View Full Version : student nurse


Sharon
05-24-2008, 09:56 PM
Hi, im currently studying nursing and a question I need answering is what are the potential pre & post-operative problems that may arise in a diabetic patient having a mastectomy and a 6 yr old child for a tonsillectomy.....
If you can give me some notes, I would greatly appreciate it. Thanks Sharon

runningnurse
05-25-2008, 01:30 AM
Obviously pain will be the first issue with both-post operatively that is.
I think your best answers will be found in your text books or a decent medsurg book. I'm not trying to be mean here but recently a student in Canada got expelled for using a forum to get answers to their assignment (turns out it wasn't as officials construed it-i.e.plagerism and he was reinstated, but now the use of forums to get answers to your questions with those will be highly suspect (and Im not saying you are doing that...) You'll find that if you discover the answers on your own rather than using a forum or other people's knowledge (while a good thing) will not only help you understand the issues better but be able to recognize what happens to your patients when you do encounter it in the real world of nursing.
Good Luck with your studies:)

Julie
05-25-2008, 02:49 AM
I completely agree with Running Nurse. There is nothing wrong in seeking the views of others in general terms, but as a student you need to actually answer such answers yourself. What I would say though is that you need to think of what the normal post operative issues would be for each patient and then additionally consider what they might be for someone with diabetes and for a child. Good luck.

P/J
05-25-2008, 05:43 AM
As already stated forums can only give you opinions not answers (however the answers are often in there) However I feel there is no harm in asking for answers, however you need to reference all sources and a forum is not a creditable source and neither is Wikipedia (as a primary source, you should however see where the information has come from and if creditable reference that instead).

Hi, im currently studying nursing and a question I need answering is what are the potential pre & post-operative problems that may arise in a diabetic patient having a mastectomy and a 6 yr old child for a tonsillectomy.....
If you can give me some notes, I would greatly appreciate it. Thanks Sharon
1. anxiety - it can lead to other problems. ensure they understand what is going to happen and who they can talk to afterwards if they have an issue. It is important for the mastectomy as there is a loss of body image and the image of being female. Let them know that there will be a nurse nearby when they wake up and what they might experience afterwards ie Pain.
2. Pain Pain Pain. If they are going to have a PCA teach them how to use it before they go in to surgery. Otherwise is there going to be nerve blocks or an epidural? Teach them how they work. When they come out of surgery let them know that analgesia will wear off and to not let pain build up, if they have pain, use the PCA. IMPORTANT note the number of demands when you do your obs, if you have 20 demands to 5 good, then the pain is not under control and must be reassessed.
3. Move. they have both had surgery to the top half of the body, there is no reason why they can't be getting out of bed post op. Esp when we get hip replacements out of bed day 1. A sore throat is no excuse to use bed pans and have bed baths.
4. Nutrition. We need food the heal. Ice cream is good for kids with sore throats but notify the diatician and get milk shakes made up (with additional fiber, minerals and vitamins). Even obese people can be malnourished. All patients must eat.

This is not an entire list. Refer to you Med/Surge text book for more ideas. Good luck.

runningnurse
05-25-2008, 12:05 PM
We actually send our mastectomy patients home post op day 1. And tonsils are done as day surgery, so are gone within 6 hours of operation. What P/J suggested are great starters, we're getting everyone up as best we can (even if it is to sit on the side of the bed) pretty much right after surgery. the sooner they get moving the quicker they will start to feel somewhat normal. No pain no gain;) LOL

Cranky_Student_Nurse
05-25-2008, 12:49 PM
Wouldn't a diabetic patient have an issue with wounds healing post op? And would their blood sugar issues have an effect on the anesthesia in some way?

I'm not in school yet, but for some reason those things popped into my brain.

AS far as answering questions, Sharon, I've found that when someone tells you the answer it doesn't stick nearly as well as when you find it out for yourself.

MyOwnWoman
05-25-2008, 10:02 PM
I think your best answers will be found in your text books or a decent medsurg book. I'm not trying to be mean here but recently a student in Canada got expelled for using a forum to get answers to their assignment (turns out it wasn't as officials construed it-i.e.plagerism and he was reinstated, but now the use of forums to get answers to your questions with those will be highly suspect (and Im not saying you are doing that...) You'll find that if you discover the answers on your own rather than using a forum or other people's knowledge (while a good thing) will not only help you understand the issues better but be able to recognize what happens to your patients when you do encounter it in the real world of nursing.
Good Luck with your studies.


I agree completely. Nothing will stick in your mind better than when you search for the answers yourself.

Thushara
07-16-2008, 04:56 AM
Obviously in a comprehensive hospital nurses get busy.Looks like nurses getting problems more than the diabetic patients.Sounds weard


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Mr Ian
07-18-2008, 10:54 AM
Hi, im currently studying nursing and a question I need answering is what are the potential pre & post-operative problems that may arise in a diabetic patient having a mastectomy and a 6 yr old child for a tonsillectomy.....
If you can give me some notes, I would greatly appreciate it. Thanks Sharon

I'm a psych nurse so my answers would be:
a) diabetic mastectomy - problem 1: How soon can I take them for a cigarette?
b) 6yr old tonsillectomy - problem 1: How soon can I take them for a cigarette?

Hope this helps.

Mother Jones, RN
07-18-2008, 08:44 PM
Ian, you crack me up!

MJ :pepsi:

P/J
07-18-2008, 09:33 PM
I'm a psych nurse so my answers would be:
a) diabetic mastectomy - problem 1: How soon can I take them for a cigarette?
b) 6yr old tonsillectomy - problem 1: How soon can I take them for a cigarette?

Hope this helps.

Same issue in general. Patients returning for knee recon, asking when they can have a cigarette as we return them to their room from recovery.

Cranky student nurse- the diabetes is an issue, but if the patient is aware of the problems, correct management of the wound and the diabetes, there should be no big problem. It is when people ignore their sugar levels that the really get into trouble and end up loosing toes, eyes, feet.

P/J
08-19-2008, 06:39 AM
Its good to be a nurse but should be very patient.Because its very hard on this job.

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GAYATHRI

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What are these last three posts? Are we missing some posts from this thread?

Julie
08-19-2008, 06:07 PM
I think there is a Troll issue on this thread!

Mother Jones, RN
08-19-2008, 10:43 PM
This is getting annoying. :banghead:

mj

Mother Jones, RN
08-20-2008, 03:43 PM
I took off the previous posts. No more head banging. No more spam. I have a delete button and I'm not afraid to us it.

MJ :pepsi:

Julie
08-26-2008, 02:40 AM
I have given seandalton a warning about the above two posts as he/she has little to say and is advertising the same website that has been a common theme recently. Please bear with us while we sort this issue out.

P/J
08-26-2008, 03:33 AM
I have given seandalton a warning about the above two posts as he/she has little to say and is advertising the same website that has been a common theme recently. Please bear with us while we sort this issue out.

Don't worry we are bearing, however it appears that it is not just one person involved.

P/J
10-04-2008, 08:02 AM
.........and it was twice as common that this relative was a father as a mother...... genetically stable population.

Sorry couldn't help this one.

They can't be too genetically stable if the father is also the mother. :aetsch:

bizcheers
07-14-2011, 05:03 AM
nice forum dedicated for nursing like me.

thanks

topconlacj
12-24-2011, 01:38 AM
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staciyac4
06-17-2014, 09:08 PM
Hello! I made a Podcast/powerpoint on End of life care for my community class (for my RN-BSN program). I posted it on Youtube. It has very basic thoughts and information for nurses. I will be graded on the interaction (likes,comments and views) I get from the community (good and bad). If you could please take 15 mins to take a look and leave a comment you would be helping a busy nursing student a lot! Thanks so much and enjoy!!!

LINK---->>>> http://youtu.be/kW8X97tShA4

Carol Walters
08-20-2015, 05:39 AM
POst should be made on merit and new.

keepyourheadelevated
03-29-2016, 04:04 PM
there's need to review the general health of the patient considering the blood tests.metabolic disorders may present with high or low blood sugar levels.so the patient needs to be stabilised.
consider a chest x-ray.stop medications that interfere with the blood clotting system.a few hours of refraining from food.remember to obtaine a consent and assessment of anaesthesia
thanks:beer: