What to do for this patient simulation????

[ilovetonurse]

i have a simulation tomorrow where myself and another student nurse will have to take care of this patient and we have no clue on what we will have to do. Here is the patient information.

64 yrs old had left modified radial mastectomy

-allergic to ink

-Meds- lantus 10 units at night, humilin R sliding scale with meal and at night

- Dilaudid 2 mgs iv push q 3 hrs

-O2 2L nasal to keep O2 above 92%

-Vitals- HR 84, BP 142/84, RR 20, O2 98%, Temp 37.7C

-Clear breath sounds

-Hypoactive Bowels

-800 mL clear urinevoided overnight

-C/O pain in calf 10/10

-

Pt feels achy, refused to get out of bed since surgery 2 days ago

HELP!

[nurse.sandi]

What is abnormal? I see one thing that stands right out real quick.

[Esme12, ASN, BSN, RN]

I agree with what you've said. In regards to your comment of why they don't do their own google searches.....In my experience, I have asked for help before because I simply could not find the info I needed because I did not have a good search phrase. I would do searches but would not come up with any good "hits." I remember asking for some help a couple months ago about getting some sort of JCAHO accreditation templates or guidance for performing a root cause analysis. At that time, I was accused of trying to have others do my homework for me...I have been an AN member since 2006 and I believe that was the only time I've ever asked for help (I could be mistaken, but I know for certain that asking for homework help is a rare occurrence for me)....Anyway, I think the all out negative attitude towards helping students is another symptom of larger problems in a lack of support amongst professionals in the nursing field.

I pretty much agree with everyone's assessment (yes, even roser13 and fribblet's ) that we shouldn't be handing out the answers or "freebies" to people looking for the lazy way to do school.

I like the "Let me google that for you" It is a real hoot.. http://lmgtfy.com/ I actually use this as an engine as it yeilds great results. Your JACHO stuff go to their web stie...they are very helpful...call them they are good about it..