Stoogesfan

The famotidine was new but the rest he had been on for quite some time.

He was on lisinopril, metoprolol, insulin lispro, famotidine, furosemide, fluoxetine, acetaminophen, and simvastatin. He didn't have the echo while I was there. By the time I came back to clinical he had been discharged. We are only there one day, then off for 2 and come back. He had no complaints of anything. He said he felt great.

I looked it up in my diagnostics and lab book and it gave these levels: Troponin T Troponin I So are these off? So I'm confused then. I have been told by my instructors that if I didn't assess something or it's a lab value etc that is CURRENTLY happening I can't use it as data for a nursing diagnosis. So my client had chest pain and shortness of breath in admission but not since. I saw him over 36 hours after his chest pain and shortness of breath had stopped. That's why I really wasn't focusing on pain. I really don't mean to sound like such an idiot. All my clients up until now had actual assessment data I could use to formulate diagnosis for and when I seen he had no complaints, no abnormal vitals and according to hospital protocol and my book no abnormal labs I felt so lost. I really do appreciate everyone's help. I want to not just do enough to pass clinical and nursing school, I want to be a good nurse.

It was troponin T and the normal per facility was 0 to 0.2. Troponin I didn't have a level. I asked my instructor about the level for that and she said that if it wasn't given than it wasn't ordered for some reason. She honestly acted like I was an idiot for even asking. There is a risk of electrolyte imbalance with diuretics. I'll have to think about some more. I'm on lunch break at clinicals right now and it's time to go back to the floor. Thanks for all your help :)

Sorry I forgot to answer this lol. He is on insulin lispro sliding scale. Honestly I was guilty of trying to make my client fit a diagnosis instead of the other way around. I decided on risk for falls because honestly other than giving meds, all my interventions that day were aimed at educating him about orthostatic hypotension and his risk of falling and implementing measures to prevent a fall so that's why I chose that diagnosis.

He had no skin issues, no immobility, no pain, no shortness of breath, no apparent depression or anxiety that I observed and he never gave any indication that he was having social issues, his wife was at his bedside the whole time, he was alert and oriented, his lungs were clear, bowel sounds were normal, no diarrhea, constipation, no voiding issues. He did say he had pneumonia about 3 months ago but X-rays were clear and he wasn't taking any antibiotics. No cough. I ended up talking to my instructor and she agreed to let me do a risk for diagnosis. He was on diuretics, two anytihypertensives and an antidepressant so I chose risk for falls.

He was there waiting for an echo. His labs were ca 9.1, K 4.2, MG 1.9, po4 3.7, Na 142, hemoglobin 13.9, hematocrit 46%, BUN 15, creatinine 1.1, troponin 0.1

Well the only reason I was trying to use one about his diet was because his blood sugar was the only thing of my assessment that was abnormal. His heart rate was 69, respirations 18, bp 119/74, no pain, stats 97 on room air. His lungs were clear, no edema, no pain, no elimination problems, no neurological problems, no mobility issues, no shortness of breath when I was there. He was admitted for chest pain and shortness of breath but he denied having any when I did my assessment. He literally didn't have any issues other than his sugar was a little high and then he drank orange juice so I was thinking maybe orange juice wasn't the best thing to have. I've never had a patient that had absolutely no abnormal anything. Please help

My client had diabetes mellitus and his morning accucheck was 172. For breakfast he had a sausage, egg and potatoes bowl, orange juice and a cinnamon roll. So for my nursing diagnosis I was thinking either ineffective self health management or risk for unstable glucose level. I was considering possibly knowledge deficit but he told me that he didn't think orange juice was ok to have but since it was on the menu he figured they (the hospital cafeteria) knew what he could and couldn't have. What does anyone think of those?

At my school high tops would never be allowed. Also both my school and my employer dictate what color scrubs I wear and even which brands are acceptable. In my experience healthcare facilities are pretty strict on dress codes and really don't allow for much self expression.

This!!

Ok so I did a quick search and there is one that's called psychiatric nursing made incredibly easy and one that is nclex RN psychiatric nursing made incredibly easy. Which one would be best? I'm thinking the nclex one but just want to get the one that will actually be more helpful. Again thank you so much for your help. I'm really stressing!

Yes it's psychiatric nursing. Thanks I'll definitely check that one out! :)