tarheelsu

tarheelsu

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  1. Question about a care plan for post-op T& A

    When I think about inneffective protection, I think about someone who is unable to protect themselves, as in unconscious in surgery or a coma, etc. Also, I thought risk for bleeding was a NANDA. I don't have my book handy but I think it is one.
  2. Veterinary Technician or RN?

    Um, they are totally different, so it's really hard to compare. I don't think there is much available in terms of career advancement as a vet tech. I think of a vet tech being more comparable with a CNA rather than a RN. You should see if you can ...
  3. Should I report wide-spread cheating in my class?

    At my school if we are aware of cheating and we don't report it, we will be kicked out. You should go in person and speak to the director of your program.
  4. IV therapy & TPN

    Unfortunately there is no quick and simple answer. Look up TPN and fluid and electrolyte imbalances in your textbook. TPN is not going to fix all the electrolyte imbalances and it can cause significant side effects. I can't tell from your post if ...
  5. ADN to BSN or Accel BSN program?

    If the end result is the same, then I don't think there is a definite better route. I'd look at how fast you would have your BSN with both routes and what the financial cost would be. When you look at financial cost, make sure you include whether or...
  6. FUO, PLEASE HELP

    Then I would look mainly deficient fluid volume, imbalanced nutrition and acute pain. Look up info on the FLACS and FACES pain scale rating for acute pain data. Then for the others look at the defining characteristics for those nursing diagnoses an...
  7. Can you help me with my nursing diagnosis?

    So if you have to do respiratory you probably have ineffective airway clearance or impaired gas exchange. You need to have a care plan book. Look up the defining characteristics for these diagnoses and see what assessment data you have. Airway coul...
  8. We've had a number fail out, maybe 25% or so. I think maybe 3 for cheating. One or two for doing unauthorized procedures during clinical (removing catheters/ IV's, miscellaneous stuff without permission). One for HIPPA violation. We have a strict...
  9. FUO, PLEASE HELP

    When you had him as a patient what assessment data did you get? How was his fluid status? How was he eating? How about his output? Skin turgor? Thrush is basically a yeast infection of the mouth. It is very painful, and probably makes him not want t...
  10. The first semester of nursing school is brutal. It just is. But complaining about the teachers, the tests, etc is useless. The people who do the most complaining are the ones who aren't going to make it. That's just the way it is. The instructor...
  11. labeling peripheral IV lines

    When you label the tubing, you mark either the date you put it up or the date it is due to be changed. From what I know, the guidelines are based on the risk of infection based on how many times the IV tubing system (from the IV site through the tub...
  12. Need help with a careplan PLEEASE!

    You have got to do more background work before getting help with careplans/ nursing diagnoses. If its an actual chart, read the history and progress notes/ labs, etc to find out details of why they are in the hospital. If you don't have that, look ...
  13. Bending needle after injection

    Perhaps it is a habit that is second nature. Did she actually touch the needle with her hand to bend it? If so, that is BAD. But if she pressed the needle against a hard surface, maybe a bit less bad. But either way is unsafe. Touching it risks ...
  14. We had a lab on IV starts. We had to pass a clinical skill test where we started the IV on a dummy arm. We couldn't practice on each other, we were told that it was because of insurance. We do IV starts in clinical, starting from whenever we have p...
  15. Supratherapeutic INR

    Supra = too much Look up what INR measures. Look up some anticoagulants in your drug book. How do they work? What would they cause if you had too much of them? What are the adverse effects?
  16. Need help on care plans!

    Look up DM in your med-surg book and see what ND are common for it. For neurosensory think about any problems with pain or sensation. Many diabetics have issues with perhipheral neuropathy where they can't feel their feet very well, so they get foot...
  17. ABC`s help .. nursing priorities

    Airway -- think of the actual airway like a tube - what could cause it to be blocked? Trauma, mucus, etc. One nursing dx is ineffective airway clearance. Breathing -- anything having to do with the act of breathing -- respiration rate and depth (in...
  18. I'm going to agree with the others, this is just the way nursing school is. All information covered in lecture or texts is fair game. And the questions are often not "fair". Often answers are wrong because of one word. So read all questions caref...
  19. I would word the physical assessment pretty much you would for an adult patient . . . results of your head to toe, etc. Then I would look up what developmental tasks they should have accomplished according to their age and document that. Ex -- deve...
  20. Help in Theraputic communication

    Well do you have some guidelines in your textbook or notes for therapeutic communication? I think there should be some in your fundamentals book and definitely in a psych book. In this case think about coming across as being nonjudgemental and upsi...
  21. Two year vs 4 yr

    I think it all depends on the particular school, not whether it is a 4 yr or 2 yr program. I'm in a 2 year program and tons of people have failed, probably about a third of our class (we're halfway through the program). For what its worth if I was i...
  22. How many semesters of nursing classes do you have?

    It seems like my program is a bit different from some others, but we have 4 16 week semesters and one 10 week summer session. We started clinical halfway through the 1st 16 week semester and we do clinicals one day a week from then through the entir...
  23. I could really use some help prioritizing nursing diagnoses for my clinical patient from this week. This is my first time putting a post up like this, so please let me know if I leave anything out. 72 year old female history admitting diagnosis of h...
  24. help with priority nursing dx

    I would look at impaired skin integrity and acute pain. You can't do risk for infection b/c a risk diagnosis can only been used when risk factors are present, but not when the condition is actually present. Risk for further infection is not a NANDA...
  25. I would think you could use the +1 edema as part of your AEB. Was he on tele? If so do you have his rhythm from that. Did he have any abnormal heart sounds? What was his rate and rhythm? What were his other VS?