Teacher17

I took mine yesterday- shut off in 75 with lots of SATA. I am pretty confident that I passed. I also used UWorld, I got through about half of the questions. Did the two tests that both said high likely chance of passing. My school paid for Kaplan, I used the test at the end that said I had a 97.4% chance of passing. I have to say that I studied casually and didn’t push. I feel like if you had a good, challenging program then you either know it or you don’t. Hopefully I’ll get my results later today!

Congratulations everyone! If you are interested please look up SNA of NAU Tucson. I am the current VP and we would love to have you as memebers! I'll see you at the new student orientation. Rachael

I cared for a patient that had the following ABG's Ph- 7.39 (normal but compensated) PCO2- 54 (high, indicating respiratory acidosis) HCO3- 33 (high, metabolic alkalosis) Pa02- 31 Base Excess of 7 She has CHF, was hospitalized for an exacerbation and shortness of breath. Currently on 1L via nasal canula. I understand that one is compensating for the other. She has many other s/s leading to kidney failure, so I am hesitant to say that the kidneys are actually compensating. Perhaps the HCO3 is increasing because the kidneys can no longer filter it out properly? She is experiencing pulmonary edema, which explains her raised CO2 as she can no longer excrete it properly. This leads me to think it is something like compensated (on accident?) respiratory acidosis. However, my research seems to be indicating that because her BE is 7, it is indicative that the primary issue is her metabolic alkalosis which I don't understand how that can be the primary problem. Any help understanding this would be greatly appreciated.

Would healing with high glucose is awesome. Thank you!

I already did one psychosocial, the ineffective denial. And I already did airway, though your suggestion is impaired gas exchange it is too similar. And fall risk is a risk, which we are not allowed to include :/ Thank you for the ideas though!

I am working on a care plan, and as much as I love writing up the patho and looking at how everything interconnects, I really struggle with nursing diagnoses. This patient came in with a recurrent growth of colon cancer, metastasized to lymph nodes. Had internal bleeding, wound dehisced, coded, next surgery had STEMI. Also has COPD and pneumonia. Two abdominal JP drains with purulent and saresangenous drainage. The two I have come up with are- (we have to have one psychosocial, and none of them can be at risk for or pain). Ineffective denial related to threat of unpleasant reality as evidenced by dismissive gestures, flat affect, not perceiving the relevance or danger of his symptoms, stating, "I am going home" and "go away" when discharge discussions are attempted. Ineffective airway clearance related to accumulated secretions secondary to COPD and pneumonia as evidenced by diminished breath sounds with course crackles in left and right lower lobes, ineffective cough and patient stating, "I can't get any of this gunk to come out". I am really struggling to come up with another. I have included the need for movement, getting out of bed with my goals and interventions related to respiratory. We can't use pain, and none of his assessment data or labs leads to anything outside of infection that he already has. His ABG's are all within normal limits. He is too thin, but also NPO and on TPN. I know that during the STEMI he lacked circulation for 8 minutes, affecting his liver and kidney perfusion. His creatinine is low and he is anemic. What should I be looking towards for my NDx? H also has dark, amber urine in his catheter. Lymphocytes are low, monocytes are high. Glucose is high. Any help would be greatly appreciated. Also, I am using Nursing Diagnoses Manual by Doenges, and Nursing Diagnoses Handbook by Ackley.

Congratulations! I will be starting my third semester in Tucson this Spring, it is a wonderful program with incredible instructors. I recommend looking up the Tucson SNA Facebook page- people will often post their old text books or scrubs for sale. A good way to save money :)

Hi Sarah! I just finished my first semester at the Tucson campus, feel free to message me if you have any questions :)

Do you want an apartment? House? Campus is west of I10 if that helps you look.

They count, I guess just not as heavily.

I'm so sorry! How frustrating i wish you the best with the next cycle. You can make an appointment with her to turn it in next time so you don't have to use the mail.

Maybe call the advisor? That's the only thing I can think of that might help. Maybe your email address has changed or something?

Me too! I was crying I was so happy. I called my mom to tell her the good news and she started crying :) I am so excited to start this new chapter of my life, and I look forward to meeting you Igoagain. My name is Rachael btw.

I am currently on "plan B"- retake the Kaplan and reapply. My "plan C" looks the same :) I am so hopeful that this application cycle is it for me.

Amiller and kayleia what campuses are you going for? I'm surprised we don't have more people on this thread, for Fall16 there were a lot of people.