nurseprnRN

nurseprnRN BSN, RN

Member

All Content by nurseprnRN

  1. Here's the basics, including the scoop about "risk for" diagnoses Hint: DO NOT ignore them, and they are NOT hypothetical. They are real risks, and we must be able to account for them. There is no...
  2. Is this a good OB c-section diagnosis?

    Briefly, I think you're right, due to the membrane rupture. Sometimes it really is that simple. You can't say, "Risk for" if she already has one related to that, though; it's no longer a risk, it's...
  3. Nursing Care Plans/Diagnosis

    Not entirely clear what that last part means, sorry. Thee NANDA-I does, indeed, give the definitions, the (only approved) defining characteristics (the "AEB") and the (only approved) related-to...
  4. Sometimes we learn things from assignments that weren't explicit in the syllabus. In this case, you have learned that: 1) Planning ahead in case plan A falls through is a better idea 2) Asking...
  5. confused about cardiac output....

    Pretty close, but missing one key idea. The end of diastole is just before the beginning of systole, so there's nothing related to "left behind." Let's start at the beginning and see if I can help...
  6. Medication calculation problem

    Eliminating all the (literally) useless, extraneous information, we have: Looks like the answer is right there staring you in the face. :) See, this is the problem with memorizing bunch of...
  7. Carrying insurance

    My sweet old grandmother used to say, "Hope is not a plan." If you get any reasons other than, "My hospital says they cover me," "My friend says that only people with insurance get sued," or, "They...
  8. Nursing Care Plans/Diagnosis

    Did you not see the response you got on this query elsewhere? It says why you can't use "Depression," because it's not nursing diagnosis, and gives you very specific things to look at for Anxiety for...
  9. self care evaluations

    OK. What you would say is something like, "..... as evidenced by expressing desire to enhance self-care, i.e., "I know smoking is bad for me and I am trying to stop. I go to the gym every day to make...
  10. self care evaluations

    I am sorry I am not being clear enough. I didn't mean to say you were creating a new nursing diagnosis. I meant to convey the idea that you can't chose a nursing diagnosis off a list and then make up...
  11. Elder abuse care plan

    It is ALWAYS OK to use more resources. Any book published in 2013 was written in 2011, possibly 2012, so its basis in nursing diagnosis is not the current one. The 2009-2011 NANDA-I has had several...
  12. self care evaluations

    Your contentment has nothing to do with it. You cannot create a new nursing diagnosis. Period. It's not up to you. Nobody can, I can't, esme can't, your faculty can't, you can't. You can make a health...
  13. This is college. They don't feed you everything; you are expected to be able to search out more than you hear in lecture, read more than you get handouts for, and recognize when you need help and get...
  14. How to work with nurses that don't smile or talk

    I try to remember what Dr Phil famously says: Most people would be astonished to learn how little others think about them at all. It's so not about you all the time. If you think that you can only...
  15. Confused with new onset CHF

    A few ideas: 1) Remember it's always possible to have more than one thing wrong c you. He has LOTS of things wrong c him. Clubbing is a late symptom of chronic hypoxia. Usually, people c chronic...
  16. Precisely my point. What many nursing students think of as "skills" are manipulative actions, and at the end of your first semester most of the ones students have been exposed to are equivalent to the...
  17. self care evaluations

    Thank you, RoseQueen, for the generous endorsement for esme's and my efforts. :) Denuus, there is no magic list of medical diagnoses from which you can derive nursing diagnoses. There is no one...
  18. Help I failed out of a Nursing Program in NY

    Be very careful with Excelsior. Some states will not accept that as adequate education for an RN. Even if you were able to pass NCLEX and get an RN license in a state that accepts it, others might...
  19. Elder abuse care plan

    Do you not have the NANDA-I 2015-2017, the most current edition? Instant download for your Kindle or iPad, or hard copy at Amazon. Get it stat. (I prefer the hard copy, YMMV) You can't do much...
  20. Word to the wise: Unless those actions are permitted for nursing aides by the applicable nurse practice act (NPA) those charge nurses -- and those students-- could be in a big hot mess of trouble....
  21. Deliberate sabotage?

    I haven't read the whole thread, but I have two ideas: 1) I had a shift charge nurse like that once. She took it into her head one night to announce an "inspection" of all our rooms in the ICU for...
  22. Nurse Mistakes

    This is a popular myth, but although "they" say it a lot it's complete nonsense. The only reason someone is included in a lawsuit is if they had something to do with the bad result. There is no such...
  23. Unsafe discharges

    While I agree with MBARNBSN on most of what she says, every RN, case managers included, has responsibility for patient safety well-documented in both the NPA and the ANA Scope and Standards of...
  24. People really need to stop coming into nursing

    I am probably old enough to be your mother, and maybe your grandmother. I bought my first computer in 1985 (early adopter in my profession) and use my current one extensively to do research, writing,...
  25. People really need to stop coming into nursing

    Well, all those things got me autonomy, a business of my own, professional respect, and enough money to keep my sweet husband in the style to which he has become accustomed. And pay the vet bills....