takingcare19

I have a pt that had a mitral valve replacement back in the 80s. He takes coumadin at home, but the last time he had an INR was December. Of last year. =o He comes in the hospital feeling weak, having tarry stools for at least 2 months. His INR on ad...

Yes it does! I know what I want to say, and in this case it is the risk for clots but wording it in Nanda is hard, I turned this in and will see what feedback I get! As always, I appreciate the help here! =]

Well, I'd venture to say thrombus? Ok, wait...Thrombus forming on mechanical valve and it doesn't work properly, there fore decreasing cardiac output? And then there is the risk for stroke if said clot broke off? Maybe?

So here is the rundown: 82 y.o. male who came in with c/o chest pain. He was given nitro and fentanyl and given a CXR which revealed cardiomegaly and mediastinal widening with mass like projection. His chest pain is now controlled, and according to t...

Who knows. The books that they recommend have a goal/outcomes section and interventions with rationale's in them, so maybe that is why? I don't know! =]

I put the stress down in my documentation to support this dx. I am happy to have something right on track! =] =] =] Your book you recommended is very nice! =]

Yes, it sure does! =] Well, at least I feel that way at the moment! Ha.

I feel a bit stuck on my dx. I have a pt with an interesting situation. She came in a few weeks ago after a fall, she broke her rib causing a pneumothorax. She had an emergency chest tube placed. They have tried twice to remove her chest tube and get...

All Nurses is great! Esme, I got my care plan back, I actually had the words "nice job" written on them!!! Esme knows, I had trouble in Foundations and I'm so stoked to see those words on my care plan! =] I hope I can keep up the good work. Oh, and m...

Doh. Well that makes sense. Sheesh. No wonder I felt like I was repeating myself!!

Esme, you are an angel. My list has a couple from your list so maybe I am on the right track this time. Lol. So does this sound goofy: Risk for bleeding r/t bladder cancer, medications (Xarelto, aspirin) AEB voiding 400cc bloody urine, low H&H. ...

And, also, I haven't gotten that book, but I have a little school money left and I just ordered it! =]

School is... going! I did my mental health rotation which was great! Now I'm back on the med/surge floor and my confidence level has already plummeted. Oye. My assessment - her vitals are all wnl. She c/o pain in her chest, makes sense, a chest tube...

I feel a bit stuck on my dx. I have a pt with an interesting situation. She came in a few weeks ago after a fall, she broke her rib causing a pneumothorax. She had an emergency chest tube placed. They have tried twice to remove her chest tube and get...

I am still young in nursing school, but am looking into what kind of nurse I will grow into and am interested in the CRNA route. If I could ask some questions to those out there in the field already: 1. What made you decide for this route? 2. A Maste...

Wow, thanks! So you work longer than the 12 hour shifts? Money is a side note. I like the idea of being in so much direct control over your patient, if that makes sense. Patients put their lives in your hand, but this just takes that trust up a level...

We were talking in class the other day about "risk for delirium" and our teacher said it would make a great diagnosis. I happen to have a patient that fits the bill we discussed in class, but in both my diagnosis books, I can't find a risk for deliri...

So here are my ques and a couple dx so far.... Age - 68 Admitting dx: septicemia On continuous TPN, although the day I treated her, her doctor allowed regular diet. I believe eating or not, she is always on TPN. CV line left upper arm Ileostomy RLQ H...

I need to utilize your sheets! I'm not sure why I've never thought to put it in body systems so to speak. There is SO much information learned in school I have a hard time keeping up. With every class our teacher says our standard raises and we need...

I know it sounds sad, but I'll have to wait for a little more extra income to buy it. 3 kids and nursing school has done a number on my wallet! But it's on my list on Amazon to buy!

Also, I had a pt previously with a foley and he was on an antibiotic for his wounds. My instructor said that since his antibiotic therapy was directed for his wounds, he is still at risk for infection r/t foley.

Wow, I've never thought to put it in systems like that! Kind of helps sort all the data!

Ha, I need any light I can take right now!! I'll check it out!

Esme, risk for electrolyte imbalance r/t her chronic kidney disease and malnutrition...? These are her last 2 CMP's, the later actually shows improvement in sodium and potassium: CMP 4/13/14: Na low @ 135, Potassium high @ 5.3, BUN high @ 49, Creatin...

I think she is risk for electrolyte, she has chronic kidney disease. The books I have are Nursing Diagnosis Handbook 9th edition by Ackley and Nursing Care Plans by Myers. They were suggested by our school.