xtxrn

xtxrn ASN, RN

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All Content by xtxrn

  1. prioritizing diagnosis

    xtxrn replied to CheKaysMom's topic in Nursing Student Assistance

    Just my observations... (and GrnTea went into more detail) -- hemoptysis = coughing up blood..... but assessment = no cough. Confused about how both could be in the assessment; did he have hemoptysis...

  2. Viremia and Septic Shock

    xtxrn replied to Buckaroo93's topic in Nursing Student Assistance

    Also, has the hypothetical person been in any areas that are more likely to expose him to bacteria, fungus, or viruses from roaches, rats, fleas, ticks, etc?? Tabers has a really good infectious...

  3. Your thoughts/reasons patient is in pain or addicted or what...?

    xtxrn replied to NocturneNrse's topic in General Nursing

    is this doc prescribing fentanyl for 'not that much pain'? does he have a clue about long term pain care management?? as far as the one vicodin-- i worked drug/alcohol rehab....70 vicodin a day was...

  4. Checking visitor's vitals

    xtxrn replied to AJPV's topic in General Nursing

    that's why my wording was very specific. :) "i can't do much if you find some". i did not tell him i'd left it, or to take it .... he may have actually seen me put it down, or found them later. (i...

  5. Checking visitor's vitals

    xtxrn replied to AJPV's topic in General Nursing

    @ bjaeram.... I have been sued. Not over anything with medication, and bottom line, the renal failure that was not treated with dialysis was what killed the woman.... but myself, the DON,...

  6. Checking visitor's vitals

    xtxrn replied to AJPV's topic in General Nursing

    I would have no problem with this - the flowmeter would already have been set, and it was more of a mechanical issue than initiation of care outside of the home setting; but with the little old guy,...

  7. Seniors' Texting

    xtxrn posted a topic in Nursing Humor

    I got this from a post by Poi Dog.....(gotta give credit where due ....not sure where she got it- coulda made it up ?? She's pretty funny :)) Highjacked from a thread... WHY SENIORS DON'T TEXT ATD--...

  8. Checking visitor's vitals

    xtxrn replied to AJPV's topic in General Nursing

    At 3 am the gift shop isn't open, and as I mentioned in the 3rd paragraph, the vending machines didn't carry them back then (this wasn't this year :)). And no, I didn't get caught. And I would do it...

  9. When to hold cardiac meds?

    xtxrn replied to dizzyray822's topic in First Year After Licensure

    Every patient is different. If the doc has not left parameters, get some :) You can also call pharmacy and ask them what the manufacturers recommendations are But you deserve to get some answers...

  10. What were you not expecting when you got out on your own?

    xtxrn posted a topic in First Year After Licensure

    I appreciate the answers to the other thread about what you didn't feel you got in nursing school.... I'm still interested in the new grads' experiences :) What have been the biggest surprises (good...

  11. What were you not expecting when you got out on your own?

    xtxrn replied to xtxrn's topic in First Year After Licensure

    I think instructors have a "Fear Factor" quota they have to meet.... starting with how easy it is to lose a license (that is NOT true), how everybody sues (depends on the lawyer:patient ratio), and...

  12. What do you do on the drive to work?

    xtxrn replied to whitecat5000's topic in General Nursing

    I used to think about driving

  13. Care Plan help please!

    xtxrn replied to TXnursingstudent36's topic in Nursing Student Assistance

    Agree w/GrnTea :) You're thinking along the right

  14. Horrified, disappointed and need advice......

    xtxrn replied to Mom2Chaos's topic in Nursing Student Assistance

    I can't say this for sure, but some of those placements may have been a "safe" way to weed out those who are never going to make it while they have someone looking over them :) To give the students...

  15. what would you have done?

    xtxrn replied to mommywithplenty's topic in Nursing Student Assistance

    Instructors HAVE to find something to "teach"....sometimes it's goofy stuff. You did the right thing...if you had gone for the goggles (BTW- was there some risk of slinging fluids? Or are they making...

  16. Careplan for Client

    xtxrn replied to AKastner09's topic in Nursing Student Assistance

    Yep :) And thank YOU for being

  17. Looking for some guidence on a care plan.

    xtxrn replied to Miranda DeVore's topic in General Students

    Once you get the hang of using your own words, you'll wish you had a photo of whoever came up with NANDA on a dart board When you get away from NANDA, you can simply take the problem, and write it...

  18. Checking visitor's vitals

    xtxrn replied to AJPV's topic in General Nursing

    I had a man and his wife come in with their 3 day old baby, who needed a septic workup .... they had been up since getting home 1 1/2 days before, and both were exhausted- mom just flat passed out...

  19. Just got a new grad job in neuro - what to expect?

    xtxrn replied to Hands&Feet's topic in Neurological

    Hickey's book is sort of the "Bible"...but there were errors re: pseudo seizures in the last edition I got (about 8 years ago). It gives good introductory info on a lot of neuro disorders, but for...

  20. Last semester Nursing student wanting to work in Neuro field

    xtxrn replied to savinglives33's topic in Neurological

    OK....first off, you're going to be an RN, not "just" an ADN :) I'm an ADN grad from 1985....my first hospital job was on a neuro med-surg floor in a mid-sized community hospital. We didn't get huge...

  21. Lab Values

    xtxrn replied to BBRANRN2013's topic in Nursing Student Assistance

    Also, (as an ADN grad myself).... in school you learn labs sort of 'as needed'....when you get out of school, and see the stuff ALL the time, it starts getting easier :) But it takes time to put it...

  22. Nursing Diagnosis Help!!

    xtxrn replied to LearningStudent's topic in Nursing Student Assistance

    The same ones as for any type of infection... check for those listed among the ones for IV access devices. This is an entry point to the entire blood stream..... so, what are the issues????

  23. Careplan for Client

    xtxrn replied to AKastner09's topic in Nursing Student Assistance

    Impaired physical mobility definitely applies- she is not mobile like a "normal" person is. Someone who is bed bound is the most extreme form of impaired mobility :) So your "impaired physical...

  24. Horrified, disappointed and need advice......

    xtxrn replied to Mom2Chaos's topic in Nursing Student Assistance

    With healthcare being what it is, LTCs are getting much more complex patients (and a treasure trove of wound care experience). Many do longer term IV antibiotics, and more rehab oriented care- it's...

  25. Other than UTI, any other reasons foley leaks?

    xtxrn replied to Vtachy1's topic in General Nursing

    Yeah. Since I've been disabled, the only thing I can contribute currently is my experience as a patient....I will always have my 19 years of working and what I learned there, but the last 7 years...