akruc353

What are some early interventions for treating a patient who is hemorrhaging? What type of IV fluid is best? NS, LR? I have read that you do not want to give LR with blood products because it can cause them to clot.. This is how I am thinking and I know it depends on the type of hemorrhage. But in general what would be early interventions?

I am only is need of some guidance and other people's opinions. There is no need to beg, and I am only a nursing student. I am not looking for any drama, are you?

That is a good point. But comments like that don't bother me anymore. After graduating high school and now being in nursing school I have learned that being judgmental and worrying about what others think only hurts myself. If people have the time to go out of their way and call out people then they are obviously too bored with their life. Like we all learned in elementary school, "if you have nothing nice to say, don't say anything at all." I am also new to the forum and learned from my mistakes. If I need help with somthing I need to put my thoughts and reasonings into my post and then whoever wishes can help guide me in the right direction. This is how we all learn though, from our mistakes.

I respect your opinions and will stop using the forum. I don't want to upset anyone, which it seems like I have. This is my first time using a nursing forum and I guess I thought this could be a place for advice and some guidance not only for myself but for other nursing students who come across the questions I post, but apparently I am using the forum in the wrong way. Thank you for the best of luck! I see you are a BSN and hope to reach that level of education one day. Anyone going through any nursing program knows it is not easy so congratulations!

1. An older adult client with bilateral osteoarthritis of the knees tells the nurse that she knows she needs to lose weight but exercise will just make her knees ache more. What instruction should the nurse provide to this client? A) Eat a reduced-calorie diet for several months before attempting exercise. * Eating a reduced-calorie diet can help with the weight loss, but not attempting to exercise for several months will not benefit the client with osteoarthritis. (Physical Activity for Arthritis) B) Discuss knee replacement surgery with the physician. * Knee replacement surgery may be needed in the future, but for right now nonpharmacological interventions should be tried first to see if they could help manage the pain. (Arthritis Management) C) Stretch the muscles, because that is the only form of exercise that improves osteoarthritis. * Stretching is not the only form of exercise that improves osteoarthritis; aerobic, muscle, strengthening activities and balance activities also help improve osteoarthritis. (Physical Activity for Arthritis) D) Exercise the muscles so that they will protect the joints. * Muscle strengthening exercises are important for the client with osteoarthritis because having strong muscles takes some pressure off of the joints. (Physical Activity for Arthritis) I am new to the forum and don't expect anyone to "do my homework". I have to find my own rationales from credible sources so I am not expecting people to give me rationales. We all think differently and other people's opinions guide me. I also like to double check and see if other people have the same thinking because I might be reading the question differently. I understand your concerns.

I am sorry. Thank you for the suggestions. I am new to the forum and will make sure I am more polite in future questions I post.

I agree with your rationales also, thank you for your input! It is much appreciated! :)

A) I have signed a contract with Lifeline.” I think this would be a correct answer because lifeline can help the client in the event of an emergency, like a fall, if no one is around to help. B) I can help out my son with housework while I'm staying.” The client should be doing exercises to help with the recovery, but not housework. So I would say this would not be a choice. C) I've borrowed a toilet seat riser from the equipment closet. The raised toilet seat can help assist the patient and making sure they do not flex their hip greater than 90 degrees. So this would be correct. D) I will be sure to take oxycodone before I go downstairs in the morning.” The oxycodone should not be taken before going down the stairs because the client may become dizzy and could fall. So this is not a correct answer. [COLOR=#000000]E) We are replacing the carpet with laminate flooring.”[/COLOR] [COLOR=#000000]The client should not be helping with replacing the flooring during recovery of a fractured hip. Thank you! I will do this for any future questions I have, it gets me thinking more. [/COLOR]

The nurse is providing discharge instructions to an older client recovering from a fractured hip. He is planning to stay with his son, who is included in the intervention. Which statement would indicate good understand of the instructions? Select all that apply. A) I have signed a contract with Lifeline.” B) I can help out my son with housework while I'm staying.” C) I've borrowed a toilet seat riser from the equipment closet. D) I will be sure to take oxycodone before I go downstairs in the morning.” E) We are replacing the carpet with laminate flooring.”

1. An older adult client with bilateral osteoarthritis of the knees tells the nurse that she knows she needs to lose weight but exercise will just make her knees ache more. What instruction should the nurse provide to this client? A) Eat a reduced-calorie diet for several months before attempting exercise. B) Discuss knee replacement surgery with the physician. C) Stretch the muscles, because that is the only form of exercise that improves osteoarthritis. D) Exercise the muscles so that they will protect the joints. I am between B and D, but leaning more towards D. Any thoughts?

I was thinking constipation would be the first priority too. This is not an actual patient, just a case study for class. Thank you so much!!

Which has priority? Chronic pain or constipation? I am doing a care plan and I am wondering which one would be a priority for a patient who has chronic pain from herniated intervertebral disks, but is also constipated?

My first choice would be D (encourage fluid intake), but I wasn't sure about A (medicate for pain around the clock) for the chronic pain.

A client with chronic pain from herniated intervertebral disks is experiencing constipation. What interventions would be appropriate for this client? (Sorry about that, I didn't realize it cut off)

A) Medicate for pain around the clock. B) Restrict foods high in fiber. C) Avoid the use of stool softeners. D) Encourage fluid intake of 2,500-3,000 ml each day.