Nursing Tips
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
Therapeutic Relaxation Techniques
Progressive Relaxation involves tightening and relaxing muscle groups. Guided Imagery helps a patient relax by visualizing detailed images. Meditation can improve health and well-being by helping an individual focus on...
Therapeutic Relaxation Techniques
Progressive Relaxation involves tightening and relaxing muscle groups. Guided Imagery helps a patient relax by visualizing detailed images. Meditation can improve health and well-being by helping an individual focus on...
Phenytoin and Gingival Hyperplasia
A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.
Phenytoin and Gingival Hyperplasia
A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.
Intracranial Pressure (ICP); Nursing Care
A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...
Intracranial Pressure (ICP); Nursing Care
A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...
High Pressure Alarm: Causes
A high pressure alarm from a ventilator could indicate Pulmonary edema, Pneumothorax, Bronchospasm, Biting of the tube, Secretion excess, Coughing, or a Kink in the tubing.
High Pressure Alarm: Causes
A high pressure alarm from a ventilator could indicate Pulmonary edema, Pneumothorax, Bronchospasm, Biting of the tube, Secretion excess, Coughing, or a Kink in the tubing.
Lab Tests for First Trimester
First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...
Lab Tests for First Trimester
First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...
What is a Living Will?
A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).
What is a Living Will?
A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).
Right to Refuse Medication
Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.
Right to Refuse Medication
Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.
Medication Reconciliation
A medication reconciliation is the process of compiling a complete and up-to-date list of medications a patient has been taking at home (including over-the-counter and herbal supplements) and comparing it...
Medication Reconciliation
A medication reconciliation is the process of compiling a complete and up-to-date list of medications a patient has been taking at home (including over-the-counter and herbal supplements) and comparing it...
Chickenpox (Varicella)
A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.
Chickenpox (Varicella)
A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.
Home Health Nursing Care
A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.
Home Health Nursing Care
A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.
Neuroleptic Malignant Syndrome (NMS)
Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.
Neuroleptic Malignant Syndrome (NMS)
Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.
Dry Powder Inhaler (DPI)
A dry powder inhaler (DPI) does not require the patient to shake the device or use a spacer. Instead, the patient should breathe in rapidly and deeply to move the...
Dry Powder Inhaler (DPI)
A dry powder inhaler (DPI) does not require the patient to shake the device or use a spacer. Instead, the patient should breathe in rapidly and deeply to move the...
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
Bronchoscopy: Nursing Care
Following a bronchoscopy (visualization of the structures of the airway with sedation), ensure the patient's gag reflex has returned prior to allowing the patient to eat or drink.
Bronchoscopy: Nursing Care
Following a bronchoscopy (visualization of the structures of the airway with sedation), ensure the patient's gag reflex has returned prior to allowing the patient to eat or drink.
Warning Signs in Pregnancy
Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...
Warning Signs in Pregnancy
Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...
Cultural Assessment
A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.
Cultural Assessment
A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.
Complicated Grief
Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.
Complicated Grief
Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.
Oral Contraceptives
Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.
Oral Contraceptives
Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.
Assertive Community Treatment (ACT)
Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.
Assertive Community Treatment (ACT)
Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.
High-Fowler's Position
A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.
High-Fowler's Position
A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.
Spina Bifida Occulta
A child who presents with an abnormal tuft of hair, a dimple, or a birthmark on the spine should be evaluated for spina bifida occulta, a form of spina bifida....
Spina Bifida Occulta
A child who presents with an abnormal tuft of hair, a dimple, or a birthmark on the spine should be evaluated for spina bifida occulta, a form of spina bifida....
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Bipolar Disorders: I and II
Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.
Bipolar Disorders: I and II
Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.
Absence Seizures: Signs and Symptoms
A child who appears to be frequently "day dreaming" or often exhibits blank staring, eye fluttering, lip smacking, or picking at clothes should be evaluated for absence seizures.
Absence Seizures: Signs and Symptoms
A child who appears to be frequently "day dreaming" or often exhibits blank staring, eye fluttering, lip smacking, or picking at clothes should be evaluated for absence seizures.
Durable Power of Attorney (DPoA)
A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.
Durable Power of Attorney (DPoA)
A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.
St. John's Wort and Serotonin Syndrome
Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.
St. John's Wort and Serotonin Syndrome
Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.
Acute Glomerulonephritis: Signs and Symptoms
A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.
Acute Glomerulonephritis: Signs and Symptoms
A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.
Braden Scale: Pressure Injuries
A Braden scale score ≤ 18 indicates a patient is at risk for pressure injuries. In this case, take measures to prevent injuries of this type.
Braden Scale: Pressure Injuries
A Braden scale score ≤ 18 indicates a patient is at risk for pressure injuries. In this case, take measures to prevent injuries of this type.
Breath Sounds: Vesicular and Adventitious
"Vesicular" breath sounds are a normal finding upon auscultation (i.e., the sound air makes flowing in and out of lungs). "Adventitious" breath sounds are always abnormal!
Breath Sounds: Vesicular and Adventitious
"Vesicular" breath sounds are a normal finding upon auscultation (i.e., the sound air makes flowing in and out of lungs). "Adventitious" breath sounds are always abnormal!
Suctioning
When performing suctioning, apply suction intermittently while withdrawing the catheter and rotating it for 10-15 seconds.
Suctioning
When performing suctioning, apply suction intermittently while withdrawing the catheter and rotating it for 10-15 seconds.
Lead Exposure
Lead exposure: Pre-1978 housing is at risk for lead-based paint! Check out these patient teaching tips.
Lead Exposure
Lead exposure: Pre-1978 housing is at risk for lead-based paint! Check out these patient teaching tips.
Key Symptoms of Coarctation of the Aorta
KEY symptoms of Coarctation of the Aorta: elevated BP and bounding pulses in the arms, decreased BP and pulses in the legs.
Key Symptoms of Coarctation of the Aorta
KEY symptoms of Coarctation of the Aorta: elevated BP and bounding pulses in the arms, decreased BP and pulses in the legs.
Key Symptoms of a Patent Ductus Arteriosus
KEY symptoms of a Patent Ductus Arteriosus: machine-hum murmur, bounding pulses, and wide pulse pressure.
Key Symptoms of a Patent Ductus Arteriosus
KEY symptoms of a Patent Ductus Arteriosus: machine-hum murmur, bounding pulses, and wide pulse pressure.
Blood Glucose Key Points
Key points when taking a patient's blood glucose: Place hand in dependent position; Pierce outer; Wipe away first drop of blood; Hold test trip NEXT to the blood drop
Blood Glucose Key Points
Key points when taking a patient's blood glucose: Place hand in dependent position; Pierce outer; Wipe away first drop of blood; Hold test trip NEXT to the blood drop
Celiac Disease
Celiac disease is the inability to digest gluten. Patients with celiac disease CAN eat: dairy, rice, corn, potatoes, eggs, fruits and vegetables. Foods containing wheat, rye, and barley should be...
Celiac Disease
Celiac disease is the inability to digest gluten. Patients with celiac disease CAN eat: dairy, rice, corn, potatoes, eggs, fruits and vegetables. Foods containing wheat, rye, and barley should be...
Signs and Symptoms of Autism
Key signs/symptoms of Autism: Lack of eye contact Repetitive motions/actions Delayed speech and language skills Strict adherence to routines Unusual eating or sleeping habits Digestive problems.
Signs and Symptoms of Autism
Key signs/symptoms of Autism: Lack of eye contact Repetitive motions/actions Delayed speech and language skills Strict adherence to routines Unusual eating or sleeping habits Digestive problems.
Incidence Vs Prevalence
Incidence vs. Prevalence: Incidence is the number of NEW cases of disease/injury in a population during a period of time. Prevalence is the number of ALL cases (new and pre-existing) of disease/injury...
Incidence Vs Prevalence
Incidence vs. Prevalence: Incidence is the number of NEW cases of disease/injury in a population during a period of time. Prevalence is the number of ALL cases (new and pre-existing) of disease/injury...
Negative Nitrogen Balance
A negative nitrogen balance indicates insufficient PROTEIN intake (due to illness, malnutrition, or aging). It means the patient is using protein faster than it is being synthesized.
Negative Nitrogen Balance
A negative nitrogen balance indicates insufficient PROTEIN intake (due to illness, malnutrition, or aging). It means the patient is using protein faster than it is being synthesized.
Indications of Intent to Commit Suicide
Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.
Indications of Intent to Commit Suicide
Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.
Immunizations in first 6 months
IMMUNIZATIONS IN FIRST 6 MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...
Immunizations in first 6 months
IMMUNIZATIONS IN FIRST 6 MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...
Vitamin D
A key function of Vitamin D is that it helps with absorption of calcium. Sunlight is a key source of Vitamin D! Other sources include: fortified milk, fatty fish, and eggs.
Vitamin D
A key function of Vitamin D is that it helps with absorption of calcium. Sunlight is a key source of Vitamin D! Other sources include: fortified milk, fatty fish, and eggs.
Abdominal Wound Dehiscence
For abdominal wound dehiscence with evisceration: Place saline-soaked gauze over wound; Don't try to reinsert organs!; Prepare patient for possible surgery.
Abdominal Wound Dehiscence
For abdominal wound dehiscence with evisceration: Place saline-soaked gauze over wound; Don't try to reinsert organs!; Prepare patient for possible surgery.
Parallel Play in Children
In toddlers, parallel play is expected. Parallel play means that children play independently NEXT to other children.
Parallel Play in Children
In toddlers, parallel play is expected. Parallel play means that children play independently NEXT to other children.
Alcohol Withdrawal
Alcohol withdrawal starts 4-12 hours after last drink and peaks at 24-48 hours. Be sure to ask the patient when they had their last drink!
Alcohol Withdrawal
Alcohol withdrawal starts 4-12 hours after last drink and peaks at 24-48 hours. Be sure to ask the patient when they had their last drink!
How Many Calories in a Pound?
3,500 calories = 1 pound. To lose 1 pound a week, patients need to decrease their daily caloric intake by 500 calories.
How Many Calories in a Pound?
3,500 calories = 1 pound. To lose 1 pound a week, patients need to decrease their daily caloric intake by 500 calories.
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