guerrerop22

Thank you! This all really helps! He currently has "nonocclusive DVT of left common femoral, superficial femoral, and popliteal veins". I'm a second semester nursing student but this is our first semester of clinicals and care plans. I just have to choose one but I wanted it to be the one with the highest priority.

Hello all, I am looking for some feedback from you on my actual dx for my patient. Here's the info: 67 year old male presents to hospital after a non healing blister that appeared spontaneously two week ago burst and became infected. The blister/wound is now covered with eschar and mild erythema is seen surrounding the wound. No presence of exudate. Left leg is edematous and is being measured q8hrs. Pt. has a hx of DVT in his entire left leg, hx of diabetes, hx of HTN. Pt. is on warfarin, various antibiotics via IV (is in process of getting a PICC line), oral antidiabetic agents, and HTN meds. VS are T 97.5 P 50 R 16 BP 134/70 Blood glucose 115. Pt. is not complaining of any pain at the current time. Doctors were debating whether to debride or do surgery and finally settled on just leaving it to heal on its own b/c of his risk for bleeding. Okay, so I know that since my patient has diabetes it is going to take a long time for that wound to heal and even more so because of his DVT. I'm stuck between impaired tissue integrity and ineffective peripheral tissue perfusion. My dx would look like this: 1. Impaired tissue integrity r/t altered circulation secondary to T2DM, DVT, and edema AEB purplish/blue discoloration of left foot, swelling in left leg, redness and tenderness around site of injury or 2. Ineffective peripheral tissue perfusion r/t hx of DVT AEB purplish/blue discoloration of left foot, swelling in left leg, nonhealing skin blister Also, an at risk dx (which I also need to do) could be at risk for bleeding r/t to currently on warfarin Are my dx good? I appreciate any input!!

So for clinical competency we are required to do a whole bunch of procedures. They include: Injections Oxygen Wet to dry dressing Inserting foley catheter Administering meds (pain meds, for example) What is the correct prioritization for these procedures? I would prioritize them like this... 1. Administer meds (oral) 2. Administer Oxygen (I am unsure whether this one should be first, but it would make sense to administer oral meds before I cover their mouth) 3. Injection 4. Dressing 5. Foley Catheter (this is the last one since it is most invasive) What do you guys think? Appreciate your input!

It was Inorganic Chem for me....it wasn't hard, but the professor was CRAZYYYY and it was also my first college science class so that added to the pressure of it. So much stress and so much studying! My advice is to take everything with a grain of salt. Just because someone says a certain class is hard does not mean it will be hard for you. Everyone has different things going on in their lives, and different strengths and weaknesses, as well as different levels of determination! Just make sure you have lots of determination and you will do GREAT! :)

You're right! It just irritates me when people think I know everything just because they hear I'm going to be a nurse, lol.

My school charges about 14500 per semester for 12-18 credit hours. However, I'm taking 12.5 which is 2.5 credits short of what I need for a map grant meaning I will owe the school money for those credit hours that I am short...probably around $500. I decided to commute this semester which means I have to buy a car! AND I don't have money for that, so probably gonna need a loan for that. Aside from that, I will only have a govt loan of about 3500 compared to the previous 10,000 loans I took out freshman and sophomore year. Also, books are going to be around 500 bucks! ughh We're all in the same boat! It will pay off though!

Do you guys hate when someone has an injury/illness expects you to diagnose them, knowing that you haven't even started clinicals or studied more than anatomy and physiology? For example, someone's hand hurt and they said "Nurse, diagnose me!"...and I just kind of looked at them like "?". "All I can tell you is what bones are in your hand, to ice it if hurts, and to see your doc, lol". I don't mind maybe suggesting a possible injury/illness if I know exactly what I'm talking about, but that isn't much since the only disease models I have really learned are in patho. Just wanted to know if I was the only one out there who kinda gets irritated when this happens? I know I get irritated because I don't know all of this material yet, but when I do I wouldn't hesitate to suggest something or give some advice. I don't know, what do you all think?

Can I ask what school you went to? I'm a prospective nursing major..