bamabear12

I'm about to start my second semester of nursing school. I have almost a month before classes start back and was wondering if anyone had a course outline for their Med Surge class. My instructors skipped around a lot in Assessment and Fundamentals (i.e. first test - chapters 18 and 24/ instead of lecturing on 1 and 2......3,4 and so on). I know it probably will not be the same but maybe it will help me get a jump on things. Any help will be appreciated! Thanks, CW

As a first year student I find it difficult linking an applicable NANDA approved nursing diagnosis with the scenario given. Some cues are obvious as they are presented in the scenario. The block comes when trying to choose the appropriate diagnoses for the scenario without seeing facial expressions, eye contact (or lack thereof), along with other cues. The scenario evolved an extremely obese man (6'2 397 lbs.) one week post op- presents to the ER with a dehisced wound with purulent drainage (Type 2 diabetes 136/78 sitting/152/88 standing, P 92, R22, WBC 22,000). He lives with his wife along with 10 and 12yr old grand children. Aside from the obvious risks for neuropathy, shock, constipation /bowel obstruction etc. I infer that he is hiding something when presented with certain questions that are either avoided or brushed off completely. This is where I get stuck and don't know if I should proceed with my assumption (backed up by data) to complete the concept map or just let it go. Also choosing the correct diagnosis based on this assumption. I apologize for not being succinct. Does anyone else run into this?