cvenable

Thank you both for your comments. psychnurse.. again, I appreciate your time. I will make MANY changes now and you gave me ideas actually on different things to focus on. I don't expect someone else to do my homework though I wish tonight I could pay someone to do it for me (my mind is mush).

LOL my instructor requires all 12. I knnow, my homework weekly for this one class is around 30 pages, typed, single spaced. We have 3 days to hand it in. So I hope you can understand my mind doing cart wheels. Yes, the client did report anxiety and unable to sleep and did state "he can not go anywhere anylonger because he gets winded leaving his living room", he has COPD (I think you gathered that) and gets transfusion because of anemia. By the way, I appreciate your assistance though overwhelming. I think my instructor really studied this client's chart because he was the most critical on the floor today. I always pick complicated clients because of how many nursing diagnoses we have to come up with and the one time I picked someone "easy", my careplan was a major disaster.

Well, we need one for each system: Resp, cardio, hydration/nutrition, etc. The client has chronic bronchitis, pneumonia, atrial pacemaker (from a MI), has had strokes, and is neutropenic. I know, coming up with a nursing diagnosis for each area is difficult. I find myself staring at the careplan wondering what I should focus on. For this one, he's extremely anxious, has terrible congestion, you can literally here him breathe while standing in the hallway with loud wheezes (my instructor wants to listen to lungs with us so she is sure we identify the sounds correctly). He has blood infusions daily.

i'm working on a careplan and i researched many sites to figure out if what i have is okay, but again i just hope that my interpretation is correct. i'm going to post what i have and would love input and what i may be writing is wrong. i'm going to highlight where i think i may be incorrect. how do these sound? 1) ineffective airway clearance r/t excessive mucus aeb wheezes throughout lung fields. 2)risk for decreased cardiac output: risk factor malfunction of pacemaker. 3)excess fluid volume r/t compromised regulatory mechanism secondary to myocardial infarction aeb taut, shiny skin, generalized edema. i'm not sure this a realistic goal. can nursing realistically address this? i thought meds may help, but i keep second guessing myself. 4) chronic pain : chest pain r/t recurrent chronic coughing to expel airway secretions aeb reporting chest tightness and pain and shortness of breath. 5) activity intolerance r/t compromised oxygen transport system secondary to myocardial infarction, chronic bronchitis aeb shortness of breath, dyspnea, and increased respirations during activities. 6) risk for infection r/t compromised host defenses secondary to respiratory infection. i should be specific on the respiratory infection shouldn't i? 7) risk for acute confusion r/t sleep deprivation 8) risk for constipation r/t diuretic use. 9) risk for self-care deficient r/t activity intolerance. 10) anxiety r/t shortness of breath aeb inability to sleep. i'm not sure if this makes sense to anyone else but me. 11) risk for sexual dysfunction r/t activity intolerance. can i use activity intolerance since it is a nursing diagnosis? 12) impaired social interaction r/t limited physical mobility aeb fatigue. again, not sure this one is proper. head spinning yet??? mine sure is. i thought i was pretty good at writing these until i i was graded on my last careplan. i think i tend to get too creative at times and miss the boat. thank you in advance for your time!

is this a normal feeling? i'm ending my first year of nursing school and will be able to sit for my exam this summer but i plan to continue for my associates in nursing next year. right now, i am passing my courses and i feel like i remember things for testing purposes and low and behold, the next course resurfaces and it builds on the information from the previous class. i feel like i understand everything at the time of class, then when the test comes i feel like i'm missing something. i know there are tricks to the questions, and getting to the root of the question is the way to go, but sometimes i get so confused even though i know the content! after each test, even if i only get a few wrong i am disappointed in myself and feel like i will never remember this stuff for the nclex. i change my study techniques accordingly, but still it feels like i'm missing a huge part of something which i cannot put my finger on. next year the instructors say goes into more depth, but i already feel overloaded! how in the world will i keep my sanity until that point?

Beaver Dam is a small town with small town ways. Everyone seems to know everyone's business. The job market is okay but not exactly great. Taxes are HIGH! Downtown looks horrible. I'm from Indy orginally and find many people just rude, but then again I'm not from here. Crime is really nonexistant, you don't have to worry about getting shot or anything. The schools are average in my opinion, they are a bit behind (2 years) according to my teenager and he's getting bored with school because of it. Finding a job shouldn't be difficult for either of you though.

Good Luck with your exam! I was so nervous I thought I was going to faint, but it was easier than I thought it would be. We had 70 questions but 10 were test questions that we were not graded on, you had no idea which ones were for what though. The skills I got were handwashing (ofcouse), ROM on shoulder, nailcare, transfer from bed to wheelchair, and weight. They had it where you would be paired according to how you finished your test. Anyways, I finished my test and waited going through my booklet again and again until I was close to the last. I had to settle my nerves! Let me put it to you this way, the girl that I was partnered with did not have the book to study from. Her license lapsed and she retook the exam 8 years after it lapsed. She was trying to recall everything from her classes. She passed too!