lwandel

lwandel

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About lwandel

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  1. Hi tseeton!! UWORLD? No, I don't think i've even heard of it! I'll look into that! Thank you! Prayers, best wishes and positive thoughts heading your way as you prepare for Monday! As steven would say, go Kill the NCLEX! Slit it's throat and...
  2. I've been using the NCLEX RN Mastery app as well- but only when I'm at a stoplight or waiting in line and have a minute. After reading this, I think I'll use it more between now and Tuesday! CONGRATULATIONS on your success maybaycao!! Hopefully I...
  3. I'm scheduled to take the NCLEX on 1/26/16 (in 3.5 days) and i'm REALLY nervous. I took the Hurst live review and I"m working my way thru the Q-reviews. For those of you that did Hurst and took the NCLEX, how did the q-review questions compare to ...
  4. Yesterday was my medication administration day. I hep-locked a lumen on a double lumen PICC line. I want to make sure I'm documenting it correctly in my narrative notes. Stopped PRN 0.9% NS infusion into red lumen of PICC line. Used aseptic tech...
  5. You're correct Isis, that's why I was struggling with using pain as a ndx. She only c/o pain with movement, otherwise she denied pain or her levels were 1-2/10. I am still working on this particular care plan, but the dxs I think I'm using are: 1....
  6. I certainly will let them know who made them. Thank you! And, just to give you and GrnTea a pat on the back, my instructor pulled me aside and asked me how I finally had my "AH-HA!" moment. I told her about you guys and this site and she had me sh...
  7. She was prescribed morphine sulfate, tramodol and hydrocodone PRN, but was declining pain meds while I was there. Still trying to find the 3rd nsg dx.... Adult failure to thrive won't work because the only r/t factor is depression. and without an a...
  8. These are great!!!!! I'm going to share them with my classmates as well. I know we're all struggling with these care plans.
  9. Is it right to address two different causes of the same issue? I remember my instructor throwing out a dx of Impaired Skin Integrity with risk for further breakdown r/t physical immobility, inadequate nutrition, and bipap dependency (I was worried ab...
  10. How about: Constipation r/t decreased motility of GI tract and insufficient physical activity AEB straining with defecation, inability to pass stool, abdominal tenderness, anorexia, generalized fatigue, and hard, formed stool. Is it right to addres...
  11. 3 weeks prior to admission to the hospital, she had stimulators placed in her back (think tiny, sub-dermal TENS units). While I was working with her during my clinical, she denied pain, or said that her pain was 2-3 out of 10, except when she was rep...
  12. ChipNurse, do you think I need to tweak my nursing diagnosis at all before I turn them in for my care plan? Thanks, Leslie
  13. Thank you ChipNurse! Those are great ones too! Esme12 and GrnTea...do you wonderful ladies have any critiques for me too?
  14. My pt is a 90 female pt that was admitted from home, where she lived alone, with a dx of: after care post surgery and severe malnutrition. Here are my findings so far: [TABLE] [TR] [TD]Cues/Data/Assessment Findings [/TD] [/TR] [TR] [TD]Under weight ...
  15. Her O2 sat was 95% while resting. I was unable to get Resp. Ther. to come check it when she was going to the bathroom. Her c/o SOB was after ambulating to and from the bathroom. Once she got back in bed, she would say "phew, i can hardly breath", ...