tnstudent21

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1. The death of nursing

   tnstudent21 replied to massrn116's topic in Activism

   I'm still in nursing school, but a few months ago I noticed something very peculiar. The only places spreading around the phrase "there's a shortage of nursing, job security, high pay...etc" are nursing schools. I'm from the southeast U.S., so I can'...

2. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   Compression fracture is recent. The patient is in pain sporadically, but subsides with medication. Doing a diagnosis on pain is fairly simple, and because it is "controlled" I was directed to go with another diagnosis. Risk for ineffective renal perf...

3. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   Well, I must confess that I'm not too familiar by what you mean by "dry" lung sounds. I listened to the lungs for over a minute, did not hear any wheezing, rales, rhonci or any other adventitious lung sounds.

4. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   Thank you! Seems I made a mistake, the output for the last 20 hours was 500 mL, intake for the 8 hours I was there was approximately 500. Lungs sounds were not dry, mucous membranes and skin turgor are good. No stool was passed during my time there.

5. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   Hopefully she can! By the way, thank you guys for all the help you have given me. I really, really appreciate it.

6. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   I was thinking of that also, however, skin turgor and mucour membranes are both excellent. Nothing to indicate dehydration. This is a tough call, I need more info than what I have. I think I'll just knock something out on paper and turn it in, we are...

7. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   The instructor just pointed me toward the renal system as the primary concern-she did no specify if she wanted an actual or an at risk for diagnosis. I would prefer an actual diagnosis though, but with the absence of an urinary analysis and kidney sc...

8. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   No edema is present. Vital signs: BP 132/74. RR-12, HR-65, Temp-96.5, O2 saturation 94% on room air. I do not know if the confusion is r/t to the increase in BUN, this was a one day rotation for me. Thank you for the advice, it seems I am on the righ...

9. Diagnosis help and priority with renal failure

   tnstudent21 replied to tnstudent21's topic in Student Assist

   Yes I have three nursing diagnosis books. I thought about the ineffective tissue perfusion but I have no data to support that other than elevated BUN and creatinine levels, do you think that would be enough? The intake is pretty much equal to the ou...

10. Diagnosis help and priority with renal failure

    tnstudent21 posted a topic in Student Assist

    I'm in a bit of a dilemma trying to write up a care plan. Two things are holding me back. 1.) actual problem vs risk for. This age old debate has been brought up several times here and I've read through them, but still a bit uncertain. 2.) I can't co...

11. Self-care deficit and etiology format.

    tnstudent21 replied to tnstudent21's topic in Student Assist

    Thank you for your help.

12. Self-care deficit and etiology format.

    tnstudent21 replied to tnstudent21's topic in Student Assist

    I am in my first semester. My program wants us to use the PES system, just like you described above. That is very helpful. However, my main concerns are whether or not my related factors have to be related to each other, and if I must include the "se...

13. Self-care deficit and etiology format.

    tnstudent21 replied to tnstudent21's topic in Student Assist

    First semester. I am in fundamentals. We are required to use the PES format. The problem related to etiology, as evidenced by signs/symptoms.

14. Self-care deficit and etiology format.

    tnstudent21 posted a topic in Student Assist

    I have to do a diagnosis for self-care deficit. I have a few questions on the format. I know that I am allowed to have multiple R/T factors. Do these factors have to be related? May I say Self-care deficit r/t cognitive impairment, physical immobi...