Nursing Tips (615)

Incentive Spirometer
Educate patients on the use of the incentive spirometer. They should inhale slowly and deeply, and use the device ~ 10 times an hour while awake.
Incentive Spirometer
Educate patients on the use of the incentive spirometer. They should inhale slowly and deeply, and use the device ~ 10 times an hour while awake.

Kwashiorkor
Kwashiorkor is severe protein malnutrition marked by abdominal distension, peripheral edema, round face, muscle atrophy, and hepatomegaly.
Kwashiorkor
Kwashiorkor is severe protein malnutrition marked by abdominal distension, peripheral edema, round face, muscle atrophy, and hepatomegaly.

Objective versus Subjective Data
Two types of data the nurse should document include objective and subjective.
Objective versus Subjective Data
Two types of data the nurse should document include objective and subjective.

Rheumatoid Arthritis Symptoms
How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities
Rheumatoid Arthritis Symptoms
How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities

Impaired Bonding
Signs that a parent may be experiencing impaired bonding with their infant may include ignoring the infant, showing apathy or indifference when the infant cries, expressing disgust with diapers or...
Impaired Bonding
Signs that a parent may be experiencing impaired bonding with their infant may include ignoring the infant, showing apathy or indifference when the infant cries, expressing disgust with diapers or...

Laissez-Faire Leadership
Laissez-Faire leadership style follows a hands-off approach, which leads to low productivity and frustration.
Laissez-Faire Leadership
Laissez-Faire leadership style follows a hands-off approach, which leads to low productivity and frustration.

Osteoarthritis
A patient with osteoarthritis may have Heberden's nodes on the distal interphalangeal joints and/or Bouchard's nodes on the proximal interphalangeal joints.
Osteoarthritis
A patient with osteoarthritis may have Heberden's nodes on the distal interphalangeal joints and/or Bouchard's nodes on the proximal interphalangeal joints.

Vesicles versus Bulla
Vesicles are fluid-filled primary skin lesions < 1 cm in size. Bulla are also fluid-filled primary skin lesions, but are larger than 1 cm in size.
Vesicles versus Bulla
Vesicles are fluid-filled primary skin lesions < 1 cm in size. Bulla are also fluid-filled primary skin lesions, but are larger than 1 cm in size.

Somogyi Phenomenon
Somogyi phenomenon is morning hyperglycemia due to untreated overnight hypoglycemia. To prevent Somogyi's phenomenon, provide a bedtime snack and insulin.
Somogyi Phenomenon
Somogyi phenomenon is morning hyperglycemia due to untreated overnight hypoglycemia. To prevent Somogyi's phenomenon, provide a bedtime snack and insulin.

Prevalence
Prevalence is the number of current cases (new and pre-existing) of a disease/injury in a population during a specified time. This figure does not include those who have died from...
Prevalence
Prevalence is the number of current cases (new and pre-existing) of a disease/injury in a population during a specified time. This figure does not include those who have died from...

Pulse Oximetry (SPO2)
Pulse oximetry (SPO2) is used to assess the percentage of hemoglobin saturation in the blood. Normal levels are 95 - 100%, but remember that a patient with COPD is expected...
Pulse Oximetry (SPO2)
Pulse oximetry (SPO2) is used to assess the percentage of hemoglobin saturation in the blood. Normal levels are 95 - 100%, but remember that a patient with COPD is expected...

Sensible Water Losses
Sensible water losses refer to measurable excretion (e.g., urination), but insensible losses occur as well (e.g., fluid loss through sweat or respiration).
Sensible Water Losses
Sensible water losses refer to measurable excretion (e.g., urination), but insensible losses occur as well (e.g., fluid loss through sweat or respiration).

Pertussis
Pertussis (Whooping Cough) is a respiratory infection characterized by a cough with a "whoop" sound, frequently leading to post-tussive emesis (coughing to the point of vomiting). Initiate droplet precautions for...
Pertussis
Pertussis (Whooping Cough) is a respiratory infection characterized by a cough with a "whoop" sound, frequently leading to post-tussive emesis (coughing to the point of vomiting). Initiate droplet precautions for...

Patients with Artificial Airways
Patients with artificial airways may be unable to speak. Use alternative communication methods (e.g., writing board) to allow the patient to convey their needs.
Patients with Artificial Airways
Patients with artificial airways may be unable to speak. Use alternative communication methods (e.g., writing board) to allow the patient to convey their needs.

Fluticasone
Fluticasone is a nasal corticosteroid used to treat rhinitis (nasal congestion).
Fluticasone
Fluticasone is a nasal corticosteroid used to treat rhinitis (nasal congestion).

Screening for scoliosis
Screening for scoliosis is conducted with the Adam's forward bend test. A positive result is demonstrated by asymmetry of the ribs and flanks.
Screening for scoliosis
Screening for scoliosis is conducted with the Adam's forward bend test. A positive result is demonstrated by asymmetry of the ribs and flanks.

Precipitous Labor
Precipitous labor is one which lasts less than three hours from the onset of contractions to the time of delivery. Monitor patients with precipitous labor for postpartum hemorrhage!
Precipitous Labor
Precipitous labor is one which lasts less than three hours from the onset of contractions to the time of delivery. Monitor patients with precipitous labor for postpartum hemorrhage!

Crohn's Disease: Nursing Care
Patients with Crohn's Disease will experience periods of flare-ups. During severe exacerbations, complete NPO status for bowel rest with total parenteral nutrition (TPN) may be needed.
Crohn's Disease: Nursing Care
Patients with Crohn's Disease will experience periods of flare-ups. During severe exacerbations, complete NPO status for bowel rest with total parenteral nutrition (TPN) may be needed.

Recording I&Os
When recording I&Os, ice chips should be recorded as half their volume. For example, 8 oz of ice chips count as 4 oz of water.
Recording I&Os
When recording I&Os, ice chips should be recorded as half their volume. For example, 8 oz of ice chips count as 4 oz of water.

Refeeding Syndrome
Monitor patients with eating disorders for refeeding syndrome, caused by introducing nutrition too rapidly after prolonged starvation.
Refeeding Syndrome
Monitor patients with eating disorders for refeeding syndrome, caused by introducing nutrition too rapidly after prolonged starvation.

Denture Care
When providing denture care, place towels into the sink to prevent damage should they fall during cleaning.
Denture Care
When providing denture care, place towels into the sink to prevent damage should they fall during cleaning.

Venturi Devices
Venturi devices are used to provide the most precise FiO2 delivery (up to 40%) without intubation. The flow rate depends on the mask to which the device is attached.
Venturi Devices
Venturi devices are used to provide the most precise FiO2 delivery (up to 40%) without intubation. The flow rate depends on the mask to which the device is attached.

Osteomyelitis: Risk Factors
Osteomyelitis (an infection of the bone) is a risk for any patient who experienced recent trauma (e.g., an open fracture), bacteremia, orthopedic surgery, and/or circulatory disorders (e.g., Diabetes Mellitus).
Osteomyelitis: Risk Factors
Osteomyelitis (an infection of the bone) is a risk for any patient who experienced recent trauma (e.g., an open fracture), bacteremia, orthopedic surgery, and/or circulatory disorders (e.g., Diabetes Mellitus).

Newborn Hyperbilirubinemia: Treatment
Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.
Newborn Hyperbilirubinemia: Treatment
Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.

Otitis Externa
Otitis Externa (swimmer's ear) affects the ear canal, causing erythema and itching.
Otitis Externa
Otitis Externa (swimmer's ear) affects the ear canal, causing erythema and itching.

Veracity
Veracity is an ethical principle stating that the nurse should tell the truth. For example, the nurse should be honest with the patient about the possible side effects of a...
Veracity
Veracity is an ethical principle stating that the nurse should tell the truth. For example, the nurse should be honest with the patient about the possible side effects of a...

Albumin: Mode of Action
Albumin is used to maintain osmotic pressure in the plasma by drawing fluid into the vascular space.
Albumin: Mode of Action
Albumin is used to maintain osmotic pressure in the plasma by drawing fluid into the vascular space.

Body Mechanics for Lifting
To prevent injury, follow proper body mechanics: stand with feet shoulder width apart; avoid twisting the spine; bend using the knees instead of the waist; and hold objects close to...
Body Mechanics for Lifting
To prevent injury, follow proper body mechanics: stand with feet shoulder width apart; avoid twisting the spine; bend using the knees instead of the waist; and hold objects close to...

Mumps (Paramyxovirus)
Mumps (Paramyxovirus) may lead to swelling of the testes and parotid glands. Monitor for airway compromise.
Mumps (Paramyxovirus)
Mumps (Paramyxovirus) may lead to swelling of the testes and parotid glands. Monitor for airway compromise.

Eating Disorders in Adolescents
Monitor adolescents for signs of eating disorders such as anorexia nervosa or bulimia nervosa.
Eating Disorders in Adolescents
Monitor adolescents for signs of eating disorders such as anorexia nervosa or bulimia nervosa.

Meniere's Disease: Patient Teaching
Meniere's Disease affects the inner ear leading to balance and hearing disturbances.
Meniere's Disease: Patient Teaching
Meniere's Disease affects the inner ear leading to balance and hearing disturbances.

Delegating to your PN
Things can delegate to PN: Medication administration, foley catheter, enteral feeding, NG tube insertion, suctioning, tracheostomy care...
Delegating to your PN
Things can delegate to PN: Medication administration, foley catheter, enteral feeding, NG tube insertion, suctioning, tracheostomy care...

Measles (Rubeola)
Measles (Rubeola) is a highly contagious illness preventable through vaccination.
Measles (Rubeola)
Measles (Rubeola) is a highly contagious illness preventable through vaccination.

Combatting the Effects of Immobility
In order to combat the effects of immobility, encourage coughing/deep breathing/use of incentive spirometer, apply TED hose or SCDs to promote blood return, provide anticoagulation as ordered, and reposition the...
Combatting the Effects of Immobility
In order to combat the effects of immobility, encourage coughing/deep breathing/use of incentive spirometer, apply TED hose or SCDs to promote blood return, provide anticoagulation as ordered, and reposition the...

Heel Stick Procedure: Infants
Prior to performing a heel stick procedure on an infant, warm the newborn's heel to increase blood circulation.
Heel Stick Procedure: Infants
Prior to performing a heel stick procedure on an infant, warm the newborn's heel to increase blood circulation.

Lyme Disease
Key feature of Lyme Disease is a ring-shaped, "bullesye" lesion at the site of the tick bite.
Lyme Disease
Key feature of Lyme Disease is a ring-shaped, "bullesye" lesion at the site of the tick bite.

Intussusception
Intussusception is a condition marked by the small intestine "telescoping" in on itself and causing an obstruction.
Intussusception
Intussusception is a condition marked by the small intestine "telescoping" in on itself and causing an obstruction.

Delegating to your CNA
Things can delegate to your CNA/tech partner: Bathing, toileting, dressing, ambulating, positioning, vital signs, bed making, specimen collection...
Delegating to your CNA
Things can delegate to your CNA/tech partner: Bathing, toileting, dressing, ambulating, positioning, vital signs, bed making, specimen collection...

Retinal Detachment
If a patient reports sudden, painless loss of vision (as though a "curtain" has been pulled over the visual field), immediately report this to the provider. This may indicate retinal...
Retinal Detachment
If a patient reports sudden, painless loss of vision (as though a "curtain" has been pulled over the visual field), immediately report this to the provider. This may indicate retinal...

Negativism in Toddlers
It is normal for a toddler to have temper tantrums and display "negativism" (i.e., automatically saying "no" when asked a question).
Negativism in Toddlers
It is normal for a toddler to have temper tantrums and display "negativism" (i.e., automatically saying "no" when asked a question).

HIPAA Laws: Password Safety
In order to uphold HIPAA laws, log off the computer when stepping away, and use secure, unique passwords that are changed frequently. Never share passwords with anyone.
HIPAA Laws: Password Safety
In order to uphold HIPAA laws, log off the computer when stepping away, and use secure, unique passwords that are changed frequently. Never share passwords with anyone.

Clotrimazole
Clotrimazole is a medication often used to treat athlete's foot (tinea pedis).
Clotrimazole
Clotrimazole is a medication often used to treat athlete's foot (tinea pedis).

Positive Feedback Loop
In a positive feedback loop, a release of hormones initiates actions that lead to an additional release of that hormone.
Positive Feedback Loop
In a positive feedback loop, a release of hormones initiates actions that lead to an additional release of that hormone.

Fecal Occult Blood Test
In the presence of blood, a fecal occult blood test card will turn blue. Report this finding to the provider for further evaluation.
Fecal Occult Blood Test
In the presence of blood, a fecal occult blood test card will turn blue. Report this finding to the provider for further evaluation.

Gifts from Infants
Older siblings may have difficulty adapting to the presence of the infant.
Gifts from Infants
Older siblings may have difficulty adapting to the presence of the infant.
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