Nursing Tips
Kernicterus
Kernicterus is a possible complication of hyperbilirubinemia in the infant.
Kernicterus
Kernicterus is a possible complication of hyperbilirubinemia in the infant.
Transformational Leadership
Transformational leadership promotes teamwork and shared decision-making, and is considered the ideal leadership style.
Transformational Leadership
Transformational leadership promotes teamwork and shared decision-making, and is considered the ideal leadership style.
Chvostek's Sign
One sign of hypocalcemia is a positive Chvostek's sign. HINT: You check for the Chovostek's sign by tapping the patient's cheek (over the area of the facial nerve).
Chvostek's Sign
One sign of hypocalcemia is a positive Chvostek's sign. HINT: You check for the Chovostek's sign by tapping the patient's cheek (over the area of the facial nerve).
Restraints: When to Remove
Restraints should be removed immediately once a patient is no longer a risk to themselves or others.
Restraints: When to Remove
Restraints should be removed immediately once a patient is no longer a risk to themselves or others.
Hemodialysis: Nursing Care
Prior to initiating hemodialysis, auscultate their arteriovenous fistula for a bruit and palpate for a thrill.
Hemodialysis: Nursing Care
Prior to initiating hemodialysis, auscultate their arteriovenous fistula for a bruit and palpate for a thrill.
Albumin & Prealbumin: Normal Ranges
When evaluating a patient's nutritional status, be sure to check: Albumin levels (normal range: 3.5-5) and Prealbumin levels (normal range 15-36).
Albumin & Prealbumin: Normal Ranges
When evaluating a patient's nutritional status, be sure to check: Albumin levels (normal range: 3.5-5) and Prealbumin levels (normal range 15-36).
Medroxyprogesterone (Depo-Provera)
Medroxyprogesterone (Depo-Provera) is a progestin-only contraception, meaning it is okay for patients who are breastfeeding or have a prior history of clotting!
Medroxyprogesterone (Depo-Provera)
Medroxyprogesterone (Depo-Provera) is a progestin-only contraception, meaning it is okay for patients who are breastfeeding or have a prior history of clotting!
Quality of Pain
The "quality" of a patient's pain refers to the words the patient uses to describe it. Examples would be "dull," "aching," "throbbing," "burning," etc.
Quality of Pain
The "quality" of a patient's pain refers to the words the patient uses to describe it. Examples would be "dull," "aching," "throbbing," "burning," etc.
Dermatophytosis
Dermatophytosis is a fungi spread through human and animal contact, including tinea capitis (head) and tinea pedis (athlete's foot).
Dermatophytosis
Dermatophytosis is a fungi spread through human and animal contact, including tinea capitis (head) and tinea pedis (athlete's foot).
Restraints
Restraints should be applied to a portion of the bed frame which moves up and down with the bed, but cannot move on its own (i.e., not the side rail).
Restraints
Restraints should be applied to a portion of the bed frame which moves up and down with the bed, but cannot move on its own (i.e., not the side rail).
Plasma Cells
Plasma cells are a type of B cell which produce and release antibodies against a specific antigen.
Plasma Cells
Plasma cells are a type of B cell which produce and release antibodies against a specific antigen.
Newborn Medications
Medications for the infant after delivery include "eyes and thighs": erythromycin ophthalmic ointment to prevent ophthalmia neonatorum, Vitamin K administered IM in the vastus lateralis to prevent bleeding, and the...
Newborn Medications
Medications for the infant after delivery include "eyes and thighs": erythromycin ophthalmic ointment to prevent ophthalmia neonatorum, Vitamin K administered IM in the vastus lateralis to prevent bleeding, and the...
Lithotomy Position
Lithotomy position has the patient supine with their knees flexed and legs abducted. This position is commonly used for gynecologic, rectal, or urologic procedures.
Lithotomy Position
Lithotomy position has the patient supine with their knees flexed and legs abducted. This position is commonly used for gynecologic, rectal, or urologic procedures.
Zostavax Vaccine
Educate patients > 60 years of age who have had chickenpox (Varicella) that prevention of shingles (Herpes Zoster) is possible with the Zostavax vaccine.
Zostavax Vaccine
Educate patients > 60 years of age who have had chickenpox (Varicella) that prevention of shingles (Herpes Zoster) is possible with the Zostavax vaccine.
Abdominal Pain/Tenderness
If a patient reports abdominal pain or tenderness, palpate these areas last.
Abdominal Pain/Tenderness
If a patient reports abdominal pain or tenderness, palpate these areas last.
Wilms Tumor - Nursing Care
It is vital to avoid palpating the abdomen of a child with Wilms Tumor, as this may cause cancer to spread.
Wilms Tumor - Nursing Care
It is vital to avoid palpating the abdomen of a child with Wilms Tumor, as this may cause cancer to spread.
Tetracyclines: Patient Teaching
Educate patients taking tetracyclines that it is important to avoid dairy products, foods high in calcium and iron, and antacids, as these decrease the absorption of the antibiotic.
Tetracyclines: Patient Teaching
Educate patients taking tetracyclines that it is important to avoid dairy products, foods high in calcium and iron, and antacids, as these decrease the absorption of the antibiotic.
Digital Rectal Exam (DRE)
Digital Rectal Exam (DRE) involves palpation of the prostate gland through the rectal wall. Abnormal findings include an enlarged or hard prostate, or irregular shapes/lumps within the prostate.
Digital Rectal Exam (DRE)
Digital Rectal Exam (DRE) involves palpation of the prostate gland through the rectal wall. Abnormal findings include an enlarged or hard prostate, or irregular shapes/lumps within the prostate.
Candidiasis
If a breastfed child presents with oral thrush (candidiasis), the breastfeeding mother must also be treated in order to prevent passing the fungus back and forth.
Candidiasis
If a breastfed child presents with oral thrush (candidiasis), the breastfeeding mother must also be treated in order to prevent passing the fungus back and forth.
Breastfeeding: Patient Teaching
Educate breastfeeding mothers that a correct latch is demonstrated by baby's nose, cheeks, and chin touching the breast with a portion of the areola in the infant's mouth. Adequate breastfeeding...
Breastfeeding: Patient Teaching
Educate breastfeeding mothers that a correct latch is demonstrated by baby's nose, cheeks, and chin touching the breast with a portion of the areola in the infant's mouth. Adequate breastfeeding...
Stroke: Right versus Left Hemisphere
A patient experiencing a left hemisphere stroke is likely to have expressive aphasia (difficulty speaking/understanding language) or reading/writing difficulty. A stroke affecting the right hemisphere may lead to poor judgement...
Stroke: Right versus Left Hemisphere
A patient experiencing a left hemisphere stroke is likely to have expressive aphasia (difficulty speaking/understanding language) or reading/writing difficulty. A stroke affecting the right hemisphere may lead to poor judgement...
General Anesthesia: Nursing Care
After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.
General Anesthesia: Nursing Care
After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.
Pediatric Vaccinations
Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.
Pediatric Vaccinations
Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.
Tetracyclines
Tetracyclines (e.g., doxycycline) should not be used in pregnant/breastfeeding patients. Due to the risk for permanent tooth discoloration, it should also be avoided in children under 8 years old.
Tetracyclines
Tetracyclines (e.g., doxycycline) should not be used in pregnant/breastfeeding patients. Due to the risk for permanent tooth discoloration, it should also be avoided in children under 8 years old.
Ileostomoy versus Colostomy
A patient with an ileostomy has a surgical opening created from the ileum. Bowel movements will be loose or watery. A colostomy, however, is created from the large intestine and...
Ileostomoy versus Colostomy
A patient with an ileostomy has a surgical opening created from the ileum. Bowel movements will be loose or watery. A colostomy, however, is created from the large intestine and...
Cutaneous Pain
Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.
Cutaneous Pain
Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.
Albumin
Because albumin increases the fluid volume and osmotic pressure of the intravascular space, assess for signs of fluid overload, and be sure not to give this medication to a patient...
Albumin
Because albumin increases the fluid volume and osmotic pressure of the intravascular space, assess for signs of fluid overload, and be sure not to give this medication to a patient...
Supine Position
A patient who is lying "supine" is lying on their back in a neutral position.
Supine Position
A patient who is lying "supine" is lying on their back in a neutral position.
Autonomic Nervous System
The autonomic nervous system is comprised of two parts: the sympathetic nervous system ("fight or flight" responses) and the parasympathetic nervous system ("rest and digest" functions).
Autonomic Nervous System
The autonomic nervous system is comprised of two parts: the sympathetic nervous system ("fight or flight" responses) and the parasympathetic nervous system ("rest and digest" functions).
Time-critical scheduled medications
Time-critical scheduled medications (e.g., antibiotics) need to be given within 30 minutes before or after the scheduled time.
Time-critical scheduled medications
Time-critical scheduled medications (e.g., antibiotics) need to be given within 30 minutes before or after the scheduled time.
Seasonal Influenza Vaccine
Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.
Seasonal Influenza Vaccine
Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.
Blood: Components
Blood is composed of plasma and formed elements. The plasma contains water, ions, protein, nutrients, wastes, gasses, and clotting factors. The formed elements include red blood cells, white blood cells,...
Blood: Components
Blood is composed of plasma and formed elements. The plasma contains water, ions, protein, nutrients, wastes, gasses, and clotting factors. The formed elements include red blood cells, white blood cells,...
Clopidogrel
Clopidogrel, a platelet aggregate inhibitor, helps to prevent myocardial infarction and stroke in patients with acute coronary syndrome.
Clopidogrel
Clopidogrel, a platelet aggregate inhibitor, helps to prevent myocardial infarction and stroke in patients with acute coronary syndrome.
Post-vaccine Care for Children
Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...
Post-vaccine Care for Children
Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...
Central Nervous System (CNS)
The central nervous system (CNS) is composed of the brain and spinal cord.
Central Nervous System (CNS)
The central nervous system (CNS) is composed of the brain and spinal cord.
Extreme Answers
Watch out! Extreme words like "always" or "never" may make an otherwise good answer incorrect.
Extreme Answers
Watch out! Extreme words like "always" or "never" may make an otherwise good answer incorrect.
Lymph Nodes
Normal lymph nodes are moveable, soft, nontender, and < 1 cm in size.
Lymph Nodes
Normal lymph nodes are moveable, soft, nontender, and < 1 cm in size.
Proton Pump Inhibitors
Omeprazole and Pantoprazole are Proton Pump Inhibitors used to treat duodenal and gastric ulcers, GERD, and Zollinger-Ellison syndrome. HINT: I will take Omeprazole and pray my ulcer pain goes away....
Proton Pump Inhibitors
Omeprazole and Pantoprazole are Proton Pump Inhibitors used to treat duodenal and gastric ulcers, GERD, and Zollinger-Ellison syndrome. HINT: I will take Omeprazole and pray my ulcer pain goes away....
Isotonic Fluids
Isotonic fluids do not change the volume of the body's cells.
Isotonic Fluids
Isotonic fluids do not change the volume of the body's cells.
Circumcision Care
If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.
Circumcision Care
If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.
Acute Kidney Injury (AKI): Causes
Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.
Acute Kidney Injury (AKI): Causes
Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.
Hydroxychloroquine
Patients with rheumatoid arthritis, lupus, or malaria may require use of the medication hydroxychloroquine. Because this medication can cause agranulocytosis, monitor CBC levels during therapy.
Hydroxychloroquine
Patients with rheumatoid arthritis, lupus, or malaria may require use of the medication hydroxychloroquine. Because this medication can cause agranulocytosis, monitor CBC levels during therapy.
Fifth's Disease
Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.
Fifth's Disease
Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.
Gut Reaction
TRUST YOUR GUT! If you had a gut reaction to an answer, don't change it!
Gut Reaction
TRUST YOUR GUT! If you had a gut reaction to an answer, don't change it!
Test Taking: Eliminate Options
Stuck on a question? If you can eliminate even one option, you increase your odds of choosing correctly!
Test Taking: Eliminate Options
Stuck on a question? If you can eliminate even one option, you increase your odds of choosing correctly!
Nociceptive and Neuropathic Pain
Nociceptive pain is caused by tissue damage or inflammation. Neuropathic pain is caused by nerve damage.
Nociceptive and Neuropathic Pain
Nociceptive pain is caused by tissue damage or inflammation. Neuropathic pain is caused by nerve damage.
Labor: Transition Phase
If a laboring patient begins to express feeling out of control (e.g., saying things such as "I can't take it anymore," or "I don't think I can do this,") it...
Labor: Transition Phase
If a laboring patient begins to express feeling out of control (e.g., saying things such as "I can't take it anymore," or "I don't think I can do this,") it...
Sulfa Allergies
A patient who reports "sulfa" allergies should not be given sulfonamide antibiotics such as sulfamethoxazole.
Sulfa Allergies
A patient who reports "sulfa" allergies should not be given sulfonamide antibiotics such as sulfamethoxazole.
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