lwandel

lwandel

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All Content by lwandel

  1. Which Texas RN to BSN program should I attend? Which has more resume power?

    lwandel posted a topic in Texas Nursing

    I am not sure if I should attend UT Arlington's RN to BSN program or Tarleton States RN to BSN program once I finish the nursing program at TCC. Does anyone know which program has more resume

  2. How do Hurst q-reviews compare to the real NCLEX questions?

    lwandel posted a topic in NCLEX Exam, Programs

    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...

  3. How do Hurst q-reviews compare to the real NCLEX questions?

    lwandel replied to lwandel's topic in NCLEX Exam, Programs

    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...

  4. How do Hurst q-reviews compare to the real NCLEX questions?

    lwandel replied to lwandel's topic in NCLEX Exam, Programs

    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!...

  5. Hep-locking a PICC lumen - documentation

    lwandel posted a topic in Nursing Student Assistance

    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...

  6. Just want to run my data and nsg dx's by you. Please critique!

    lwandel posted a topic in Nursing Student Assistance

    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]...

  7. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  8. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  9. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  10. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    These are great!!!!! I'm going to share them with my classmates as well. I know we're all struggling with these care

  11. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  12. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  13. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  14. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    ChipNurse, do you think I need to tweak my nursing diagnosis at all before I turn them in for my care plan? Thanks,

  15. Just want to run my data and nsg dx's by you. Please critique!

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Thank you ChipNurse! Those are great ones too! Esme12 and GrnTea...do you wonderful ladies have any critiques for me

  16. 60 yo female, acute osteomyelitis in R great toe

    lwandel posted a topic in Nursing Student Assistance

    Hello all :) I am working on another care plan that is due Monday morning. My pt is a 60 year old female with an admitting dx of Acute Osteomyelitis in great toe of R foot. I need 3 nsg dx-...

  17. 62 yo male, paraplegic- need help determining 3 nsg dxs

    lwandel posted a topic in Nursing Student Assistance

    Hello all! I am a 1st semester nsg student. My pt was in a car accident where his T8 was fractured, and he is now a paraplegic. His admitting dx is Acute Respiratory Failure following trauma and...

  18. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    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...

  19. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Hi May, there was no complaint of chest pain, only dyspnea with exertion. Her pain stems from her low back and osteomyelitis. She does have risk factors for heart disease, but my instructor seem to...

  20. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Or, instead of focusing on pain, since my instructor wanted us to use an "at risk for..." r/t medication given, I guess I could use Risk For Electrolyte Imbalance r/t diuretic therapy, or would I need...

  21. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    I'm stuck on my 3rd diagnosis. I want to focus on her pain, because she consistently rated her pain as 8-9 out of 10 throughout my shift. Even after meds were given. It would drop down briefly to 7...

  22. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Thank you Esme! I'm glad you liked it. My instructor has us list our Cues/Assessments on a different form, and cluster the cues/assessments in a group with each dx. It's strange, but that's how she...

  23. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    I am working on a second dx. I'm having trouble with this one. Here are my assessments so far related to this direction: Data: Obese- Ht. 63", Wt. 347.8 lb., 60 years of age sedentary activity...

  24. 62 yo male, paraplegic- need help determining 3 nsg dxs

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Hahah! I already posted my next one under 60 yo female with Osteomyelitis of R great toe

  25. 60 yo female, acute osteomyelitis in R great toe

    lwandel replied to lwandel's topic in Nursing Student Assistance

    Please let me know how I can improve this dx and the related goals, interventions and rationales. I'm thinking I could go with either: Fatigue r/t inadequate tissue oxygenation secondary to anemia or...