RNstudentc/o2010

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1. subjective versus objective data

   RNstudentc/o2010 posted a topic in Student Assist

   Hi, I just have a simple question: If I were to write the pt's subjective data in "" marks, but I paraphrased and it was obvious that I paraphrased, would that be wrong? Ex: The pt is afraid of the dark and must have a light on at all times. Subjec...

2. Echo interpret- R or L sided HF?

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   Well, thank you. That clarifies a lot. I was leaning towards that concept, but I was not sure. When one side fails, the blood has to go somewhere, right?

3. Echo interpret- R or L sided HF?

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   thank you for your help. i do that a lot, i really need to break myself of trying to figure out the medical dx. i'll probably stop doing that when i get used to the nursing process. i think that several factors are at play with his dehydration. ...

4. Echo interpret- R or L sided HF?

   RNstudentc/o2010 posted a topic in Student Assist

   hi, i was wondering if somebody could help me with my care plan. i am having trouble interpreting the findings of the echo. my pt has a hx of htn but he is dehydrated and thus his bp is extremely low. he also has a hx of cad, chf, mi, aortic stenos...

5. assessment finding help- tongue appearance.

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   Oh yeah... I totally forgot that the RDW points to internal bleeding. That's strange, I don't know what could be causing this value. Do you think that it may be r/t malnutrition and dehydration? he was ordered 10mL NS q24h, do you think that he wa...

6. assessment finding help- tongue appearance.

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   Well, He was admitted for dehydration and was later Dx'd with stage II chronic renal failure. I know that the side effects of several of the medications that he is on is anemia, and he is receiving a multivitamin because he is so malnourished. I a...

7. primary medical Dx stage II RF, secondary medical Dx dehydration, Chronic illnesses?

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   is there a distinction between a secondary medical Dx and a Dx secondary to another Dx?

8. assessment finding help- tongue appearance.

   RNstudentc/o2010 posted a topic in Student Assist

   Hi, I had a clinical the other day, and I noticed something strange when I was viewing my pt's mouth. I had never seen it before, although I have seen the tongue characteristic of anemia. This pt's oral mucosa was bright pink (very strange colorati...

9. primary medical Dx stage II RF, secondary medical Dx dehydration, Chronic illnesses?

   RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

   I did read the progress notes, and the progress notes indicated that the pt is in stage II chronic renal failure. He is dehydrated and also malnourished. I thought it was odd that he was being prescribed a diuretic for his HTN even though he was Dx'...

10. primary medical Dx stage II RF, secondary medical Dx dehydration, Chronic illnesses?

    RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

    Oh okay... well, would the secondary be renal failure? Lab tests later confirmed that the pt had renal failure, but can't renal failure be caused by dehydration? Thank you for helping me!!!

11. primary medical Dx stage II RF, secondary medical Dx dehydration, Chronic illnesses?

    RNstudentc/o2010 posted a topic in Student Assist

    Hi, I am working on my care plan and I have never had a patient with a secondary medical diagnosis. However, the patient I was just assigned to care for does, and the link between the primary and secondary medical diagnosis is a clean picture. I ho...

12. Help with cardiomegaly arrhythmias EKG interpretation

    RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

    Thanks, by the way. That really helped me a lot. I get it now. Maybe I was getting into depth a little...

13. Help with cardiomegaly arrhythmias EKG interpretation

    RNstudentc/o2010 replied to RNstudentc/o2010's topic in Student Assist

    Hi, yeah, I mean that her pulse had an irregular rhythm, but that the irregularity did not have a pattern. Like, instead of a pause in between every fourth beat, there would be a pause after the 4th beat, then after the 11th beat, then after the 14t...

14. Pt Hx of GERD and NPO-- hold the med or adminster it?

    RNstudentc/o2010 posted a topic in Student Assist

    Hi, my pt has a Hx of GERD:eek:, and he is being prescribed Protonix for management of his GERD. However, now he is NPO:yawn: because of diverticulosis. The only thing he can take po is his meds and a little H2O when he takes his meds. I was wonder...

15. suspected DTI v. ecchymosis v. fracture

    RNstudentc/o2010 posted a topic in Student Assist

    Hi, I was wondering if somebody could help me. I don't know how to document this injury. The man fell at home and nobody found him for 3 days, and he just laid there until finally his daughter found him. He has a purple area over his sacrum where ...