Kevsab7

I thank everybody here with the ALLNURSES Community for helping/advicing/teaching/guiding those in need, it's truly a blessing.

I read a chapters highlighting the things i find important. Our teach doesn't allow us to tape record. I review a lot of critical thinking test questions. The powerpoints are only a outline to what to focus on. If i have time i will make my own notes, I will change the scenery (outside), I will do things like hold on a stress ball to help me think better while i'm squeezing it( it's a form of learning for people who are body kinestitic smart) i study 2 hrs on and take a hr break so i don't over due it where nothing sticks to my brain because i'm over dueing it..

Were you are RN 1st or a Paramedic? (I would think being a Paramedic first well help you to put the overwhelming material from the RN school into perspective)

We only take One class of GIGU.. so it's everything from upper & lower GI, disease process, endocrine system, and now I have a BIG test on Diabetes.. Like I made it this far so I can't be a dumb dumb I presume. Like the 1st test 80% of the class failed the test.. You have to remember this is not Nursing process 1 or 2 where people start dropping like flies left and right. So all I can do is what I'm doing right now... studying... I literally study close if not more 40hrs a week.. I'm open to suggestions/advice/insight/anything Thanks again guys.

Thanks for the response. I forgot to mention that my financial aid is going to be cut off shortly. So that puts me in a tight spot considering RN they highly recommend not to work compared to Paramedic I think people have part-times and even full time jobs. NUrse2033- Were you are RN 1st or a Paramedic? (I would think being a Paramedic first well help you to put the overwhelming material from the RN school into perspective) Would it be wrong to ask if anyone out there knows anything about acclerated emt or paramedic programs in Florida? My ulitmate goal is to be a Flight paramedic/RN! Trust me, I'm not looking for a way out. I'm looking for options in a humble way. I'm just searching whats meant for me for right now with the help of everyone too.. I'm grateful.

Hello I'm in the RN program, currently in Med-Surg. I am in a school that is a very respected school known to the RN world, that makes a very high standard for RN students which nothing is wrong with that but just so you see my point. I'm finding it very very hard to pass my class GIGU (Med-Surg) (this is my 2nd time taking the class):nuke:, so you can imagine with a lot of sacrificing being made and not getting out the results you have BEEN hoping for. So my question to everyone is what can/do I do? I'm thinking to take the approach towards Paramedics to get more experience or is that a foolish route considering I'm half way there to get my RN. I'm an exhausted student looking for peoples experience in BOTH paramedic and RN. I know this question, many might not like it:smackingf but I'm not the type finding the easy way out I'm actually in the medical field because I sincerely want to help others emotionally, physically, and spiritually. So here's the question What schooling is found to be harder? paramedic or RN? Any advice for someone struggling in med-surg? Is it normal to struggle as much in med-surg? Do the classes after med-surge like peads, cardio, psych, & OB are as intense? Please ANY feedback/help is much appreciated.. :)

Hello I'm in the RN program, currently in Med-Surg. I am in a school that is a very respected school known to the RN world, that makes a very high standard for RN students which nothing is wrong with that but just so you see my point. I'm finding it very very hard to pass my class GIGU (Med-Surg) (this is my 2nd time taking the class):nuke:, so you can imagine with a lot of sacrificing being made and not getting out the results you have BEEN hoping for. So my question to everyone is what can/do I do? I'm thinking to take the approach towards Paramedics to get more experience or is that a foolish route considering I'm half way there to get my RN. I'm an exhausted student looking for peoples experience in BOTH paramedic and RN. I know this question, many might not like it:smackingf but I'm not the type finding the easy way out I'm actually in the medical field because I sincerely want to help others emotionally, physically, and spiritually. So here's the question What schooling is found to be harder? paramedic or RN? Any advice for someone struggling in med-surg? Is it normal to struggle as much in med-surg? Do the classes after med-surge like peads, cardio, psych, & OB are as intense? Please ANY feedback/help is much appreciated.. :)

ok thank you but I have a Question is ORIF a Medical diagnosis? or would the medical Diagnosis be "fracture hip" then the interventions would be Open Reduction Internal Fixation??? Do you know what i mean? If you do know what I mean, any ideas for Nursing interventions?

It might seem small to everyone but I'm having a problem either finding a diagnosis or it already is...i dunno.. Ok so I have a pt who has a hip fracture undergoing ORIF sooo the medical diagnosis would be Hip fracture or Open Reduction Internal Fixation. The after that said and done the Nusring Diagnosis can be what? Symptoms are normal. Having trouble eating, pt is at risk for fall which she fell at her ALF if that helps a little Past Medical History: COPD, anemia, schizophrenia, CVA, ASHD, dementia -Activity intolerance? -chronic confusion? -Risk for falls? -impaired memory? -impaired physical mobility? -risk for OR actual impaired skin integrity? Which sounds better or any more suggestionS? Interventions? goals? Sorry this is my 1st semester in the RN program..

How about this? please any corrections or suggestions again would be grateful. 1-Deficient fluid volume related to active fluid volume loss as evidenced by 5 day history of intractable vomiting. SHORT TERM GOALS: - Patient will experience a decrease in vomiting within 24 hours. - Patient will hold fluid volume NURSING INTERVENTIONS: - Obtain weights using same scale, same time of day, and same clothing, as much as possible. - Educate my patient on normal fluid intake per day is 2200 to 2700 mL. 2- Imbalanced Nutrition: Less then body requirements related to inability to digest foods evidenced by over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. SHORT TERM GOALS: - Patient will have balanced intake and output in 24 - 48 hours - Patient will record their intake and output NURSING INTERVENTIONS: - Monitor nutrition intake - Consult a Dietian 3-Acute pain related to poor posture evidenced by she ambulates with walker 4- Fatigue related to poor physical condition as evidenced by patient states she gets tired easily. 5- Impaired physical mobility related to ? ____________________________________________________________________ This was my first posting and I am very pleased and happy to know how accurate and quick people are with the a response...THANK YOU!

So tomorrow is my first day of clinical at the hospital and they wanted us to do a care plan so I'm very new at all this...Some help will be great.. I'm just having problems adjusting to this new way of thinking mindset. I got some nursing diagnosis not sure if they're in the right order or if there is more.. I want to learn and be guided in the right direction. Case Study Carla Dillon is a 70 year old frail Caucasian female with a 5 day history of intractable vomiting, fever ranging between 101-102 F, and non-specific back pain. Over the past 2 days, she has had 5 liquid stools per day and can not tolerate a regular diet. Chief Complaint: "I ache all over and can't seem to keep any food down. I can't afford to lose any weight." The following labs were ordered and obtained in the Emergency Room (ER): CBC with diff, Chem 14, Blood C&S, Stools for O&P, Stool for C. Difficile, Stool C&S, U/A & UCx Abnormal Lab Values report: CBC with Diff WBC: 22,000 (H) RBC: 6.1 (H) Lymphocytes: 67 (H) HCT: 55% (H) Hgb: 18 (H) Chemistry Na: 133 (L) BUN: 22 (H) CO2: 12 (L) Creat: 27 (H) Glucose: 52 (L) Urinalysis Color: dark amber Culture: pending Specific gravity: 1.035 (H) pH: 8.5 (H) Cultures Stool: pending Blood: pending The patient is admitted to the medical-surgical unit. Admitting Orders: Admitting Dx: Dehydration 5%, Fever Diet: Clear liquid, advance as tolerated Vital Signs every 4 hours Strict I&O's IVF: D5LR to run at 100 mL/hr Medications: Lopressor: 100 mg PO once a day MVI: 1 tab PO once a day Tylenol PRN for temperature over 101 Admitting Assessment: General Survey: Frail 5 ft tall, 100 lb elderly female. Presented to ER and arrive to floor alone with an emesis basin. Face pale in color. Currently, shivering uncontrollably. Vital Signs: Temp: 102 F (oral), Pulse: 128 (bounding, regular), Resp: 30, BP: 98/52, O2 sat: 96% on RA, Pain Scale 2/10 Skin: Face pale. Warm, flushed with decreased turgor. No bruises or lesions noted Neuro: Alert, awake and oriented to person, place and time. PERRLA. EOM's sluggish Neck: No JVD, No Bruits auscultated Thorax: S1, S2 regular. Apical pulse 120 strong, regular. Respirations 30 equal chest rises, labored with slight use of accessory muscles Abd: Flat, non-distended, tender to touch with hyperactive bowel sounds. Last bowel movement in ER; loose to watery brown with foul odor GU: No discharge or odor noted. Last void in ED of 100 ml of urine Extremities: Ambulates with walker. Upper and lower with full ROM's Psychosocial: Retired school teacher. Husband died last year. Son lives out of state. Lives alone in retired community, but has many friends and is active within her community. _________________________________________________________________________________________________ Nursing Diagnoses in order of priority: 1) Nursing Dx-Risk for deficient fluid volumes related to excessive fluid output (or Excessive emesis?) 2) Nursing Dx- 4) Nursing Dx-Fatigue related to Poor physical condition I just want to know so far if I'm on the right track... thanks for your time guys!