jbedwards

I just graduated on May 6, and took my NCLEX (& passed, YAY) on on Friday. I have my first interview tomorrow at 10. Does anyone have any suggestions for me? Any ideas what kind of questions that I should be preparing for, when do we discuss sala...

I have my ACLS test tomorrow and was curious to see if anyone had any tips on interpreting the EKG strips, some 'easy' way to memorize the algorithms. I have been working on these for the past week, but it is NOT sinking in for me. Any and all help w...

Any and all, honestly. I can recognize normal sinus, sinus brady, sinus tachy. A-fib and coarse v-fib look the same to me, as do v-tac (I think), & Torsades. I am so lost when it comes to this, and honestly didn't do all that well when it came to...

Ok, so I need to do a powerpoint on an evidence based topic, and format it according to PICO standards...but I am coming up with nothing. I have a few ideas that I am toying with, such as elective inductions leading to higher rates of cesarean sectio...

I decided on deep vein thrombosis and anticoagulant therapy, but now am having an issue finding studies to back me up. Everything I look up says I have to buy the articles??

Ok, I am starting a new care map. I haven't seen the pt yet, but this is the info that I have: 51 y/o m presenting to ED with c/o weakness & being sick x 10d. He cannot keep his meds down, & has been attempting to crush them in order to take ...

When I saw the patient all of his vitals were normal, lab values were normal....everything was normal, except he still had infiltrates in his lung. Doctor states that this is due to the fact that the cocaine he is using is 'cut' with 'bad stuff'. I a...

I have a question. If I am using a nursing dx of acute pain for my patient in my care map, am I able to use more than one r/t? (Ex: acute pain r/t accumulation of fluid within joints, dysfunctional gastric mobility, & changes in myocardial contra...

I appreciate you letting me know that! I actually was never told that!

I just have to say I LOVE that I called my instructor asking for help in this matter & she tells me that I can only have one r/t, & that I should use the r/t impaired gastric motility BECAUSE that is the reason that he came into the hospital....

I'm working on my caremap for my patient last week. He is an 81 y/o black male admitted for acute systolic heart failure and urinary obstruction after being seen in the office for acute swelling in his legs, ankles, & penis. (He has no known alle...

All right, my 4 diagnosis that I chose were decreased cardiac output r/t changes in myocardial contractility; fluid volume, excess; activity intolerance r/t generalized weakness, & urinary retention r/t blockage (in order of importance). Opinions...

Do you have an ISBN # for this, or is online?

Oh, and as far as care plan books, I use the back of my Taber's medical dictionary to being formulating ideas for nursing diagnosis, then I use my Cox's clinical applications of nursing diagnosis. I bought the newest book (Nurse's Pocket Guide: Diagn...

*btw, thank you for the wording change!!! (acute to severe)...that looks much better!

Lasix was last given at 2200 (I went in at 0700). No, I am not sure that the last shift emptied his bag. They put in his EMR that he did, but this is a hospital that is noted for its poor quality of care around here, & I have noted many discrepan...

the vitals were: t 97.7f, p72, r18, bp114/69, and o2 sats 96% (room air). MRSA was in the nares, he was on the mupirocin x 5d, then retest (I saw him within the time frame). I have no idea what the blockage was from. he was actually npo when I had hi...

as far as assessment data: vitals were within normal range. he did have cool skin and some edema (+2-3) in his lower extremities, but other than that there was really nothing that I could say was 'off'...he is on constant tele monitoring but was in a...

It's not that I WANT to look at the medical diagnosis to write up my care plan, it's that my instructor is all but FORCING us to. I am aware that the patient is what needs to lead the care plan, but she does not agree with that. (I wasn't kidding whe...

Ok, so I'm not looking for help as far as patients or care plans go on this one, but I have a huge problem and hope that someone can offer me some advice. I have a beautiful 13 month old baby girl (last of 6). She was diagnosed at 6 months of age wit...

I don't think I'm so much looking for medical advice, just someone that might have been through this also...I think that's mainly what I need at this point.

Ok, I had a patient on my very first Peds clinical who was a 19 y/o male that was admitted with neutropenia, fever, and sore throat following a transfusion of RBC & platelets the day before. This has been a FUN care plan so far, but what I have c...

I have to agree. Best advice ever. This one I will remember forever. Thank you.

However, you can encourage them to stay connected via other modes. We'd always encourage them to call relatives, Skype, message on Facebook, write letters, write emails, blog--whatever helped them feel more connected to people they cared about. I d...

you have to be 13-21 to shoot a gun (mag [lol, a gun]): levels are 1.3-2.1