Nursing Tips
Eating Disorders
Bulimia Nervosa is an eating disorder characterized by binge eating followed by compensatory measures to avoid weight gain (e.g., vomiting, laxative use, extreme exercise). Anorexia Nervosa is an eating disorder characterized by...
Eating Disorders
Bulimia Nervosa is an eating disorder characterized by binge eating followed by compensatory measures to avoid weight gain (e.g., vomiting, laxative use, extreme exercise). Anorexia Nervosa is an eating disorder characterized by...
Patient Identifiers
All assessments should involve identifying the patient with two patient identifiers (e.g., name, DOB, MRN#). Remember: room number is NOT a valid patient identifier!
Patient Identifiers
All assessments should involve identifying the patient with two patient identifiers (e.g., name, DOB, MRN#). Remember: room number is NOT a valid patient identifier!
Calcium Ranges
Calcium (Ca) expected range: 9 - 10.5 mEq/L HINT: California (CA) is due for a big earthquake that may measure 9 - 10.5 on the Richter scale.
Calcium Ranges
Calcium (Ca) expected range: 9 - 10.5 mEq/L HINT: California (CA) is due for a big earthquake that may measure 9 - 10.5 on the Richter scale.
Filgrastim
Filgrastim is a medication used to stimulate the growth of neutrophils in patients with neutropenia.
Filgrastim
Filgrastim is a medication used to stimulate the growth of neutrophils in patients with neutropenia.
Long-bone Fractures
A patient who experienced a long-bone fracture is at risk for a fat embolism. Immediately report any dyspnea, confusion, tachypnea, tachycardia, or chest pain to the provider.
Long-bone Fractures
A patient who experienced a long-bone fracture is at risk for a fat embolism. Immediately report any dyspnea, confusion, tachypnea, tachycardia, or chest pain to the provider.
Authoritarian vs. Authoritative Parenting
Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.
Authoritarian vs. Authoritative Parenting
Authoritarian parents are those who are strict and require high control but offer little warmth. Authoritative parents have moderate-high control, but offer high amounts of warmth.
Oxybutynin
Because oxybutynin is used to treat overactive bladder by inhibiting acetylcholine in the bladder, assess for anticholinergic symptoms. These include dry mouth, urinary retention, constipation, and blurred vision.
Oxybutynin
Because oxybutynin is used to treat overactive bladder by inhibiting acetylcholine in the bladder, assess for anticholinergic symptoms. These include dry mouth, urinary retention, constipation, and blurred vision.
Appendicitis: Nursing Care
A patient with appendicitis is likely to have RLQ pain at McBurney's Point along with rebound tenderness, nausea/vomiting, and fever.
Appendicitis: Nursing Care
A patient with appendicitis is likely to have RLQ pain at McBurney's Point along with rebound tenderness, nausea/vomiting, and fever.
Hemodialysis: Patient Teaching
A patient undergoing hemodialysis may have an arteriovenous fistula in the arm. Educate patient that blood pressures, IVs, and blood draws must be done from the arm without the shunt....
Hemodialysis: Patient Teaching
A patient undergoing hemodialysis may have an arteriovenous fistula in the arm. Educate patient that blood pressures, IVs, and blood draws must be done from the arm without the shunt....
Corticosteroids: Patient Teaching
Patients taking corticosteroids (e.g., prednisone, hydrocortisone) are at increased risk of infection. Monitor for signs of infection, and educate patients taking these medications to avoid crowded areas and perform frequent...
Corticosteroids: Patient Teaching
Patients taking corticosteroids (e.g., prednisone, hydrocortisone) are at increased risk of infection. Monitor for signs of infection, and educate patients taking these medications to avoid crowded areas and perform frequent...
Providing Educational Materials to Patients
Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.
Providing Educational Materials to Patients
Written educational materials should be provided in the patient's primary language using layman's terms and an appropriate reading level.
Performing a Snellen Exam
When performing a Snellen exam for visual acuity, an adult should stand 20 feet away from the chart, but a child should stand 10 feet from the chart.
Performing a Snellen Exam
When performing a Snellen exam for visual acuity, an adult should stand 20 feet away from the chart, but a child should stand 10 feet from the chart.
Vitamin B9 (Folic Acid)
Vitamin B9 (folic acid) is needed to prevent neural tube defects in a developing fetus.
Vitamin B9 (Folic Acid)
Vitamin B9 (folic acid) is needed to prevent neural tube defects in a developing fetus.
Status Asthmaticus
A patient with asthma who is experiencing airway obstruction unresponsive to usual therapy is experiencing status asthmaticus. Administer oxygen and prepare for emergency intubation!
Status Asthmaticus
A patient with asthma who is experiencing airway obstruction unresponsive to usual therapy is experiencing status asthmaticus. Administer oxygen and prepare for emergency intubation!
The Scoop Method
Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.
The Scoop Method
Avoid recapping needles to prevent sharps injury. If recapping is unavoidable, use the scoop method to minimize the risk of injury.
Appendicitis: Family Teaching
When caring for a child with appendicitis, report to the provider any sudden relief of pain. This may indicate that the appendix has perforated and requires emergency surgery!
Appendicitis: Family Teaching
When caring for a child with appendicitis, report to the provider any sudden relief of pain. This may indicate that the appendix has perforated and requires emergency surgery!
Varicose Veins: Patient Teaching
A patient who experiences prolonged standing (like nurses!) is at risk for developing varicose veins. Educate patients with this risk factor to wear compression stockings and elevate the legs when...
Varicose Veins: Patient Teaching
A patient who experiences prolonged standing (like nurses!) is at risk for developing varicose veins. Educate patients with this risk factor to wear compression stockings and elevate the legs when...
Digoxin and Hypokalemia
Because hypokalemia increases a patient's risk of digoxin toxicity, be sure to closely monitor the potassium levels for patients taking digoxin!
Digoxin and Hypokalemia
Because hypokalemia increases a patient's risk of digoxin toxicity, be sure to closely monitor the potassium levels for patients taking digoxin!
Enemas: Nursing Care
Patients receiving enemas may report cramping. Lower the solution container if cramping is reported.
Enemas: Nursing Care
Patients receiving enemas may report cramping. Lower the solution container if cramping is reported.
Cushing's Syndrome: Nursing Care
With Cushing's Syndrome, restrict fluid and sodium but increase the patient's intake of protein, calcium, and vitamin D.
Cushing's Syndrome: Nursing Care
With Cushing's Syndrome, restrict fluid and sodium but increase the patient's intake of protein, calcium, and vitamin D.
Loss of Central Vision
A patient reporting a loss of central vision should be evaluated for macular degeneration.
Loss of Central Vision
A patient reporting a loss of central vision should be evaluated for macular degeneration.
Atropine
Atropine is a medication that can be administered to patients with sinus bradycardia or heart block in order to increase heart rate.
Atropine
Atropine is a medication that can be administered to patients with sinus bradycardia or heart block in order to increase heart rate.
Car Seat Safety for Newborns
Car seat safety for newborns includes installing the car seat in the back/middle seat, using a rear-facing seat with a 5-point harness until at least age 2, installing the seat...
Car Seat Safety for Newborns
Car seat safety for newborns includes installing the car seat in the back/middle seat, using a rear-facing seat with a 5-point harness until at least age 2, installing the seat...
Crutches: Patient Teaching
A patient using crutches should be taught to ascend stairs leading with the strong leg and descend by leading with the weaker leg.
Crutches: Patient Teaching
A patient using crutches should be taught to ascend stairs leading with the strong leg and descend by leading with the weaker leg.
Assessing Skin Lesions with ABCDE
Assess any skin lesions for potential cancerous changes using ABCDE.
Assessing Skin Lesions with ABCDE
Assess any skin lesions for potential cancerous changes using ABCDE.
Pheochromocytoma in Children
When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!
Pheochromocytoma in Children
When caring for a child with pheochromocytoma, be sure not to palpate the abdomen. Palpation can cause a sudden release of catecholamines, triggering severe hypertension!
Patient Controlled Analgesia (PCA) Pumps
Patient Controlled Analgesia (PCA) pumps should only be used by the patient. Educate families/visitors not to press the button for the patient!
Patient Controlled Analgesia (PCA) Pumps
Patient Controlled Analgesia (PCA) pumps should only be used by the patient. Educate families/visitors not to press the button for the patient!
Ipratropium
Because ipratropium is an anticholinergic medication, educate patients that they should increase their fluid intake and suck on candy for dry mouth.
Ipratropium
Because ipratropium is an anticholinergic medication, educate patients that they should increase their fluid intake and suck on candy for dry mouth.
Cardiac Enzymes
Cardiac Enzymes are released in response to cardiac ischemia. They include CK-MB, Myoglobin, Troponin T, and Troponin I. Troponin is the most specific!
Cardiac Enzymes
Cardiac Enzymes are released in response to cardiac ischemia. They include CK-MB, Myoglobin, Troponin T, and Troponin I. Troponin is the most specific!
Macronutrients
Carbohydrates and protein each provide 4 kcal of energy/gram. Lipids provide 9 kcal of energy/gram.
Macronutrients
Carbohydrates and protein each provide 4 kcal of energy/gram. Lipids provide 9 kcal of energy/gram.
Word Salad
Word Salad is a type of disorganized speech seen in schizophrenia (e.g., "happy green friendly running monkeys").
Word Salad
Word Salad is a type of disorganized speech seen in schizophrenia (e.g., "happy green friendly running monkeys").
Acetylcysteine is Supposed to Smell Like Rotten Eggs
Acetylcysteine is a mucolytic used to treat pulmonary disorders with thick mucous secretions (e.g., cystic fibrosis). It is expected that this medication smells like rotten eggs; this is not an...
Acetylcysteine is Supposed to Smell Like Rotten Eggs
Acetylcysteine is a mucolytic used to treat pulmonary disorders with thick mucous secretions (e.g., cystic fibrosis). It is expected that this medication smells like rotten eggs; this is not an...
Chancre
A patient presenting with a chancre (ulcer) on the genitals should be evaluated for syphilis. The chancre should be cultured, and a blood test should be done to assess for...
Chancre
A patient presenting with a chancre (ulcer) on the genitals should be evaluated for syphilis. The chancre should be cultured, and a blood test should be done to assess for...
Psychomotor Domain of Learning
A patient who is practicing how to administer their own insulin injections is functioning under the psychomotor domain of learning, as they are not just thinking, but performing an action.
Psychomotor Domain of Learning
A patient who is practicing how to administer their own insulin injections is functioning under the psychomotor domain of learning, as they are not just thinking, but performing an action.
Holophrases
At approximately 1 year of age, a child should begin using "holophrases," which are one-word sentences. By age 2 the child should use more than 50 words and 2 -...
Holophrases
At approximately 1 year of age, a child should begin using "holophrases," which are one-word sentences. By age 2 the child should use more than 50 words and 2 -...
Assessing Skin Turgor
Assessing skin turgor should be done by gently pinching/lifting the skin on the sternum. If the skin "tents," (i.e., stays lifted for a prolonged period and doesn't quickly return to...
Assessing Skin Turgor
Assessing skin turgor should be done by gently pinching/lifting the skin on the sternum. If the skin "tents," (i.e., stays lifted for a prolonged period and doesn't quickly return to...
Nursing Audits
Audits are an effective way to measure and evaluate performance when carrying out quality improvement.
Nursing Audits
Audits are an effective way to measure and evaluate performance when carrying out quality improvement.
Acetylcysteine
Acetylcysteine, a respiratory medication, is also used as an antidote for acetaminophen toxicity!
Acetylcysteine
Acetylcysteine, a respiratory medication, is also used as an antidote for acetaminophen toxicity!
Acrocyanosis
Acrocyanosis is the bluish discoloration of fingers/hands and toes/feet and is an expected finding in the newborn. Report persistent central cyanosis to the provider.
Acrocyanosis
Acrocyanosis is the bluish discoloration of fingers/hands and toes/feet and is an expected finding in the newborn. Report persistent central cyanosis to the provider.
Chronic Obstructive Pulmonary Disease (COPD): Signs & Symptoms
A patient with Chronic Obstructive Pulmonary Disease (COPD) is likely to have a "barrel chest" appearance, use accessory muscles to breathe, have clubbing of the fingernails, and exhibit hyperresonance upon...
Chronic Obstructive Pulmonary Disease (COPD): Signs & Symptoms
A patient with Chronic Obstructive Pulmonary Disease (COPD) is likely to have a "barrel chest" appearance, use accessory muscles to breathe, have clubbing of the fingernails, and exhibit hyperresonance upon...
Protective/Reverse Isolation
A patient on protective/reverse isolation should be provided a private room with positive-pressure airflow. Do not allow flowers or live plants into the room, and screen all visitors for illness.
Protective/Reverse Isolation
A patient on protective/reverse isolation should be provided a private room with positive-pressure airflow. Do not allow flowers or live plants into the room, and screen all visitors for illness.
Eye and Ear Assessment
When assessing the eyes, the sclera should be white. The tympanic membrane of the ears, however, should be pearly gray.
Eye and Ear Assessment
When assessing the eyes, the sclera should be white. The tympanic membrane of the ears, however, should be pearly gray.
Dietary Considerations
Ask your patient about any dietary considerations they may have in relation to their religion rather than assuming!
Dietary Considerations
Ask your patient about any dietary considerations they may have in relation to their religion rather than assuming!
Beneficence vs. Nonmaleficence
Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.
Beneficence vs. Nonmaleficence
Beneficence is the ethical principle of promoting good, while nonmaleficence is to avoid causing harm.
Paracentesis: Nursing Care
A patient undergoing a paracentesis (drainage of fluid from the peritoneal cavity using a needle) must empty their bladder prior to the procedure.
Paracentesis: Nursing Care
A patient undergoing a paracentesis (drainage of fluid from the peritoneal cavity using a needle) must empty their bladder prior to the procedure.
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