hkqueenx3

Hi all :) (side note: I am in my first semester of nursing!) So my final cumulative exam is in 3 weeks, and I want to start studying tomorrow. I have all the powerpoints with notes we discussed, etc and everything. I'm just getting overwhelmed thinking about how to study efficiently for this exam? It's just a lot stuff (obviously, right? haha) I know to read my powerpoints from the beginning and read any info further in the book of only the stuff discussed in class, and to practice nclex questions (I have 2 nclex books!) But any tips on organization/methods or whatnot to approach this whole thing would kindly be appreciated! Thank you!

Thank you. :) I have changed it now! Thank you all for putting it into perspective for me. At first I was scared to post my diagnoses but it's definitely worth it getting help from everyone here!

Thank you!! This helped a lot as well!

Yes, I have a much better idea now thank you. I especially found it very helpful with the That really put it into perspective. Here's what I have so far: Impaired skin integrity related to limited mobility (when we tried to ask her to stand up or move to her bed for assessment (her activity order is OOB to chair with assist) she refused. When educated by me & my professor, she insists she knows and wanted to stick with her ways) manifested by pressure ulcer sores on right & left buttocks Activity intolerance related to sedentary lifestyle manifested by patient reports fatigue & feeling weak when asked to stand

Yeah sorry haha, slipped my mind. Ok, thank you!

Sorry, short term goal. Got used to my school's abbreviations, haha.

I guess I just wanted to use that because she likes to stay in her chair and not move up from it. She stated that it's the same case in her daughter's house, where she just sits in her recliner chair and states "that's all I really do". Also, she refused to stand up from her seat for just a minute to assess her pressure ulcers. I guess when I stated "she felt tired" up above, what I meant was she stated that I was going to fast for her pace. I can use limited mobility too. But I just wasn't sure, you know? But thanks for the suggestion!

I am using a Nursing Diagnoses manual & occasionally a Nursing Care Plans book both by Doenges (FA Davis) and I am in my first semester. I am also having such a hard time coming up with STG's. Like, I see them in both of my books but wording them in a measurable way is giving me a brain fart for some reason.

Some background info: my patient was admitted with pneumonia, has a history of COPD, CHF, HTN, former smoker. She has told me that at home where she lives with her daughter she sits in a chair very similar to the one she was sitting in in the hospital and that's about all she likes to do all day. She is O2 dependent (she was on 4 L at the hospital). Throughout my clinical shift, she got very tired easily. Such as, during AM care (she was sitting down in her recliner chair, she did not want to be in the bed or anywhere else), as I was even washing/wiping her legs, she felt tired. And then my professor wanted me to assess her pressure ulcer on her L & R buttocks, but she refused to stand up/move from her chair at all. I couldn't force her, so my professor really talked her into it. We had the patient stand up as she chose to hold on to the side of her bed while we examined her buttocks, but not even 15 seconds on she wanted to sit down and stop the whole process. If anyone needs anymore info. I will provide what I can! I have 2 other nursing diagnoses in mind already that are priority before this one, but based on this information would Activity Intolerance be a good 3rd diagnoses? Like for example: Activity intolerance related to sedentary lifestyle (?) manifested by patient reports feeling weak when ______ (i'm not quite sure what to say/how to word this part) Or would it be r/t to her COPD/pneumonia? See this is where I confuse myself. Because for my 2nd diagnoses on my care plan I want to put Impaired skin integrity r/t ___ ? (I want to put sedentary lifestyle here too) manifested by pressure ulcer sores on R & L buttocks; because she does not like to move/get up, even when me & my professor both educated her on importance she just said "yes i know" and all that. Any help/advice would be appreciated!

Add me in on the Apple boat! I definitely recommend it for nursing school. I love my Macbook pro with all my heart! I use pages mostly, but I have also used something called Audionote (app) where I've recorded my powerpoint lectures while actually taking notes on the powerpoint. It's just so useful all around. You could also get Microsoft Word and all that if you want, but so far all the basic essentials it came with has been good for me! (Pages & Keynote)

I have such a difficult time figuring out what is considered major/important when it comes to looking up meds. I have a practicum coming up, and we were given a list of meds & one of the things we have to know is the major nursing concerns of that med. Like, when I look up these meds I consider everything important and it's hard for me to distinguish what's "major". Any tips? I have such a hard time

Oh, thank you so much! And the examples really puts it into perspective.

For my school we have this sheet we call a CDAT, or "Clinical Data Assessment Tool. One of the boxes says "definition of comorbidities". I'm having trouble understanding what this means? Examples would be greatly appreciated as well!

I think the biggest change for me is I'm definitely becoming thick-skinned I did not used to be like this, I was always so sensitive, and I couldn't take criticism without it eating me alive and punishing myself. I'm only in my first semester, but I'm telling you, you learn quickly that you gotta put your big girl panties on for this field. It was tough for me to accept at first, but I'm slowly learning to like it, and hey, I'm thankful that I'm slowly losing that whole baby, crying, sensitive, side of me. You'll make a lot of mistakes on this journey, but you gotta learn from it. I used to hate criticism because I didn't like being told I was wrong, but now I appreciate it so much. My clinical instructor isn't the most easygoing person, so when you don't do something like you were supposed to do, she really lays it on you. I cried my first day of clinical because of that, but now I nod and agree to whatever she says because it helps me see what my strengths and weaknesses are.

Wow, thank you everyone. I appreciate all your posts. I guess you're right, I should practice the whole thing! However there are some parts of the full head to toe that my professors don't want us to do. Probably for later next time. As of now they say they only want a brief one, but I'll do the best I can with these given tips. Thanks so much all!