sunsettbay5

Thank you so much dancing lamb :)

Yes i saw it was "active" and it says obtained my method "examination" deos that mean I am Active?

what website did you go to that it said active? (New Jersey)

what website did it appear on? do you have the exact website please :) thanks!

Update it works!!! for sure thought I failed but gor the good sign, and indeed I PASSED NCLEX!!!!!

I took the test and am sure I failed but I got the good pop up but I had like 30 select all that apply

I will change that one, from falls at risk to skin impared I have to put on NANDA in each catagory so here is what I chose: For Activity/Rest=Mobility,impared bed Circulation=Cardiac Output, decreased Ego Integrity=Dignity, risk for compromised human Elimination= Bowel Incontience Pain/Discomfort-Pain, Chronic Sexuality= Sexual dysfunction Teaching/Learning= Knoeledge, deficit Social Interation=Social Interaction imparied Respiration= Aspiration, at risk for Safety=Skin Integrity, impared Neurosensory=Thought Process, disturbed SO would they still go in the same orderof importance being that she already had a stage 2 pressure ulcer? Or wouldnt this be a higher priority? I think it should move up to number 7 and keep the others the way they are? am I thinking right? Decreased Cardiac Output Nutrition: less than body requirements Bowel Incontinence Impaired Bed Mobility Chronic Pain Bathing/Hygiene Self-care Deficit Disturbed Thought Process Impaired Social Interaction Sexual Dysfunction Deficient Knowledge, specify subject Risk for Aspriation Skin Integrity, Impaired Risk for Compromised Human Dignity

i'm sorry this is my first concept map so im learning as i go here is teh full report i did: (thank you so much for helping me :) i have been working on it for 8 hours now..lol i hope this is what you meant... pt is npo has a g tube medical alert: random blood sugar w/accu check q6h medication allergies: iodine, ibuprofen, motrin penicillin reaction: hives diet allergy: iodine environmental allergies: pollen reaction: runny nose dust reaction: runny nose age: 77 weight: 130lbs marital status: her son has power of attorney presenting issues: dx: vomiting, (rule out) r/o ugib (upper gastrointestinal bleed) reason hospitalized: 77 yo female who had reported from the extended care facility of vomiting coffee grinds emesis with no diarrhea, abdomen distended, skin warm and dry procedures: endoscopy on 10/15/09 was done torule out upper gastrointestinal bleed. there was evidence of a severe la grade d erosive esophagitis in the distal esophagus (esophagitis is inflammation that damages tissues of the esophagus, the muscular tube that delivers food from your mouth to your stomach.) often causes painful, difficulty swallowing and chest pain. causes of esophagitis include stomach acids backing up into the esophagus, infection, oral medications and allergies. treatments for esophagitis depend on the underlying cause and the severity of tissue damage. if left untreated, esophagitis may change the structure and function of the esophagus. pt. has a replacement balloon peg that was gently moved back and repositioned, and the external flange was tightened. (percutaneous endoscopic gastrostomy) is a procedure to place a tube through the abdominal wall and into the stomach. a gastrostomy tube or a (g tube) provides an alternative feeding site. it may be needed to: feed a person who has a hard time sucking or swallowing or drain the stomach of acid and fluids that have built up. other symptoms: pt was also found impacted & was manually disimpacted pt also has a nasal cannula 2 lpm (f2r) patient history: pt. suffered a left thalamic hemorrhage last year and has had language difficulty since then. she has a ct (computed tomography) which showed an old hypodensity in the left thalamus as well as white matter chronic changes, she has normal site and hearing and is occasionally confused. she incontinent for bowel & bladder she also has diabetes, acute renal failure, parkinson's disease, hypertension, dementia w/ depression, unstable angina, breast cancer w/ a left mastectomy, osteoporosis, history of pancreatitis, cva,(cerebral vascular accident) arthritis, tonsillectomy last vital signs: t: 97-p: 70- r: 20- b/p 142/88 skin assessments: she has a stage ii pressure ulcer in the sacrum area, and is having foam dressing applied patient is at risk for: dvt waiting on order from the physician for scd's for dvd prophylaxis also is at risk for another pressure ulcer according to braden scale diet: npo iv's: d5/0.45 saline 1000ml, rate 10ml/hr around the clock until dc'd & a saline lock per hospital policy lab work: cmp-12 the comprehensive metabolic panel (cmp) additional lab work: cbc w/ diff random blood sugar w/accu check q6h physical assessment: loc: eye opening for verbal response, limited motor response, and no verbal response, pt is semi comatose. no x3 to orientation of person, place or time. general appearance: hispanic woman, chronological age & real age are comparable, religion is catholic weight 130lbs per family vital signs p 78, r 20, b/p 148/84, t 97.2, pulse ox 100 & shows no sign of pain skin is pink, warm & moist with poor skin turgor, and she has a stage ii pressure ulcer on her sacral area, hygiene is poor. tongue is coated and mm are dry/pink she is edentulous and no odor hair is straight, thin & fine & no vermin present. nails were brown, thin & brittle, convex shape, some nails were growing sideways due to hands being clenched, capillary return was normal eyebrows were present, there was some discharge on the eyelids, sclera was white, and conjunctiva was pink ear placement normal no hearing aids and hearing is good. nose was straight with no discharge thorax has symmetry and was normal and clear. rate, rhythm & depth of respirations were normal. pmi was left midclavicular and heard the 2nd intercostals space down and about 3inches to the left due to left breast mastectomy. apical rate was 74. carotid artery was difficult to hear due to pt not being able to hold their breath, seemed clear. popliteal was absent, posterior tibial was 1+ and dorsalis pedis was 2+ radial pulse was 78 & rate, rhythm, & strength normal. no edema of the skin but temperature was warm, & no hair on arms or legs. abdomen had no distention. there is a left scar on pt breast due to mastectomy and a peg tube is inserted in the stomach. auscultates of 4 quadrants for bowel sounds were active. palpation of 4 quadrants character was soft with no tenderness or pain. unable to inspect gait as pt is on bed rest. symmetry of musculature normal, with limited range of motion with tight, stiff muscles. there are no amputations. unable to do palmar grips as hands are both clenched. pupils are equal, equal size, round and react to light.

Thank you so much I was confused with the risk for aspiration because she has a PEG tube, that dosent make a difference does it? The pt is semi comatose, so it was hard coming up with some of the diganosis for sexuality, neurosensory, and ego.....thats why I went with thought process disrupted, sexual dysfunction and dignity, risk for compromised....soes that sound about right??

I have a concept map I am doing and it is my first one, Here is my pts info: 77 yo female who had reported from the extended care facility of vomiting coffee grinds emesis with no diarrhea, abdomen distended, skin warm and dry. History: Pt. suffered a left Thalamic Hemorrhage last year and has had language difficulty since then. She has a CT (computed tomography) which showed an old hypodensity in the left thalamus as well as white matter chronic changes, she has normal site and hearing and is occasionally confused. She incontinent for bowel & bladder She also has diabetes, acute renal failure, Parkinson's disease, hypertension, dementia w/ depression, unstable angina, breast cancer w/ a left mastectomy, osteoporosis, history of pancreatitis, CVA,(cerebral vascular accident) arthritis, tonsillectomy Nursing measures: Monitoring the tolerance of the feeding tube, Documenting I&O q shift, Using Incontinence care & also making sure that Rt breast fold is cleaned with plain water & dried thoroughly & applying Nystatin Powder q 8 hr's Bed is in pressure relief mode, limiting positioning on the affected area of pressure ulcer I have come up with a nursing diagnosis for each system, but I am having trouble prioritizing them here they are: 1 Aspriation, risk for 2 Cardiac Output, decreased 3 Nutrition: less than body requirements 4 mobility, impared bed 5 falls, ast risk for 6 Thought process, disturbed 7 Incontinet for bowel 8 pain, chronic 9 self-care deficit, bathing/hygiene 10 knowledge, deficient 11 social interaction, impaired 12 sexual dysfunction 13 dignity, risk for compromised human CAN SOMEONE PLEASE HELP ME WITH PRIORITY THANK YOU SOOOO MUCH!!!!

Hi I was reading you post on the Meridian Health Offer Program do you think you can give me some information on that? I would appreciate any help at all I have just been excepted into the OCC nursing program. Thank you so much for any info.