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emyers910

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  1. Nursing school test are so different from any other test you take! The answer to the question will always be in the question itself! Break it down into four categories: 1. Nursing Process (use ADPIE to figure out the next step) 2. Maslow (physiology always first and ABCs!)3. Safety 4. Therapeutic communication. Something that helps me is using a blank index card to cover the answers. Sometimes I'll jump ahead and not read the whole question before I answer. If I use the card, it forced me to slow down and think about each individual answer. Hope this helps!
  2. Thanks! I'm in my second semester. one more year!!
  3. Sorry here is some more of my assessment data for the impaired tissue perfusion: cool, mottled lower extemeties, pain 8/10 in knee and feet pt state "pins and needles" feeling in her feet, cap refill > 3 seconds in lower extremeties. her h&h has improved significantly since her admission. My instructor really doesn't like me to use risk for diagnoses :/ If I had to choose one it would be risk for impaired skin integrity due to her immobility and incontinence. I had some time to brainstorm some more ideas like Imbalanced nutrition:more than body requirments, Impaired mobility.
  4. Hello everyone. I'm new to allnurses and I wanted to get some feedback on a care plan I'm working on for my patient with septicemia. 59y female came to the IMC on 11/4 from the ICU where she intubated for respiratory distress on 10/29 and extubated on10/30. She is a bariatric patient and has an IJ triple lumen in her RUE. She is diabetic and immobile. Temp 99.8 Pulse 84 Resp 24 BP 112/68 O2sat 93% on room air WBC 10.5 RBC 3.67 H/H 10.5/32.9 Plt 182 Sodium 138 potassium 3.4 Chloride 100 Calcium 8.7 BUN 7 Creatinine 0.76 BNP 476 My top two nursing diagnoses are Ineffective tissue perfusion RT vasoconstriction AEB infection, diabetic, low h/h Ineffective breathing pattern RT tachypnea, low O2 sat, shallow breathes, intubation on 29th, obesity I would love feedback on things that I am missing or could improve. I need five diagnosis all together so I'm having trouble thinking of 3 more.

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