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hlwood08

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  1. Wow, well thank you all for your help. This will make it a little bit more easier when I come accross something like that. It really does help! Thanks!
  2. Hello, I recently took my boards and found out that I failed. I have really bad test anxiety and realized I took it at a bad time. I am going into this positive and calm next time and preparing myself in the meantime. The question I have is: Is there a disease where the patient is not allowed to have flowers brought into the room? If so, can anyone educate me on which disease that would be? Obviously there is one out there, but my school did not teach me on what it is. I have been searching all over the internet but cant find it. I would really appreciate it for your help! Thank you!
  3. :heartbeat Hello everyone. I really need some advice on something. I am about to finish my LPN license in August and I am trying to find a LPN to BSN school that I can do online, I live in Alabama. I am very self motivated to do online courses. Does anyone have any advice? Also, should I work a little bit then start my BSN or go straight into it? Also, how long will it take to finish? Can you work while you do the online BSN? Thanks for all of your help!
  4. I really appreciate the help. I wasn't able to find them in my book, and the teacher was not going to help up with the answers and I didn't want to learn the wrong things. I like to know the right answers and then do the research on why.
  5. Hello everyone, We did this assignment that the teacher gave us and I was stumped on some questions. I can not find these answers anywhere, and the teacher is not going to give us the answers. I was wondering if anyone knew and would help me out. Thanks, ~L If a patient has pneumonia and becomes restless: vital signs are T 100F, P 110, RR 28, BP 130/72, what should you suspect? A. Fluid volume excess B. dehydration C. excess potassium D. hypoxemia. The usual dietary recommendations for a cardiac patient includes A. no more that 10% saturated fats B. low fiber and carbohydrates C. Sodium restricted to 1G/Day D. 20% less of total fat intake A nurse should be alert to complaints of decreased exercise tolerance and dyspnea in African American males because they are at risk for A. Hypertension B. Cardiomyopathy C. Endocarditis D. Mitral Valve Stenosis
  6. I really appreciate your help. It gave me a lot of understanding about his situation and gave me important things to think about when doing this. I hope one day, this will come as easy for me as it does for you
  7. i did do a physical assessment on him. december he weighed 204, now he weighs 195.2, he is a&ox4, responds to touch, sound, and replys to asked questions. he can do pretty much anything with the right side of his body, but his left arm cant do anything. he is able to feel when i touch his left arm, just cant move it. he is immobile, that morning i used a hoyer lift to transfer him from the bed to the shower chair and w/c. he is able to see out of both eyes, they are intact and jerky with a right gaze deviation. perrla at 3mm. conjunctiva pink sclera white. he is hoh and wears a hearing aid. his breathing patterns were labored, no aventitious sounds heard. crt 3 how is he at doing any of his adls bathing - i used a hoyer lift to transfer him to the bathing chair and take him to the shower room then showered him. dressing - i put his clothes on him and used the hoyer lift to stand him up and pull his pants up mobility - immobile - use hoyer lift eating - he is able to feed himself using his right arm. that morning he stayed in bed and ate his breakfast, lunch time he went to the self-feeding dining room. he ate breakfast - 100% food 360/ml fluids and lunch - 100% food and 480 ml fluid. he also has a restriction to only drink honey-thickened liquids and is on a puree diet toileting - he wears a diaper. when he was getting his shower, he had a bm and he didnt realize that he was doing it. a cna asked him if he was done, he said yes and continued to have the bm grooming - i did everything for him, combed his hair, applied deoderant, lotion of dry skin. he didn't need to shave what medications have been ordered for the patient? he is on the following medications: asprin 325mg for stroke prevention avodart 0.5mg for bph cozaar 50mg for stroke colace 100mg for stool softener nexium 40mg for gerd sertraline 50mg for depression warfarin 5mg for atrial fibrillation mirapex 0.125mg for rls prn nitroquick 0.4mg for chest pain ambien 5mg for sleep flowmax 0.4mg for bph glycopyrrolate 1mg for decrease gi and rr secretions lipitor 80mg for stroke prn albuterol 0.83mg/ml for acute bronchospasm genebs 325mg for mild pain prn hydrocodone 7.5mg for severe pain prn ipratropium nebulizer mucinex 5mg for mucous/coughing
  8. I have a patient that I need to do nursing diagnoses and a care plan for. He is a w 82YOM admitted to a nursing home. Vitals are bp 110/68, p 72 irregular, RR 27, T 97.9, O2 100% with 2L of O2 via nasal cannula. His past medical history is HTN, dysphagia, bradycardia, glaucoma, arrythemia, degenerative disc disease, cardiomegaly, atrial fibrillation, bilateral knee replacement, bilateral cateract surgery, hernia repair, RLS, speech is dysarthric. Urinary retention with enlarged prostate(BPH), Bleeds easily since his CVA s/p left humoral head resurfacing surgery 11/4/08 acute onset of left hemiplegia, right eye deviation, left facial droop. (Right MCA Ischemic attack), broken back several years ago, No atrophy or fasiculations noted, breath sounds are clear to auscultation, 11/25/08 Mild bibaasilar atelectasis pleural effusion, respiratory difficulty, ABG's show pH 7.49, PCO2 of 40, PO2 of 111, hyperlipidemia, restless legs, and hyperglycemia. His lab results 1/27 shows: PT 38.4 H INR 3.8 H Creatinine 0.51 L Glucose 125 H Total protein 6.1 RBC 4.4 L HGB 13.2 L HCT 38.0 L RDW 15.3 H Urinalysis shows 2+ urine protein 4+ Blood + Nitrates RBC 20-50 WBC 0-2 A couple of nursing diagnoses I came up with are: Impaired gas exchange r/t pleural effusion secondary to atelectasis Decreased Cardiac Output r/t Cardiac Arrythemias ssecondary to Atrial fibrillation I was thinking of an Ineffective breathing pattern, something to do with with Urinary retention. I was also thinking of doing altered sensory perception r/t central vision loss secondary to glaucoma and bilateral cateracts, and a knowledge deficit about decreased endurance and debility,but not sure about the etiology on how to word it. Am I going about this the wrong way? Do I need to have other priorities? Is there anyone who can help me? I would really appreciate it. Thanks, LeAnn

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