, hyperlipidemia and osteoarthritis. She recieved 2 units of packed RBCs while under my care...her labs showed the anemia but I do not know what nursing diagnoses to use. I need 3. I think Risk for Falls should be one along with Caregiver Role Strain...she has some forgetfulness but still cooks and cleans her large home for her husband and cooks and bakes for her two sons who live down the street. She is weak and fatigued, anyone with advice it would be much appreciated....I was looking for a fluid imbalance but just cant seem to figure it out...thanks

I guess I was looking for clarification of the actual meaning of the two different diagnosis's. I understand they both would apply but was trying to prioritize. Thanks for the input however.

I am stuck again... I have narrowed down my nursing diagnosis and I have run into a wall!! I was planning on using Impaired Skin Integrity because my care plan client had a large fluid filled blister on her knee which sat on top of a gigantic bruise. She also had cellulitis in that same leg. However, when I was reading the definition it made it sound like its only for ulcers. She also has DM is immobile and unable to reposition herself so would she be a better candidate for Risk for Impaired Skin Integrity or just Impaired Skin Integrity. Any advice would be appreciated!

:hrnsmlys:I am a second year nursing student trying to write a careplan. I am really struggling with this one and any insight would be awesome! I had a client for clinicals last weekend that I need to do a careplan on. This was an elderly woman who got admitted to the med surg floor after a fall. She had a L wrist fx and a R wrist fx and also fractured left ribs. She was in bad shape. This client was dysphasic and very difficult to arrouse (lethargic). Vital Signs were stable upon arrival and decreased throughout the day. By the end of the say BP was extremely low along with pulse, output, ect. When I came onto the floor on Sunday the physician said the client would most likely not make it through the day. Renal Failure was occuring and vitals were rapidly decreasing. She was on 5L of 02 and stats were 94%. Lung sounds were diminished. There was little intake and even less output. Family was there at the bedside. I am supposed to write a care plan and I am having huge problems with diagnoses to fit this client. My first thought was Risk for Infection, however, this cannot be a priority diagnosis because it is a risk. Then I wanted to do Excess Fluid Volume however our NANDA books do not reccommend this diagnosis because it is more of a collaborative diagnosis. Impaired Comfort is not recognized by NANDA and cannot be used. IM STUCK!! I need a total of 3 diagnoses and 10 interventions with rationales for each and I do not even know where to begin. ANY input would be much appreciated...Thanks!!!!

I am a second year nursing student trying to write a careplan. I am really struggling with this one and any insight would be awesome! I had a client for clinicals last weekend that I need to do a careplan on. This was an elderly woman who got admitted to the med surg floor after a fall. She had a L wrist fx and a R wrist fx and also fractured left ribs. She was in bad shape. This client was dysphasic and very difficult to arrouse (lethargic). Vital Signs were stable upon arrival and decreased throughout the day. By the end of the say BP was extremely low along with pulse, output, ect. When I came onto the floor on Sunday the physician said the client would most likely not make it through the day. Renal Failure was occuring and vitals were rapidly decreasing. She was on 5L of 02 and stats were 94%. Lung sounds were diminished. There was little intake and even less output. Family was there at the bedside. I am supposed to write a care plan and I am having huge problems with diagnoses to fit this client. My first thought was Risk for Infection, however, this cannot be a priority diagnosis because it is a risk. Then I wanted to do Excess Fluid Volume however our NANDA books do not reccommend this diagnosis because it is more of a collaborative diagnosis. Impaired Comfort is not recognized by NANDA and cannot be used. IM STUCK!! I need a total of 3 diagnoses and 10 interventions with rationales for each and I do not even know where to begin. ANY input would be much appreciated...Thanks!!!!