takingcare19

takingcare19

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  1. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Esme12, that may a little above me right now!

  2. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I have 2 posts running, kind of silly, I know. She has redness on her sacrum. I looked in her chart and there was no mention of confusion. There was no family for the one day I was with her, but I...

  3. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Well, I feel acute confusion is good

  4. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    It fits from 1. Appeared confused aeb stated, “My friend is 5 years younger than me. She is 57 and I’m 68 so, let’s see, she is 11 years older than I am.” Also repeatedly asked who the night...

  5. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Ha, yeah, just a bit overwhelmed. I can't help but think how am I going to be a good nurse, much less become a nurse if I can't handle basic dx. So, for future reference, I need to find out what the...

  6. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    So, impaired skin integrity r/t pressure, obesity, low albumin aeb redness on sacrum, weight of 212, albumin level low at 2.3. TPN has amino acids, fats, glucose, minerals. Her order says custom so...

  7. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    So looking at my book, Impaired memory r/t fluid and electrolyte imbalance, hypoxia aeb inability to recall information/events and low h&h and abnormal

  8. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Ha! Oh wow! Well, she did know her city she stated the hospital she was at and the city. But what about her confusing the years and age? Would that be confusion? Or would she be put back to ris, for...

  9. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I am just as confused about hypoglycemia and insulin...my classmate said last time that the patient argued with her that she wasn't diabetic, but my classmate was under the impression she was. But...

  10. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I'm not sure how Imbalanced nutrition is appropriate, she eats, she is overweight (although her extremities are fairly normal, a majority of her weight is her abdomen. There are no guts, but it is...

  11. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    No, no longer a risk for confusion. I did ask her what day it was and if she knew where she was, which she did. I didn't think to ask her who the president was...I'll have to remember that one. It was...

  12. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    This is what she said that made me think she was confused: Appeared confused aeb stated, “My friend is 5 years younger than me. She is 57 and I’m 68 so, let’s see, she is 11 years older than I...

  13. Am I on the right track?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Neuro - she was alert & oriented to time, place, person, situation. I just noticed while talking to her through the day, she was a little confused and forgetful. She complained of headache, she...

  14. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Well, since she has no history of confusion, and from talking to a fellow student who had her before and didn't notice any confusion, I'd say risk for acute

  15. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Hmm, I don't think it was. I don't remember posting about her yet... But, here are some reasons I felt I was pointed to delirium - she is 68, she had previously been admitted with septicemia and was...

  16. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Ok, I'm going with that. =] I'm still working on my 3 dx, but I'd like to post them later to get opinions. This is my last chance to save myself for the

  17. Risk for delirium?

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Risk for acute

  18. Question about Nanda dx

    takingcare19 posted a topic in Nursing Student Assistance

    I am a foundation student trying to work with a "Risk for loneliness r/t affectional deprivation, social isolation." dx. Here are my supporting data: Stated, "...I like to nap a lot, it makes the day...

  19. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Also Esme12, thank you for your guidance! There is so much information going in and so many possibilities, I still find it hard to pick the things I need out of the air so to speak!

  20. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Ahh....makes sense! Doh....Ok, that one was goofed by me then. Sometimes I feel like I won't ever get teh bigger picture! I noticed you had some links on your posts, I liked the flow of the critical...

  21. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I think his risk of infection from the cath is important, keeping an eye on the adverse effects of his medications. It seems like his social/mental status would be important...I guess I'm just missing...

  22. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    He does have the new flap, but they have a wound care nurse. I didn't get to see a suture line. Or his heels. But per the wound care nurse, his suture line looked good and his heel ulcers were getting...

  23. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    Risk for infection r/t Foley catheter aeb prolonged insertion. Patient remains free of infection aeb: 1. Normal vital signs 2. Absence of discharge or pain at insertion site. 3. Absence of cloudy or...

  24. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I am using Ackley and also Myers. I didn't feel he was confused. He was just very complacent about being there. He didn't express excitement to go home. He didn't express frustration for being there...

  25. Question about Nanda dx

    takingcare19 replied to takingcare19's topic in Nursing Student Assistance

    I considered impaired comfort level r/t pain, but my teacher says to be careful about pain as if it is manageable by medications, it isn't a dx. Would risk for infection r/t foley and IV be...