becky0124

i didn't feel like any of the ATI test was helpful for NCLEX, felt like I didn't know anything but i passed so good luk

i heard that too but didn't try it, my computer shut off at 78 and i was scared to death i failed but i passed so just think positive and good luck.

does anyone know if it is okay to put lovenox into another syringe if you have to give a dose that entails giving the patient 2 shots at the same time. I have been told it is okay by one person from the pharmacy and told absolutely no by another. Just wondering because when the patient is getting it BID that makes 4 shots a day. You kind of run out of spots to give it.

I was wondering if someone could explain to me what a magnet hospital is and what are the advantages of being one. Our hospital is in the process of doing that.

We had a fairly young patient admitted the other day with a massive intraventricular hemorrhage and the doctor and family chose not to do anything and let her pass away. I was wondering if anyone has had this same experience and why would they not try and do something about it. She did have a fairly extensive medical history.

a patient is admitted to the hospital within 1 hour she goes into a thyroid crisis, what do you do first. I found apply O2 and transfer to ICU Does anyone else have any other answers

can anyone help with some of this I found what I could. I would appreciate any help I can get. KB is an 80 yo woman admitted to the hospital following a 5 day episode of Flu with c/o DOE, palpitations, chest pain, insomnia, and fatigue. PMH includes CHF, HTN requiring meds which she has not been taking on regular basis. KB was diagnosed with Grave's disease 6 mos ago and placed on PTU 100 mg PO q6h. Assessment findings * Ht 62" weight 100 lbs. Appears anxious and restless. Loud heart sounds, VS 150/90, 104 irreg, 20, 100.2; 1+ pitting edema in le's; diminished BS with crackles in the bases. * KB states she recently lost her husband. * Lab: hgb 11.8; Hct 36% ESR 48; Na 141; K 4.7; Cl 101; BUN 33; creat 1.9; T4 14; T3 230. Questions?? * Which assessment and lab findings represent manifestation of hypermetabolism? fatigue, rapid, irregular heart rate, insomnia, elevated ESR, BUN, Creatinine, T4, T3, edema * What additional S/O data would you gather for someone with Graves' disease? Any signs of tremors? Any weight loss? Medications on. Check eyes for opthalomorpathy. Excessive sweating? Muscle weakness? Depression? Double vision? Questions? * The physician leaves the following orders. - Propranolol 20 mg po q6h - Decadron 10 mg IV q6h - Verapamil 120 mg PO qd - Diet as tol.- high protein - STAT ECG - Up ad lib * Which of the orders would you question and why? (I can't see any reason any of them would be questioned) Questions?? * What are the priority nursing diagnoses for KB? Hyperthermia r/t loss of temperature regulation AEB elevated temperature Disturbed thought process r/t hypermetabolism AEB restlessness and disorientation Ineffective breathing pattern r/t muscle weakness AEB dyspnea The Case Continues... * You note the KB is extremely restless and is disoriented x3. VS are 104/62, 180 irreg, 32 and labored; 103. ECG shows a-fib. What do these findings indicate? That patient is having a thyroid crisis * The physician orders the following: - STAT ABG - Digoxin 0.125 mg IVP q8h x3 - D5W at 100ml/hr - Lugol's solution 10 drops po tid - Increase PTU to 200 mg po qid - Hydrocortison 100 mg IVP q8h - Cardiac monitor - Absolute bed rest - Cooling blanket for temp > 102 - Tylenol 650 mg po prn temp > 100 Questions??? * Why did the physician order tylenol instead of aspirin? * Identify priority nursing measures for KB Treat her hyprthermia, give medication to inhibit conversion of T4 to T3, give O2 * Identify 2 possible contributing factors that may have precipitated KB's thyroid storm CHF HTN Treatment Options * Before discharge, the physician discusses 2 treatment options with KB: Radioactive iodine therapy and subtotal thyroidectomy. * Before deciding KB asks if she will be "radioactive" if she takes the 131 I. What would you tell her about guidelines and precautions? She would still be radioactive depending on how much was given, but whether she is or not she should avoid close contact with her family for a few weeks, not to share any glass or eating utensils and make sure they avoid any of her body fluids. Subtotal Thyroidectomy * KB decides to have a thyroidectomy. What medication would you expect that she would take prior to the surgery? * What would you include in her pre-op teaching?

thank you i have already got it figured out but thanks for at least trying to lead me in the right direction unlike some other people that think i just wanted my homework done for me.

I am not asking anyone to do my homework there are about 15 other questions on the case study. I ust am not sure where orthostatic hypotension come in here. Sorry I asked. I'll find it else where.

what is the significance of orthostatic hypotension in a patient that has bacterial endocarditis and has a history of autoimmune deficiency,staphylococcus aureus of the mitral valve, streptococcus mutans of the aortic valve, aortic stenosis,sortic insufficiency, chronic valvular vegetation and moderate left atrial enlargement. Recieved TPN for malnutrition also has CAD and suffered a acute anterior wall MI. Is recieving PCN 2 million units IV, lasix, amiodipine, K-dur, metoprolol and compazine. VS 152/48 supine 100/40 sitting 116 22 NS 100.2

okay you have a bowel obstrution that had a bowel resection. K+ is 2.5. M.D. orders 4 K+ supplements and lab checked in A.M. at 08 k+ is 4.8 . Patient has D5 1/2 NS running. What is the appropriate response to the lab findings. Okay you notify doctor of lab results what else would you do. Does the IV fluid need changed or what?

are there any sites out there that can help me write a care plan with all the stuff that is needed such as the weakness and strength according to Gordons Functional Health Ptterns. I am at a complete loss. 16 years ago us lpn's did not have to write care plans and now i have to write one and i feel like any idiot because i have no clue where to even begin.

please help not sure how to write nursing diagnosis. am taking a transition course and its all online and i am not understanding how to do it just by reading from the examples.

I am 53 years old returning to get my RN afer 17 years of being an LPN. The hospital where I work has decided the will no longer be having LPN's so back to school I go. I am in the transition course this semester and will be going into the 2nd year portion of the program next fall, its kind of scary after being out of school so long but so far things are going good. Wish me luck and good luck to the rest of you who are going on.