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Ash0315

Ash0315

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Ash0315's Latest Activity

  1. If you have a patient that is on hospice crisis care and they pass, do you remove the Foley and IV before calling mourge?? also so what steps does your facility take after someone dies?
  2. Ash0315

    Irrigating a Suprapubic catheter?

    Can someone please explain how to irrigate a Supra pubic catheter with a BULB syringe? Are you supposed to squeeze the bulb and leave it in there or squeeze it and let it come back?
  3. Ok so I recently started working at ltc, and came across an order to irrigate a suprapubic catheter with 60 cc of sterile water. So I was wondering about that and in nursing school they had a syringe with sw in it already, my facility has a bulb syringe irrigation set. Can someone please explain the steps for bulb syringe irrigation ? I know that you have to take the drainage bag off of the catheter and fill the bulb syringe with sterile water, and put it into the end of the catheter,but do you insert the sterile water and let it flow back into the syringe since it's a bulb? Or do you hold the bulb so the water stays in there and reconnect the drainage bag? Thank you
  4. Ash0315

    WHEN TO CALL DR.

    Just started working in an LTC as LPN, was wondering WHEN to call the Dr/ON CALL I understand some things include: (that i can think of) lab results(abnormal) xray results??? (not sure) (fax or leave in book)? change in status.. a fall? pt. or family wanting to see dr?/change in medication request that is all i can think of ...any suggestions? also correct me if im wrong please! thank you so much. i am new and very nervous..
  5. Ash0315

    Confused about liver/albumin/protein

    I am studying for NCLEX and using HURST review, i noticed that albumin PREVENTS the blood from clotting, the liver synthesizes albumin, but the liver HELPS your blood clot. So if the liver helps your blood clot, but does albumin(protein made by liver) HELP or PREVENT your blood from clotting?? thank you
  6. Ash0315

    massage contraindications?

    oh yeah forgot about that one thanks
  7. Ash0315

    massage contraindications?

    So i am studying for the NCLEX PN, and I'm coming across some different things on when/when not to give a massage, i have read that you SHOULD massage pt's with amputation to decrease tenderness/promote circulation, you should massage boggy fundus, and after bath etc. can someone please list or give some examples of when/when not to give a massage? or when it is contraindicated? thank you!
  8. I am currently studying for the NCLEX and using the Saunders comprehensive review, i came across this question....... A client with atrial fibrillation who is receiving maintenance therapy with warfarin sodium (Coumadin) has a prothrombin time (PT) of 30 seconds. The nurse anticipates that which will be prescribed? ANSWER CHOICES Adding a dose of heparin Increasing the next dose of warfarin sodium Withholding the next dose of warfarin sodium Administering the next dose of warfarin sodium The correct answer is 3, Withholding the next dose of warfarin sodium, and I DO NOT understand the rationale. (T[COLOR=#000000]he normal PT is 9.6 to 11.8 seconds for the adult male and 9.5 to 11.3 seconds for the adult female. The goal of oral anticoagulation with warfarin sodium therapy is to achieve a PT at 1.5 to 2 times the laboratory control value. A PT of 30 seconds places the client at risk for bleeding, so the nurse should anticipate that the client would not receive further doses at this time. If the level is too high, the antidote (vitamin K) may be prescribed. The remaining options would make the client even more prone to bleeding.[/COLOR]) I thought the answer would be administering warfarin (blood thinner) [COLOR=#000000]SOO..if the PT is HIGH (30 SECONDS) Doesn't that mean it takes a LONG TIME for the blood to clot, meaning that the patient should be receiving a blood THINNER ? someone please help me understand this PT/INR/blood thin/clot process??? THANKS![/COLOR]
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