Nursing Tips (603)

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

Cathy Parkes

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

Cathy Parkes

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.

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

Refeeding Syndrome

Cathy Parkes

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

Refeeding Syndrome

Cathy Parkes

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

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

Denture Care

Cathy Parkes

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

Denture Care

Cathy Parkes

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

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: Patient Teaching

Cathy Parkes

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.

1 comment

Crohn's Disease: Patient Teaching

Cathy Parkes

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.

1 comment
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

Cathy Parkes

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

Cathy Parkes

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.

Clonidine, a centrally acting Alpha2 Agonist, may cause three main side effects.

Clonidine

Cathy Parkes

Clonidine, a centrally acting Alpha2 Agonist, may cause three main side effects.

Clonidine

Cathy Parkes

Clonidine, a centrally acting Alpha2 Agonist, may cause three main side effects.

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

Cathy Parkes

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

Cathy Parkes

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).

Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.

Newborn Hyperbilirubinemia: Treatment

Cathy Parkes

Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.

Newborn Hyperbilirubinemia: Treatment

Cathy Parkes

Phototherapy with UV lights is a common treatment for newborn hyperbilirubinemia.

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

Otitis Externa

Cathy Parkes

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

Otitis Externa

Cathy Parkes

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

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 medication.

Veracity

Cathy Parkes

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

Cathy Parkes

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 is used to maintain osmotic pressure in the plasma by drawing fluid into the vascular space.

Albumin: Mode of Action

Cathy Parkes

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

Albumin: Mode of Action

Cathy Parkes

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

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 the body when lifting.

Body Mechanics for Lifting

Cathy Parkes

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

Cathy Parkes

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

Mumps (Paramyxovirus)

Cathy Parkes

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

Mumps (Paramyxovirus)

Cathy Parkes

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

Monitor adolescents for signs of eating disorders such as anorexia nervosa or bulimia nervosa.

Eating Disorders in Adolescents

Cathy Parkes

Monitor adolescents for signs of eating disorders such as anorexia nervosa or bulimia nervosa.

Eating Disorders in Adolescents

Cathy Parkes

Monitor adolescents for signs of eating disorders such as anorexia nervosa or bulimia nervosa.

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

Meniere's Disease: Patient Teaching

Cathy Parkes

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

Meniere's Disease: Patient Teaching

Cathy Parkes

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

Things you can delegate to your PN (LVN, LPN): Medication administration, foley catheter insertion, enteral feeding, NG tube insertion, suctioning, tracheostomy care, reinforcement of patient teaching.

Delegating to your PN

Cathy Parkes

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

1 comment

Delegating to your PN

Cathy Parkes

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

1 comment
Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

Mannitol

Cathy Parkes

Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

Mannitol

Cathy Parkes

Mannitol is an osmotic diuretic used to reduce cerebral edema and increased intracranial pressure (ICP).

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

Measles (Rubeola)

Cathy Parkes

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

Measles (Rubeola)

Cathy Parkes

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

MyPlate is a nutritional guide published by the USDA to help people eat the right amount of each food group.

MyPlate

Cathy Parkes

MyPlate is a nutritional guide published by the USDA to help people eat the right amount of each food group.

MyPlate

Cathy Parkes

MyPlate is a nutritional guide published by the USDA to help people eat the right amount of each food group.

Combatting the Effects of Immobility - LevelUpRN

Combatting the Effects of Immobility

Cathy Parkes

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

Cathy Parkes

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...

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

Heel Stick Procedure: Infants

Cathy Parkes

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

Heel Stick Procedure: Infants

Cathy Parkes

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

Lyme Disease

Lyme Disease

Cathy Parkes

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

1 comment

Lyme Disease

Cathy Parkes

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

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

Intussusception

Cathy Parkes

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

Intussusception

Cathy Parkes

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

Things you can delegate to your CNA/tech partner:  Bathing, toileting, dressing, ambulating, positioning, vital signs, bed making, specimen collection, feeding patients without swallowing precautions.

Delegating to your CNA

Cathy Parkes

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

Delegating to your CNA

Cathy Parkes

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

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 detachment which requires emergency surgery to repair.

Retinal Detachment

Cathy Parkes

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

Cathy Parkes

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...

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

Cathy Parkes

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

Cathy Parkes

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

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

Cathy Parkes

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

Cathy Parkes

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

Clotrimazole

Cathy Parkes

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

Clotrimazole

Cathy Parkes

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

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

Positive Feedback Loop

Cathy Parkes

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

Positive Feedback Loop

Cathy Parkes

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

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

Cathy Parkes

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

Cathy Parkes

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

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

"Gift from Infant"

Cathy Parkes

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

"Gift from Infant"

Cathy Parkes

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

In Vitamin E toxicity, a patient may experience impaired blood coagulation. Too much E = blEEding.

Vitamin E Toxicity

Cathy Parkes

In Vitamin E toxicity, a patient may experience impaired blood coagulation.

Vitamin E Toxicity

Cathy Parkes

In Vitamin E toxicity, a patient may experience impaired blood coagulation.

Monitor patients taking cyclophosphamide for blood in the urine, as this medication can cause hemorrhagic cystitis.

Cyclophosphamide

Cathy Parkes

Monitor patients taking cyclophosphamide for blood in the urine, as this medication can cause hemorrhagic cystitis.

Cyclophosphamide

Cathy Parkes

Monitor patients taking cyclophosphamide for blood in the urine, as this medication can cause hemorrhagic cystitis.

Nursing Tips - Halo Traction Devices

Halo Traction Devices

Cathy Parkes

If a patient has a halo traction device in place, be sure wrench to release rods is attached to vest (so CPR can be performed in the event of an...

Halo Traction Devices

Cathy Parkes

If a patient has a halo traction device in place, be sure wrench to release rods is attached to vest (so CPR can be performed in the event of an...

If there is a tornado, avoid windows, and move patients to the middle of the building (e.g., hallways). If the patient cannot be moved, place a blanket over the patient for protection.

Tornado Nursing Procedures

Cathy Parkes

If there is a tornado, avoid windows, and move patients to the middle of the building (e.g., hallways). If the patient cannot be moved, place a blanket over the patient...

Tornado Nursing Procedures

Cathy Parkes

If there is a tornado, avoid windows, and move patients to the middle of the building (e.g., hallways). If the patient cannot be moved, place a blanket over the patient...

If an infant has not passed meconium within the first 48 hours of life, they should be evaluated for Hirschsprung Disease. A colostomy may be needed in this case after surgical removal of the affected portion of the colon.

Hirschsprung Disease

Cathy Parkes

If an infant has not passed meconium within the first 48 hours of life, they should be evaluated for Hirschsprung Disease. A colostomy may be needed in this case after...

Hirschsprung Disease

Cathy Parkes

If an infant has not passed meconium within the first 48 hours of life, they should be evaluated for Hirschsprung Disease. A colostomy may be needed in this case after...

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Cushing's Disease: Nutritional Guidance

Cathy Parkes

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Cushing's Disease: Nutritional Guidance

Cathy Parkes

Important nutritional guidance for the patient with Cushing's Disease includes restricting fluid and sodium, but increasing intake of potassium, calcium, and protein.

Primary use of Lactulose

Primary use of Lactulose

Cathy Parkes

Lactulose is a laxative, but it is primarily used to decrease AMMONIA levels in patients with hepatic encephalopathy.

Primary use of Lactulose

Cathy Parkes

Lactulose is a laxative, but it is primarily used to decrease AMMONIA levels in patients with hepatic encephalopathy.

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

Faulty Equipment

Cathy Parkes

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

Faulty Equipment

Cathy Parkes

If equipment malfunctions, tag the faulty equipment, take it out of use, and notify the appropriate department.

Tumors are staged using the TNM staging criteria.

TNM Staging Criteria for Tumors

Cathy Parkes

Tumors are staged using the TNM staging criteria. T = Tumor (T1 - T4), representing the size and extent of the tumor. N = Node (N0 - N3), relating to...

TNM Staging Criteria for Tumors

Cathy Parkes

Tumors are staged using the TNM staging criteria. T = Tumor (T1 - T4), representing the size and extent of the tumor. N = Node (N0 - N3), relating to...

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything else.

Poison Control: Patient Teaching

Cathy Parkes

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...

Poison Control: Patient Teaching

Cathy Parkes

If a child ingests or is believed to have ingested a poison or other toxic substance, educate parents that the first step is to call poison control before doing anything...

Interferon alpha-2b is used to enhance the body's immune response to tumors and viruses, but it can cause flu-like symptoms, bone marrow suppression, cardiotoxicity, hepatotoxicity, dyspnea, alopecia, GI upset, and psychiatric disorders!

Interferon Alpha-2b

Cathy Parkes

Interferon alpha-2b is used to enhance the body's immune response to tumors and viruses, but it can cause flu-like symptoms, bone marrow suppression, cardiotoxicity, hepatotoxicity, dyspnea, alopecia, GI upset, and...

Interferon Alpha-2b

Cathy Parkes

Interferon alpha-2b is used to enhance the body's immune response to tumors and viruses, but it can cause flu-like symptoms, bone marrow suppression, cardiotoxicity, hepatotoxicity, dyspnea, alopecia, GI upset, and...

Laboring patients who express back pain may benefit from sacral counterpressure. The nurse or support person can use the heel of their hand or their fist to push against the maternal sacrum to relieve lower back pain.

Back Pain during Labor

Cathy Parkes

Laboring patients who express back pain may benefit from sacral counterpressure. 

Back Pain during Labor

Cathy Parkes

Laboring patients who express back pain may benefit from sacral counterpressure. 

If a child is diagnosed with Mononucleosis, educate the family that they should avoid contact sports due to the risk of splenic rupture!

Mononucleosis in Children

Cathy Parkes

If a child is diagnosed with Mononucleosis, educate the family that they should avoid contact sports due to the risk of splenic rupture!

Mononucleosis in Children

Cathy Parkes

If a child is diagnosed with Mononucleosis, educate the family that they should avoid contact sports due to the risk of splenic rupture!

Guillain-Barre Syndrome (GBS) causes a sudden onset of weakness and paralysis, usually following a respiratory or GI viral infection. Be sure to maintain a patent airway!

Guillain-Barre Syndrome (GBS)

Cathy Parkes

Guillain-Barre Syndrome (GBS) causes a sudden onset of weakness and paralysis, usually following a respiratory or GI viral infection. Be sure to maintain a patent airway!

Guillain-Barre Syndrome (GBS)

Cathy Parkes

Guillain-Barre Syndrome (GBS) causes a sudden onset of weakness and paralysis, usually following a respiratory or GI viral infection. Be sure to maintain a patent airway!

For topical lidocaine cream (e.g., EMLA cream) to numb an area, be sure to apply it 1 hour before the procedure and cover it with an occlusive dressing.

Applying Topical Lidocaine Cream

Cathy Parkes

For topical lidocaine cream (e.g., EMLA cream) to numb an area, be sure to apply it 1 hour before the procedure and cover it with an occlusive dressing.

Applying Topical Lidocaine Cream

Cathy Parkes

For topical lidocaine cream (e.g., EMLA cream) to numb an area, be sure to apply it 1 hour before the procedure and cover it with an occlusive dressing.

When collecting a clean catch urine specimen, educate patients to clean the urethra with sterile wipes, waste the initial amount into the toilet and then position the sterile container into the stream.

Clean Catch Urine Specimen Collection

Cathy Parkes

When collecting a clean catch urine specimen, educate patients to clean the urethra with sterile wipes, waste the initial amount into the toilet and then position the sterile container into...

Clean Catch Urine Specimen Collection

Cathy Parkes

When collecting a clean catch urine specimen, educate patients to clean the urethra with sterile wipes, waste the initial amount into the toilet and then position the sterile container into...

Presumptive Signs of pregnancy are things that can be explained by OTHER reasons besides pregnancy. Examples: Nausea/vomiting, urinary frequency, amenorrhea, quickening (fetal movements felt by the mother), breast changes, fatigue.

Presumptive Signs of Pregnancy

Cathy Parkes

Presumptive Signs of pregnancy are things that can be explained by OTHER reasons besides pregnancy.

Presumptive Signs of Pregnancy

Cathy Parkes

Presumptive Signs of pregnancy are things that can be explained by OTHER reasons besides pregnancy.