finallyhere

Thanks but I got a nurse with 20+ years exp to help me. She thinks I am on right track just need to refine it a bit.

Yes, but I didn't list her meds she is on. She has a great many. The pancytopenia could be from the cancer. She was a new admit and her chart was not complete so I was unable to find out what type of cancer she has/had. She is also on Potassium. and on meds for the hypertension. She has normal VS. Thats why I didn't go the route of the HTN or Hypokalemia. She has no airway issues, she has no breathing issues, and no circulation issues. Her pedal pulses were present in both feet. Thats why I went the way I did. I can't go back to the location and recheck her completed chart. I know getting the full scoop would be the best way to approach this. heart sounds were strong lungs clear to auscultation bilaterally abdominal sounds were normoactive and stomach was soft to palpation. Also the NANDA book states that a nsg diag of decreased cardiac output needs to be substantiated by vs not being stable, ekg not normal, ABG not normal etc...... they only ordered CBC and urinalysis screenings on her.

I copied it directly from the book. I am getting 10mg per dose. I have double checked and that is how it is stated. Should I start thinking the book may have a misprint. I am more than capable of doing basic calculations and this one tripped me up bad.

Hi I have a math problem that I am pulling my hair out over and I am sure it is something simple I am missing. This is it: Amoxil 500 mg po q6 h is ordered for a child weighing 50 kg. The recommended high dosage of amoxil is 80 - 100 mg/kg/24 h q12. A. what is the single dose range for this child? B. Is the ordered dose safe to administer? Prove your response. I keep getting 10 for my answer and it is suppose to be 312.5 to 625. I have no clue what I am doing wrong. Thanks

I have a 71 yof pt. She states she is in the rehab hosp. because she had hip surgery and it is not healing correctly. Her past med history is cancer, cirrhosis, cataracts, she has had one digit on each hand amputated (maybe the cancer?) She was a new admit, so I didn't get a lot of information out of her chart. Her admit diag is UTI, pancytopenia, Hypokalemia, HTN, Functional Decline, Parkinsons had a question mark behind it with a note that she has it, but no history to back it up. She has had 2 falls in the last month. The hospital she was transferred from removed her IV and Foley. She arrived about 14:30 and had no drank much since she was going through all the admission hoops. She had not voided since the catheter was removed. I assume this is because of lack of time to have adequate fluid intake. She is able to do most self care with assist. She feeds herself and is on a normal diet and VS are all WNL. The nursing diagnosis I was planning on using for her is Impaired physical mobility r/t musculoskeletal impairment aeb falls sustained twice in one month. I picked this because her ABC's are all good. So I moved to pt. safety. My nanda book covers the related factor of musculoskeletal impairment. I pulled the info about the 2 falls from her chart so it is objective data I used to substantiate this diagnosis. Just wanting to know if I am on the right track. I have done several pt. care plans already but this one is a big deal and we are being graded on it. Thanks so much!

I know, I am trying to make changes in my lifestyle so when I get to the point of giving advice to others I am following it myself. Anything worth doing takes hard work and time. I will get it, I have till mid-October. I just worry about what will happen if I don't make it and have to leave the program.

I was up till 3 am working on it. Thanks so much for the info. It is just so overwhelming to have to accomplish so much in such a short period of time. I stress more than I should, due to the fact I quit my job to do this. I left what is considered a great job in my area to do this. People would kill to have the job I left. All I can say about that is be careful what you wish for. I am a single mom with a 9 year old and a 27 year old that has had a hard time with the economy. I just don't want to fail. I have enough money set aside to last me for the duration of school, but if I flunk out on the dosage test in October, well I am up the creek without boat, paddle, or lifevest. Once again THANKS EVERYONE!

Thank you so so much! I bookmarked the post. It is hard to do math after being out of school for 31 years. I love this site. I have been reading it while I was doing my pre nursing. I have my nursing acceptance letter framed and my kids laugh at me. I say let them laugh, one day they will accomplish their dream too and then they will understand.

I am a non traditional student (48 years young) but I am having a dickens of a time learning med calculations. Our classes officially start August 24. The school sent a packet out and it has a lot of practice test questions for this. I have the book they told us to get and I have been working in it. I am struggling with this. If any one has any suggestions to help I would very greatfully take them. Math is not my strong point. We have weekly quizes for this and I would like to get at least one right on my first quiz. I have to pass the med. calc. test with an 85% in mid October or be tossed out of the program. I have too much heart, time, and money invested up to this point to lose it all. Thanks