suzers26

suzers26

nsg homes & homecare

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All Content by suzers26

  1. First Care Plan, Help?

    I agree with what you have listed. I just wanted to say the first thing that sticks out to me is "occlusion of the middle cerebral artery". This decreases oxygen perfusion and can continue to cause serious problems. As far as prioritizing, start wit...
  2. 2. What procedures should the nurse anticipate the physician would do to minimize fetal and maternal injury immedietely before and during delivery? Describe. This makes me think of things like an episiotomy, comfort measures - pain control, assess po...
  3. So uncomfortable with my care plan

    Glad that helped! Also, I wanted to mention the dementia as a secondary opposed to seizures is more than likely because the dementia there's really not much you can do about it. Many with dementia experience falls that often lead to fractures. And if...
  4. So uncomfortable with my care plan

    In my class we are instructed to do nsg dx based on primary dx, or the one which brought them to the hospital. Though this can change if another health issue arises or becomes primary, we would have to adjust it. So if she was admitted r/t ORIF the n...
  5. Like DolceVita, we don't shadow the nurse. If we do run low on things to do I normally ask a nurse if they would mind me shadowing them. At the beginning of the shift whichever nurse has my patient(s) I ask if they are doing anything that might be he...
  6. Is HESI a good Judge for the N-Clex success?

    All schools use it differently. My school has us take the first one at the end of 2nd semester of a 2 yr program. We just did this, I think maybe 3 people passed (% grade is also calculated into final score)....we are required an 850+ to pass. Those ...
  7. Ineffective tissue perfusion is definately a good one but the low lab values would be more of an AEB. WHY doesn't she have effective tissue perfusion. If it's due to hypertension it may be r/t changes in blood pressure assoc with effects of prolonged...
  8. Ineffective tissue perfusion definition is 'decrease in O2 resulting in failure to nourish the skin at capillary level'. In saying that, it would be more of a cause to skin damage. If the skin is deprived of oxygen it could become necrotic. Ineff. ti...
  9. What is your answer to this question?

    I never said they'd be honest...what I said is that's considered just as objective is doing a pain assessment. And that is what is expected for an answer on these tests. I'm sure many exaggerate pain too, but we have no other way to measure it.
  10. Did i pick good nursing diagnosis' for this patient?

    I would think confusion would be r/t mediactions & restraints evidenced by pulling on the tubing, etc. Perhaps something on nutritional status? Anxiety..... impaired communication..... Impaired oral mucous membrane..... disturbed sensory percepti...
  11. Need help on a Nanda Diagnosis

    Homeless & alcoholic...I agree, first thing that comes to mind is altered nutrition:less than body requirements. Ineffective health maintenance r/t..... Readiness for enhanced decision making r/t..... Dysfunctional family process:alcoholism........
  12. Drug Cards

    Future suggestion, davis drugs subscription is $30/ year and they do keep pretty up to date. There's very little drugs I needs to search all over for. And what I do is me and a few class mates join up together to cover the $30 then we all have access...
  13. What is your answer to this question?

    Whenever you need to gather specific information unknown to you it is always best to ask the patient/family, depending on what the case may be, because most have a pretty good idea on what is 'normal' baseline for theselves on basic things. Gathering...
  14. Can nursing students apply for CNA or LPN jobs

    Alot of nsg programs are set up that half way through you can take a lpn course (normally a couple of weeks long) so you can work LPN while finishing Nsg school. Then depending on the state, I know PA does it, you may be able to get a temporary LPN l...
  15. Prioritizing Nursing Diagnoses

    ABC's are physiological needs, which is the first lvl to Maslow's hierarchy. Physiological needs are the literal requirements for human survival, including breathing, eating, homeostasis, ability to reproduce, etc. They would just come first in that ...
  16. Giving Up???

    Pediatrics is a very specialized unit. I am just in nursing school myself, but from what I've seen through school and with my own kids (which I have lost one after spending a week in a pediatric unit with him), it takes a lot to work in pediatrics. I...
  17. Info on ARDS.... http://www.ards.org/learnaboutards/whatisards/brochure/ Basically it's injury at the alveolar level that impairs gas exchange. Which in turn would more than likely cause an ineffective breathing pattern & increased heart rate, et...
  18. Does anyone have difficulties delegating tasks?

    You delegate tasks as a CNA also. Example, if your resident/patient asks you for a sandwich between meals you ask the kitchen to prepare it. If someone leaves and the room is empty, you let housekeeping know so it can be cleaned. It shouldn't be thou...
  19. NCP - risk for ineffective tissue perfusion goals

    I wouldn't say they are the same, but active bleeding can lead to hypovolemic shock if too much volume is lost. If your NSg DX is ineffective tissue perfusion think what the signs are that those tissues are being deprived of oxygen, and remaining ...
  20. Prioritizing Nursing Diagnoses

    Safety ia always a priority, however, when prioritizing nursing diagnosis maslow's hierarchy of needs should be a basic guideline. For Maslow's hierarchy, physiological needs should be met first, then safety needs, love & belonging needs, self-e...
  21. Prioritizing Nursing Diagnoses

    Personally this is the order i would use for these particular dx. Following Maslow's Hierarchy & ABC's, Tissue perfusion would be first because it deals with circulation. And keep in mind it's always a priority to deal with what's already happen...
  22. generalized dx for Or & PACU

    HI, I just completed clinical rotations in both Or & PACU and have to submit 3 nsg dx for each, doing a complete careplan for only the priority dx. What's catching me up is doing it generalized rather than patient specific, I find it much easier ...