mlauren

mlauren

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All Content by mlauren

  1. Diarrhea rt adverse effects of medications >>> outcome?

    mlauren posted a topic in Nursing Student Assistance

    Can you guys help me figure out some outcomes for Diarrhea rt adverse effects of medications (chemotherapy)? All I can come up with is Pt. will have one bowel movement with normal consistency. I know,...

  2. question about heart failure

    mlauren posted a topic in Nursing Student Assistance

    If a patient has heart failure, is on lasix, and has decreased bowel sounds and muscle weakness, would you give a potassium sparing diuretic or 20 meq/l potassium? Could you guys help me understand...

  3. question about heart failure

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Yes, that is how the question should have been set up and graded, but it wasn't. I HAD to assume to get the question correct. I agree that this is not effective at all. I didn't learn anything from it...

  4. question about heart failure

    mlauren replied to mlauren's topic in Nursing Student Assistance

    The correct answer was the potassium sparing diuretic. The other option for 20 meq was a bolus dose. Sorry I left that part out. So that's why it wasn't correct. But I still don't understand why you...

  5. How long are patients NPO after surgery

    mlauren posted a topic in Nursing Student Assistance

    Just wondering and can't find a straight answer online or in my notes. I know it's usually no food/drink 8h prior and fluids are usually allowed up until 2 hr prior. Just can't remember what was said...

  6. How long are patients NPO after surgery

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Ok thanks

  7. Diarrhea rt adverse effects of medications >>> outcome?

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Thanks for the advice guys. I already had risk for deficient fluid volume and electrolyte imbalance and impaired skin integrity listed on my POC. My patient had no signs of these, so diarrhea was...

  8. POC Anemia secondary to chronic blood loss

    mlauren posted a topic in Nursing Student Assistance

    Hello again, I'm doing my POC for this week and having some trouble finding a ND. To start, this patient is a 47 year old female admitted for a total abd hysterectomy, with chronic blood loss due to...

  9. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    So basically what you guys are saying is that I do not have enough evidence to back up the ineffective peripheral tissue perfusion or Impaired tissue perfusion. But could that be a possible problem...

  10. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Thank you so much for sharing your knowledge on this. This is very

  11. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    You're right. I was having a hard time seeing that yesterday only because of the defining characteristics. There is definitely no evidence of that being an actual problem yet. Which is why you...

  12. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Looking at my ND book and a little online, the defining characteristics for decreased cardiac output match the symptoms better than ineffective peripheral tissue perfusion. Eg: under decreased cardiac...

  13. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Gotcha! Thank you so much! I don't know what I would do without some help. This is always harder than I think it will be. But I'm glad I'm getting somewhere with

  14. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    This is a lab simulation and I think they want us to assume she hasn't had surgery yet. But I see what you're saying. I tried googling care plans for anemia and found Activity intolerance related to...

  15. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Oh ok, I had not heard of those, probably because they want us to focus on the NDs. But anyhow, electrolytes are fine. What about Chronic pain rt uterine fibroids AEB reported pelvic pain? We aren't...

  16. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    OK, I did not realize I had left labs out...Hgb 10.2, Hct 30.6, and RBC 3.4, WBC 8.7. Thanks for clarifying that for me. And I don't know what you're referring to >

  17. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Ok, but on the scale we go by 3+ is normal. Another question, if I'm not able to support these diagnoses to use them without the risk for, should they still come before other actual diagnoses that are...

  18. POC Anemia secondary to chronic blood loss

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Ok, anemia can lead to a rapid or irregular heart rate and heart failure (I just have to look for the ND related to that), and what about impaired gas exchange rt altered oxygen-carrying capacity of...

  19. question about pathophysiology of fractures

    mlauren posted a topic in Nursing Student Assistance

    For the past several rotations all of my patient's admitting medical diagnoses have been fractures. So my #1 diagnosis on my POC has to be related to that. I'm having a terrible time finding...

  20. question about pathophysiology of fractures

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Thanks guys! This is very helpful. I was wondering why there wasn't more information on either of these in the chart. Unfortunately, at about 11:45 last night I fell asleep. My POC is always due at...

  21. question about pathophysiology of fractures

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Ok, thank you! I didn't think about putting MVC in there with it. The specific adm diagnoses were open patella fracture and rib 2-3 fracture with flail. But there was nothing about type of fracture....

  22. Help with prioritizing diagnosis

    mlauren posted a topic in Nursing Student Assistance

    My patient this week was admitted with back pain from a recent fall, two old fractures, no new. She also had a mild temp, O2 sat 88%, and urinary retention/obstruction when she arrived. (confirmed...

  23. Help with prioritizing diagnosis

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Thanks so much guys! I feel like I understand the nursing process pretty well. But honestly since I started clinical I have not been doing things the way I should be. I come home with all of this...

  24. Help with prioritizing diagnosis

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Oh and thank you so much for taking time to give me tips on this! I really appreciate

  25. Help with prioritizing diagnosis

    mlauren replied to mlauren's topic in Nursing Student Assistance

    Thanks! I have a nurse's pocket guide. I definitely looked at all my data before just choosing diagnosis. When I assessed this patient she didn't seem to be in pain, but wasn't able to respond too...