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kikibibi

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  1. Are you serious? you sounds like you have got alot of time.
  2. Thank you so much for your help..
  3. Can someone help me with this question. I really do not know if I am on the right track. Please help. You are working in the elementary school. Eight year old lina comes to the school nurse's office. She is pale, diaphoretic, opens her mouth and vomits into the garbage can. As you help her sit down, she seems to relax. 1. List your history questions 2. List the elements of the physical exam you plan to perform 3) Outline 1-2 nursing diagnoses 4) Ann's mother comes to pick her up. She asks you for your suggestions. Outline the elements of your plan of care. I would ask her the following questions. Do you have pain? Do you have fever? Is this your first time experiencing vomiting? Has been change in your appetite? 2) I would do abdominal exam which is inspection, auscultation, palpation. Nursing diagnoses would be 1) readiness for enhanced therapeutic regimen management
  4. Thank's alot Daytonite...
  5. hi all, i just need help please... here is the question... 1) when assessing the external eye of a student in the school you notice that her conjunctive is red and there is excessive watering from the left eye. she has just come in from recess. a. what questions would you ask this student? (please list each question) she might have eye inflammation a sign that her eyelid can be infected. but i really do not know what kind of questions that i have to ask. should i say, when did it start? do you feel pain? b. what exams should you do? list the procedure (how you would do it) for each exam? this is the list of procedure form my fundamental book. i just want to know if i am on the right track. - inspect the eyelids for surface characteristics, positions in relation to cornea, ability to blink, and frequency of blinking. for proper visual examination of the upper eyelids, i would elevate the eyebrows with my thumb and index fingers and i have her close the eyes. i would inspect the lower eyelids while her eyes are closed. - i would inspect the bulbar conjunctiva (that lying over the sclera) for color, texture, and presence of lesions. by retract the eyelids with my thumb and index finger, exerting pressure over the upper and lower bony orbits, and i will ask her to look up, down, and from side to side. - inspect the palpebral conjunctiva (which is the lining the eyelids) by everting the lids. evert both lower lids, and ask her to look up. then gently retract the lower lids with the index fingers. - inspect and palpate the lacrimal gland. by using the tip of my index finger, palpate the lacrimal gland (to observe the edema between the lower lid and the nose. - inspect and palpate the lacrimal sac and nasolacrimal duct. by using the tip of my index finger, palpate inside the lower orbital rim near the inner canthus. - inspect the cornea for clarity and texture. i would ask her to look straight ahead. hold a penlight at an oblique angle to the eye, and move the light slowly across the corneal surface.
  6. I was doing this question and I want to make sure that if I am on the right track..Please help ....Here is the question... You are a student nurse visiting Lucille Delanty, a resident of Assisted Living Facility. She is a 75 year old female with a history of hypertension. Her most recent blood pressure was 145/83. She is on two medications for her hypertension. She tells you that she had to get up in the middle of the night a few nights ago to go to the bathroom. She stated that she "became dizzy when she stood up and almost fell." You check her for postural hypotension and find that her lying BP is 148/85, her sitting BP is 135/72, and her standing BP is 112/70. When you ask her some questions about her blood pressure medications she states: "I don't really know what the medications do exactly. I just know I am supposed to take them for my blood pressure." 1) Given the information above, what do you believe is the cause of Mrs. Delanty's dizziness? Support your suspected cause of dizziness by giving rationale to demonstrate your thinking. I believe the cause of Mrs. Delanty's dizziness is that Low blood pressure on standing up (postural or orthostatic hypotension). This is a sudden drop in blood pressure when you stand up from a sitting position or if you stand up after lying down. Ordinarily, blood pools in your legs whenever you stand, but your body compensates for this by increasing your heart rate and constricting blood vessels, thereby ensuring that enough blood returns to your brain. But in people with postural hypotension, this compensating mechanism fails and blood pressure falls, leading to dizziness, lightheadedness, blurred vision and even fainting. Postural hypotension can occur for a variety of reasons including dehydration, prolonged bed rest, pregnancy, diabetes, heart problems, burns, excessive heat, large varicose veins and certain neurological disorders. A number of medications can also cause postural hypotension, particularly drugs used to treat high blood pressure-diuretics, beta blockers, calcium channel blockers and angiotensin-converting enzyme (ACE) inhibitors Postural hypotension is especially common in older adults, of those over age 65 experiencing postural hypotension. I believe Dizziness is also caused by low blood sugar levels that may occur as your body adapts to changes in your metabolism. 2) What suggestions would you make to reduce her dizziness? There are a number of things that I would suggestion to reduce the amount of her dizziness she experience. I would suggest that to get up slowly from either sitting or lying down, since this is a common reason for dizziness. Eat regularly. Avoid long periods between meals it is better to snack throughout the day.
  7. Thank you soooooo much.........
  8. Please help.... I am papering for final exam on Friday and I am so confused with this questions. Here are the questions. "The patient who is recovering from bilateral knee replacement surgery calls the nurse stations and reports that he has bruises on both sides of his abdomen. The patient's medications include cefazlin (Ancef) IV, hydromorphone (Dilaudid) PCA, and enoxaparin (Lovenox) inj. I was wandering what would be an appropriate nurse response to this patient. I was just thinking that he may have a bleeding disorder or reaction to the antibiotics he is receiving. The other questions I have is if the patient calcium level is 5.6mg/dl does it mean its low? I was looking everywhere and all have a different info. Any help please...
  9. Same here
  10. congratulation yyyyyyyyyyyyyyyyyyyyyou did it...........:balloons::balloons::balloons: i have a long way to go:cry:............:cry::cry:.........................i just can't waite......... good luck on your bord exam:yeah::yeah:
  11. First of all everyone has a different style. So you have to figure out what works best for you. Since English is my third language, I have to read... read.. several times. I always recorded the lecture and that helps me a lot. Because where ever I go I can listen to it. Since nursing is about critical thinking, practicing questions over and over helps a lot. Good luck :heartbeat:heartbeat:heartbeat:heartbeat:heartbeat:heartbeat:heartbeat:heartbeat
  12. Voice recorder helps a lot. ............
  13. Good luck.......
  14. It is really hard to have kids and at the same time going to nursing school. you should be proud of yourself. About your classmate, try not to pay attention becuse it is a human nature.

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