afelice120

Hey guys, So I just got my first nursing job in an intensive care nursery! I've been working on day shift for 5 weeks to train, but now I'm about to switch to night shift as that is what I was hired for. I'm also newly pregnant, (12 weeks) so I'm pretty tired to begin with. Back as a new CNA I worked nights and loved it, but that was so long ago and I've gotten so used to day shift that I'm nervous about the transition. Do you guys have any tips on how to make this transition easier and to stay healthy as I grow this little munchkin? Thanks!

Yes, we are. I'll try that, thanks!

Hi, I am a 4th semester student in an ADN program. We do use NANDA guidelines, and have been instructed that with Risk for dx, you must identify the r/t to specify the risk, but not the AEB as there is no evidence (being it is only a risk). I do understand how to develop a nursing dx, I am just really struggling with coming up with 10 of them for this particular patient since his chief complaints (AMS and UTI) are resolving.

I have a pt with a hx TBI, hx seizures, and baseline AMS. He was admitted two days ago with increasing AMS secondary to a UTI. He has failed bedisde and video swallow studies, so has been NPO >24 hr until we can get a G-Tube in him. He has a PICC and a long term foley catheter, he's on contact isolation for a hx of ESBL, and is on bedrest due to a fall risk. The AMS has resolved to his baseline, so I'm having trouble coming up with nursing Dx. I need 10 nsg dx - 3 with interventions and assessments, and 7 with just a name of the dx and related to's/AEB's. What I have so far: - Imbalanced nutrition: less than body requirements r/t inadequate intake AEB required NPO status >24hr. - Risk for infection: aspiration pneumonia r/t failed bedside and video swallow studies. - Risk for injury r/t hx of seizures. - Risk for infection: CLABSI r/t PICC line. Can you guys think of any others?