Samian Q

Samian Q

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All Content by Samian Q

  1. So one of the patients I care for tomorrow was admitted for facial cellulitis. Her serum creatinine is listed at 0.7 and her Creatinine Clearance (CrCl) is at 292.86, according to the labs. The serum...
  2. So I have to do some patient teaching and then write up a teaching journal for a patient I care for tomorrow. Here's the instructions for the assignment: "The evening before clinical, identify a...
  3. Long story short: I have to do this patient teaching assignment tomorrow on a pt. I haven't met. However, from her patient record, her diagnosis is gastroparesis and her medical hx indicates she has...
  4. So far I've listed "cod liver oil", "cooked swordfish", "cooked salmon", "Living Harvest hemp milk", "fortified orange juice", "Silk soy milk", and "egg yolk" for vitamin D. I haven't look up the...
  5. But this site says normal CrCl is 88 to 128 for females: Creatinine clearance: MedlinePlus Medical Encyclopedia This woman's CrCl is way above
  6. Hmmm. I haven't met the patient, and since it's a prospective assignment, I need to have all the details ready already when I'm there tomorrow. How about I do something with diabetic diets? All I know...
  7. So for my adult health nursing class, I have to write up a Client Teaching Journal. Here's the formal instructions: "Client Teaching Journal: The evening before clinical, identify a client/family with...
  8. Sorry, the way my question got worded doesn't make sense. What I'd meant to ask was this: I've given people flu shots IM before, and obviously at the end I'd tell them "Be sure to drink plenty of...
  9. I was always told to say "Drink plenty of fluids" to decrease the achiness that comes after you get the shot. And idk the physiology behind it
  10. I'm a nursing student (whom you probably have already seen on this board more than a few times before!), and in my med-surg clinicals I had my midterm evaluations with my instructor. My instructor...
  11. Thanks so much. It's just really hard for me now, as a nursing student, especially since I'm in an accelerated program. For me, the clinical days sometimes just feel like a hurdle I need to get over...
  12. Woah. How do you know so much about insulin and diabetes?! I never thought that they would ask so many questions, though. But, to be honest... I kind of hope my patients don't ask a lot of questions....
  13. So tomorrow, I'm assigned to care for a patient on the med/surg floor with an admitting diagnosis of "Ulcerative Colitis with Exacerbation". Simple enough, right? The patient's charts say their diet...
  14. So two weeks back I had this patient with an exacerbation of ulcerative colitis. And for my concept map for this patient I'd made three very lovely nursing diagnoses: "Diarrhea r/t bowel inflammation...
  15. For my L&D data sheet, there's a part that asks about lab values. Here's what it says: "Lab tests done during labor: include routine (CBC, HBsAg, RPR, HIV, blood bank testing) and any additional...
  16. Well, the normal calcium levels are between 8.8 and 10.5, and this person's only labs were drawn at the time of admission. It was 8.6. Ergo, they'd be hypocalcemic. But I looked in the index for...
  17. Aha!!! So if my nursing professor asks, "Why didn't you do that 'risk for electrolyte imbalance' nursing diagnosis for your care plan?", I can reply that if I had, the entire "DEFINING...
  18. Hey, thanks!!! I went ahead and did a care plan on another diagnosis, since I had veritably no clue how to do the "Signs and Symptoms/DEFINING CHARACTERISTICS" section of a care plan if it were going...
  19. Uhm, cardiac dysrhythmias? At least according to this book, hypocalcemia can cause QT wave stuff to happen and that's obviously not good. But that's still quite a stretch to say Ulcerative Colitis is...
  20. But I don't see "Electrolyte imbalance" on the index of any of these
  21. I have a copy of Ackley's "Nursing Diagnosis Handbook" with me. I looked up "Hypocalcemia" for suggested nursing diagnoses. Here's what I get: 1) Activity intolerance r/t neuromuscular irritability...
  22. Okay, now I'm on this part of the care plan: "Signs and Symptoms - These refer to specific DEFINING CHARACTERISTICS (as evidenced by) or observable signs and symptoms demonstrated or described by the...
  23. But why's it one and not the
  24. My textbook says that a low Hct & Hgb can be a sign of iron-deficiency anemia, and a high Hct/Hgb can be a sign of polycythemia. Not sure how that relates to the intrapartum period, though...
  25. Oh, and I have to explain abnormal lab values, citing some source. Great. My patient's Hgb was 11.9 (12 - 16) and her Hct was 36.8 (37 - 47%). Arrrgh. How do I explain