sishu

Thank you so much..

Hi all, I really need help on nursing care plan. Ok I have to write a paper form the interview I conducted and then make nursing care plan. I interview the woman who lives in the shelter. She has two children's that lives with her. This woman has been through a lot from the very young age. She has been abused sexually and mentally from her mom and stepdad. She does not have finical problems she get help from the government. Her Dx are COPD (emphysema), diabetics, and high blood pressure. She said her good BP reading is 174/100. And I ask her what the normal BP is and she does not know. She is obese for her age. She sleeps during day time (6:00am-2:30pm) so defiantly her sleeping patterns are disturbed. And I ask the reason, she is afraid not to wake up in the morning. Plus she hates the environment she lives in. finally I ask that one thing that concerns her. She side she doesn't want to die in that shelter. She side" I know it is coming soon but I do not want to die, I'm only 43" and she cried. This story broke my heart. I really want to help this woman to get out of from this situation. So I have to come up with 3nursing diagnosis and 3interventions for each diagnosis that is appropriate for this woman. If the instructor likes the care plan she will give to the shelter social workers and use it for this lady. I don't want to do it just to get good grade. I really want to help her. I did a concept map and most of her situations are tied with stress. So I come up with this nursing diagnosis. Ineffective coping mechanism. Sleep disturbance Risk for nutritional imbalanced So please help me..

i am doing assignment for abdominal critical thinking and am having trouble connecting the dots to come up with the correct dx. and plan of care. we are supposed to include 3 priority dx and plan for care. please help me with my plan 1. here is the question: - . anna is 70 and lives in an independent living facility. she has recently experienced diarrhea. she is irritated because her diarrhea caused her to leave the bridge game; she and her partner lost the game. she asks for your help. the 3 dx - readiness for enhanced therapeutic regimen management, - risk for deficient fluid volume - diarrhea. plan: - pt will not have diarrhea, pt will increase fluid intake, pt will get appropriate medication. 2. after you have completed your exam, anna tells you that she has been taking maalox for her diarrhea. does it going to change my plan of care? maalox is used to treat the symptoms of too much stomach acid such as stomach upset, heartburn, and acid indigestion. one of the medication side effects is diarrhea. so that means i don't have to change the plan right?

Thank you so much.........

hello every one, it is one of those days. i am so stressed out i have an exam coming next thursday. please help for this question. this is like a study guide questions. looking at this guy's history i know that his vitals are normal and lab results are ok except the bun is a little bit high. in terms of the medication interactions i know that carvedilol interacts with digoxin and furosemide (diuretics.). however both digoxin and carvedilo slows av conduction. the other things are there is no information about frequency of carvedilol. is it once a day or twice? same with lisinopril no info for the route. is it given by po? i ask my instructor about it and she side it is not an error. it's for my fundamental class. please help....here is the questions. you are caring for an 87 year old client with a history of hypertension and chronic heart failure. you are scheduled administer the following medications: furosemide 40mg po bid his am labs are as follows carvedilol 3.25mg po potassium: - 2.9meq/dl lisinopril 20mg daily sodium: - 140meq/dl digoxin 0.125mg po daily chloride: - 100meq/dl bun:-25mg/dl creatinine:-1.6mg/dl vs are 102/65, p 60, r 22, t, 98.7 1) can you identify any medication interactions? 2) what do you need to do to give these medications safely? 3) there is a potential life threatening situation here. can you identify it?

I am having difficulty to write my clients medical history. The reason is that she is diagnosed with so many diseases. I really do not know where to start. My instructor said that I can outline the diagnoses but I have to write it like a written format. I looked her chart for information but did not find much info... so I ended up interviewing my client. She is 81 and when you ask her questions that related to her health history she would say one thing and then jump to another... It was just like out of order...Here is what I got form her and chart... Please I need help how to start it any suggestion would be nice.....Her primary diagnoses are:- 1) Hypothyroid (underactive)(subjective) 2) Diabetic type 1 3) Insomnia 4) Anemia 5) Respiratory 6) Irregular heart beat 7) Constipation 8) Chest pain 9) Edema 10) Cholesterol

hello all, it’s for my fundamental class. sorry i forget to mention it i really appreciate your help…..thank's alot ...

i am sooo confused with this critical thinking question. our instructor gave us a study guide for the exam. when i read the case study there isn't subjective information (such as patient's pain). i think form the story she is depressed because of her dog died. what exam should i perform? i just think eye exam since she has tear in the corner of her eyes. i really don't know the tear is from eye problem or is she mad? for the 11 gordon's i just pick three of this but i am not sure it is the right one. please help me ..here is the question betty has been having trouble in school for the past three months. she has been a bright fifth grader who is known for her above average work. her teacher tells you that betty cries easily and becomes frustrated with reading. her friends seem to be pulling away from her. she is in a large class of 35 students and the teacher has had difficulty working individually with betty you introduce yourself to betty while she is at recess. she is of average height and weight and her blood pressure, pulse and respirations are normal. she is sitting alone and seems to enjoy talking with you. while you are conversing, several of her friends wave at her and she makes no response. when you ask about her family and her friends she tells you that her dog died about a month ago. you notice a tear forms in the corner of her eye when she tells you about her dog. her friends approach and begin to talk with betty. she squints and then begins to converse with them. a. what history questions would you ask betty? (subjective information) i don't know where to start the questions . do i just ask like how old was your dog? just to start the conversation ... b. what exams would you perform? be specific. (objective information) the only objective information i can think of is the vital singns c. which of the two or three of the 11 gordon's functional health patterns do you think might be most likely in your nursing diagnoses? give rationale for selecting each of the 2-3 functional health patterns you selected. 1) self perception pattern:- 2) roles relationships pattern :- like satisfactions with her friend 3) coping/ stress tolerance:- she is in a lot's of stress

thank you so much daytonite...these is really a good guide....i will start working on it and if i get stake i might need a rescue…. thanks’ a lot……..

please help......this is my first semester in nursing so far i am so 0verwhelmed by everything. our fundamental instructor gives us these questions to prepare for the exam...i just do not know how to start these questions......i would really appreciate any help...........here are the questions......... 1) you find mrs. brown's pulse (radial) is 88 and irregular, her respirations are regular at 16/min, and her temperature is 98.2f. you also interview mrs. brown as to whether she has concerns about her health and you ask questions related to gordon's functional assessments. you learn from mrs. brown that she has recently quit walking because she gets a "cramping" in her right lower leg after walking abut two to three blocks as well as becoming tired. she tells you "if i stop and rest a bit, the pain and the tiredness go away and i can start walking again--but then after a couple more blocks, the pain and fatigue return." this is beginning to concern her because about a month ago she was able to walk two miles without any symptoms. when you check the pulses in her feet, you find that the right foot is cooler than the left and the dorsalis pedis and posterior tibial pulses in the right foot are very weak. they are easily palpated and strong in the left foot. there is no obvious swelling in either foot. please outline further and exams you need to assess mrs. brown. please note whether the information you receive will be subjective or objective: which of gordon's functional assessments have the greatest bearing on this case and why? give your rationale to defend your responses. 2) you are watching 2nd graders in their pe class run a mile. you notice one child is running far behind and stops regularly to rest and to cough. how do you decide if this child is experiencing heart or respiratory problems? what history questions would you ask to determine a cardiovascular versus pulmonary problem? list the specific questions. which gordon's functional assessment questions would be useful? how would you ask these questions--list specific questions: what past history questions would be helpful? again list specific questions: what exams would you perform? list the components of the physical exam: in outline form list five key decisional points would you use in your assessment (subjective and objective) to make your nursing diagnosis?