StephAnnE93

UA= urine analysis right? What's cs?

Yeah that's what another CNA told me is how state wants it but I wasn't taught this way in school....gotta love it lol THANK YOU

We have to create a fictional patient and create the lab values and diagnostic test results. Here's the scenario: An older man complains to the nurse that he has difficulty starting to urinate and then once he starts, he says he has had severe pain in the lower abdomen, left mid-back region, and left flank. Upon admission to the floor, he is started on Flomax 0.4mg po Q day, IVF of NS @125ml/hr, VS Q 4hr, and I&Os Q 4hr. My question is, what kind of lab values wold you see in a pt with an enlarged prostate that lead to a UTI? So far we have: WBC - increased (15k) PSA - increased (5.2) Albumin - decreased (2.8) BUN - increasd (24) Creat - increased (1.8) So far are these lab values ok? Do they eem about right? What other abnormal lab values would you see? We haven't had much clinical experience yet and haven't studied labs. Basically this unit is look everything up!

That's what I thought but for state purposes, a few CNAs have told me you're SUPPOSED to change gloves about 3 times during the entire changing process?! I think I'm just going to keep my one pair and if they fine the facility, oh freaking well >.>

I know state won't do anything to me. But my job could fire me for costing them those write ups right?

Well the only thing is....this wasn't a real pt. Only some words for an assignment and I had to create a fictitious pt with only a small amount of info. It's completely different when I have a physical pt in front of me. I have no problems with that. But fear would have been a good one to use in that situation. Thanks!

Because obviously you can't learn everything in CNA class

But what that other CNA said really freaked me out and I don't want to lose my job over something so trivial! >.

Well hand sanitizer in between gloves if still the same pt. I still wash hands between patients tho obviously lol

I was the same way. Some people like things very specific but with time you will naturally know how they like things and you'll get faster!!!!

Ok so state is coming soon to my nursing home. My question is, how many times are you supposed to actually change gloves while performing incontinence care? I like to do things right always so I don't have to worry about state but I was talking with another CNA who's been supervised by them and she said you change gloves after removing soiled diaper, again after performing pericare, again after removing soiled linen and again to work with clean linen once everything is in place. I was taught to use one pair and only change if visibly soiled?!

I can make a care plan easily. But I have trouble making pretend (realistic) data. I turned in the care plan so hopefully my instructor doesn't tear me apart too bad lol

So for creating my fictitious patient, his signs and symptoms are weakness, dizzy, hypotension, tachycardia, stomach pain, and GI bleed. I know platelet count has to be lower than 150,000 but what number platelet count should I give my guy? Also, any other classic signs and symptoms I could add in?

Oh and maybe get those nclex apps. It'll get you practicing on the dreadful, everything is correct but which is MOST correct, and multiple multiples!

I'm doing clinicals for lpn now and it's mostly CNA work...so I'm sure you'll be ok. it's the classes that kick your butt and the only thing that's gotten me through classes are those flash cards and study groupd

Flash cards will be your BEST FRIEND. Working as a CNA while in school (although pretty hard working and in school) kind of helps to give you a general knowledge of the basics. It will also teach you to appreciate CNAs while you are a nurse I'm still in school, but good luck! :)

I thought so too, but thanks! I definitely will look them up! I'm new to this forum so I don't know my way around it yet.

I'm completly at a loss. I can usually make my complete care plans when I have all my information in front of me. I'm a terrible abstract thinker so maybe yall can give me ideas and point me in the right direction. Here's the assignment given. Develop a care plan for a patient recently diagnosed with colon cancer, receiving their first round of Avastin who develops thrombocytopenia. And of course there are guidelines for the instructors care plans which makes me become lost. - no medical diagnosis (diarrhea, constipation, etc) - can't use pain - no risk for or potential for Dx I'm stuck. Ideas? I need 2 Dx and 2 goals for each. I also have to make up supporting data. A classmate mentioned Decreased Cardiac Output, so I guess I'll think of something for that. But anyone have any other ideas?