Miles1978

Here's the assessment: 62 year old male - Hx of HTN - Hx of coronary artery disease - CABG 6 days ago - incisions present with staples at sternum and left and right saphenous veins- incisions well approximated with no redness, drainage, swelling or foul odor - VS stable: 0800 B/P 122/78, P84, R20, T98.8 - lungs clear in all fields on auscultation - O2 @2L/min N/C prn - WBC count 10,200 - incentive spirometer q2h - 1+ edema to ankles and feet bil. - pedal pulse strong and regular - bowel sounds x 4quads hypoactive - last BM 3 days ago, small brown formed - passing flatus - eating average of 50-75% of a regular diet - ambulating 50 ft with assist x1 - reports pain in incisions 2/5 - "I'm glad that my wounds are healing well" - "I don't have any trouble breathing" - "I only coughed when I woke up this morning; my sputum was white with a little bit of blood" I need to formulate just one nursing diagnosis. I like Delayed Surgical Recovery r/t Extensive Surgical Procedure because of the defining characteristics loss of appetite, report of pain in incision, CABG 6 days ago. However, I don't like it because the report of blood in white sputum isn't addressed, but I can't seem to find a diagnosis that meets those other abnormalities. Maybe Ineffective Airway Clearance r/t presence of artificial airway. He's obviously receiving oxygen and using an incentive spirometer, so he does have some lung issues, yet his vitals are good, although R20 is on the higher end of the normal averages. Can anyone help me? Am I missing something? Faulty thinking? Thanks

Hello Gentlemen, Twelve years after graduating high school I have decided to return to school. I spent much of the past decade living the life of a “starving artist.” I turned 30 last June, gained a new perspective on life and realized many things; most notably, I’m tired of wasting my life and, frankly, being broke. I want to work in a profession that makes a meaningful contribution to people’s lives. And I don’t want “just a job.” Cliché as it may be, I want to help people. Of course, my desire to become a nurse is much deeper than this, but this post is about that. Part of an English Composition assignment requires me to interview someone in the field I wish to enter. Since I am a man, I would like to interview a male RN. Answer as many questions as you like and feel free to add any additional comments. (If I choose to use your responses I might PM you.) Thanks for your time, guys. :) Miles 1.What is your name and educational background/degree? 2.There is a critical shortage of registered nurses across the United States, so finding a position is not difficult. Why did you choose to work here (please indicate which area of nursing you are working)? 3.How long have you been a RN? 4.What are some of the challenging aspects of your job? 5.What makes your job rewarding? 6.What drew you to nursing? 7.Did you have any misconceptions about nursing before you became a RN? If so, what were they? 8.What advice would you give someone who is considering a career in nursing? 9.Describe a typical work day. 10.Describe your work week. Are you on-call? And if so, is this mandatory? 11.Describe your very first nursing shift. 12.Name some personal attributes that are vital to the job. 13.Do you feel your compensation adequately reflects the stress and demands of the job?