RNstudentc/o2010

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...

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...

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?

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. ...

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...

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...

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...

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...

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

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'...

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!!!

Hi, I have not had a course of any sort in interpretation of EKG's, and I am relying solely on my lab diagnostic manual, which is not very helpful. I was wondering if somebody could help me. My pt was a 61F, and she had Hx of cardiomegaly, HTN, arrh...

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 ...

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...

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

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...

Hi, I just figured that these lab values were all related in some way, I just can't put my finger on it. THe pt has a high RBC and high H&H. I know that this usually indicates anemia, but I was wondering how it ties in to his high BUN, high crea...

Thank you for your help. I meant to write RBC and H&H low, BUN and creat high, alb-glob ratio low, and mchc high. Sorry about that! Do you know if the RBC and low H&H are r/t the high BUN and creat? Sorry for the confusion!

Hi, I cannot remember how to distinguish a broken ankle from a sprained ankle. can someone please help?

Thank you very much. Broken-cannot walk on it, referred pain, bumps and nodules sprain-pain with wt. bearing, negative referred pain, onset of pain is sudden.

I thought I put them in the wrong category. That was my first post ever. Thank you, I am working on it now!

Hi, I am turning in a teaching plan on Monday. I have created the teaching plan, but I do not really know what I am supposed to have in the blank sections. I was supposed to create a scenario with patient, family, or group that has a knowledge defici...

Hi, I am turning in a teaching plan on Monday. I have created the teaching plan, but I do not really know what I am supposed to have in the blank sections. I was supposed to create a scenario with patient, family, or group that has a knowledge defi...

Yeah, I put the wrong Dx. I meant to put Sleep Deprivation. Yeah, these sections were given by my teacher in a fill-in-the-table format.

Hi, I am turning in a teaching plan on Monday. I have created the teaching plan, but I do not really know what I am supposed to have in the blank sections. I was supposed to create a scenario with patient, family, or group that has a knowledge defi...