Johnny Said:

Question for Nursing students and RNs...thanks!?

We Answered:

well it all depends on your schools curriculum. my friends had to do presentations in front of the class on several occasions. maybe 2 or 3. and to be honest you cant be too shy you have to know when to speak up. like when it comes to defending yourself and being a patient advocate.

Jessica Said:

What are some scenarios for the nursing diagnosis "Ineffective Health Maintenance"?

We Answered:

heh non-compliant diabetic...

Debbie Said:

Case study for anatomy class! Not a nursing student just taking an extra class?

We Answered:

1. Increase
2.Decrease water will move out of the cells
3. Fluid will be moving out of the cells into the interstitial spaces causing edema and fluid to collect in the lungs
4. Decreased aldosterone levels.The stretch receptors located in the atria of the heart. If decreased blood pressure is detected, the adrenal gland is stimulated by these stretch receptors to release aldosterone, which increases sodium resorption from the urine, sweat, and the gut. This causes increased osmolarity in the extracellular fluid, which will eventually return blood pressure toward normal.
5. i)renin-angiotensin system: Reduced renin
ii)sympathetic nerves:Anxiety increases aldosterone,
iii)baroreceptors:Less stimulation due to reduced bp
6.lethargy, weakness, irritability, and edema.With more severe elevations of the sodium level, seizures and coma may occur.(158mEq / liter are considered high)
7.Heart failure is also associated with ode ma and difficulty in breathing. The extra fluid may cause the heart to fail.

That's what i would put anyway.

Vincent Said:

Nursing Students or Nurses?

We Answered:

Hi I am an Rn, and remeber those case studies well!! Ok, here you go. Classic s/s of dig toxcicity is yello green halos around visual images, arrhtymias, anorexia, nauses vomiting and diarrhea. I t can also casue fatigue, lehtagry, hallucinations, vetigo, and p aresthesis. If your going to give bt IV bolus, give slowly over a 5 minute time only after you have taken BP first.
Monitor potassium levels, as hypkalemia can predispose to dif toxcicity. Antacids like Myklanta casue decreased absorbtion becasue the calcium binds with the dig in the gut. Antibiotic increase the risk of dig toxcidity.Anticholenergis also increase the rish of risk of toxcity. Also check with you pateint about thier use of alternative herbal medicine, as manyu of them like Saint John's wort are not comapatabile. Dif is contrindicatd in patients whoa re elderly, those with acute MI, AV block, sinus bradycardia, PVC's, pericarditis, hypertropic cardiomyopathy,relan insufficiecny severe pulomary problems like COPD, or hypothyroidis. Drug induced arrthymia my increase the severuty of heart failure and hypotension. In childrem cardia arrthymia, sinus bradycardia are usally ealry sign og toxcicity. Before giving a loading dose IV, be sure to obtain basleine heart, rate and rhthym, blood pressure and electrolyes. Especialy ask the patient about current or past use of cardio glycocides winth the past two or three weeks. I forgot to mention that hypercalcemia and hypomagnesemia can predipose to dig toxcicity. An oral loading dose is usually divided in hald over the first 24 hours. Before gining the dose take the pulse for a whole minute, and be sure to notifu the doctor of changes in the pulse, pulse defecit, increase or decrese in pulse rate or any irreguar rhthyms. I these occur check blood pressure and do a baseline 12 lead EKG/ Thera[eutic dig blood leves range fro, 0.5-2ng/ml. Therfore it is especiaaly imopotant to remain you patient to be faithful in keeping his appoinments for blood work. There is a fine line between thereapeutic blood levels and toxic levles. Tell the patient to take his puse first thing before taking the drug, and to withohold it if the puse is below 60 or aove 110 beats. Aso tell the patient to eat potassium rich food as this will help to avoid hypokalemia. Also encourage the patient not to switch one kind of digitallis fotr another as dosing and interations between diffferent forms can occur when changing. Whne doing patient teaching about dig., I also try to have a family member or some other siginificant other avilanle so thea they too know about the benefits and h azard of thaking this drug. Whena asked speciefiaaly what this drug does, I tell them that it helps the drug beat more regularly. I know this has been llong winded, but I gave you everthing I know abouty dig, and what i usally tell my patients. Best wishes in school and and on your case study...Fred. p>S> Hang in there..you'll make it!!!!!

Marvin Said:

Nursing Interventions and Rationales for Ineffective Health Maintenance?

We Answered:

dietitian teaching
diabetic counseling /diabetic classes
weight control classes
request for psychology assessment (they might be depressed or like being sick)
assess communication/ educational issues
( their lack of education or cultural communication skills might not be up to par)
family conferences (intervention)

Elaine Said:

To nursing students: Why did you choose this career?

We Answered:

I worked for years in the advertising and banking industries. In the end, all I did was contribute to someone's greed. At least in being a nurse, I can also help someone feel better or comfort them in some way.
I work as a Cardiac Monitor Tech, but haven't ever volunteered.
I would recommend this to someone who is intelligent and quick, but also down-to-earth and versatile. You have to conform to the attitudes and personalities of all types of patients (clients) and deal with their conditions and body fluids in a mature, constructive manner.

Jacqueline Said:

Can we say that our patient was misdiagnosed?

We Answered:

As a former nursing student myself, you cannot be that blatant and say that doctors "misdiagnosed" the patient. You can, however, say that you FEEL the doctors may have jumped at this too soon and MAYBE they should have looked into it more.
You have to be very careful about saying anyone misdiagnosed a patient. That could be a lawsuit just waiting to happen. I say you have a helluva case with this, as it is definite that by saying a patient is pre-eclampsia they have to have both symptoms.
I feel you'll do okay with this case study, but just don't say that you "KNOW" that it was a misdiagnosis, but kinda dance around the subject.
Good luck girl and WTG on catching this..