Nursing Tips (587)
Thoracentesis
During a thoracentesis (drainage of fluid from pleural space), monitor the patient for pneumothorax and hypotension.
Thoracentesis
During a thoracentesis (drainage of fluid from pleural space), monitor the patient for pneumothorax and hypotension.
Ethnocentrism
Ethnocentrism: The belief that one's own culture is superior to all others. View world from their own cultural viewpoint. Nurses should NOT practice ethnocentrism.
Ethnocentrism
Ethnocentrism: The belief that one's own culture is superior to all others. View world from their own cultural viewpoint. Nurses should NOT practice ethnocentrism.
Rheumatoid Arthritis: Expected Labs
Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer.
Rheumatoid Arthritis: Expected Labs
Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer.
Enterobiasis (pinworm)
Enterobiasis (pinworm) is likely to cause a child intense perianal itching which is worse at night
Enterobiasis (pinworm)
Enterobiasis (pinworm) is likely to cause a child intense perianal itching which is worse at night
Fluoroquinolones
Fluoroquinolones such as ciprofloxacin carry a black box warning for tendon rupture. This is a unique side effect that is important to remember!
Fluoroquinolones
Fluoroquinolones such as ciprofloxacin carry a black box warning for tendon rupture. This is a unique side effect that is important to remember!
Early Patient Discharge
If a patient is choosing to leave the hospital before recommended discharge, notify the provider, have the patient sign an "Against Medical Advice" (AMA) form, and remove any IV catheters....
Early Patient Discharge
If a patient is choosing to leave the hospital before recommended discharge, notify the provider, have the patient sign an "Against Medical Advice" (AMA) form, and remove any IV catheters....
Cradle Cap: Family Teaching
Educate families that an emollient (e.g., baby oil) may be placed on areas of an infant's scalp affected by cradle cap.
Cradle Cap: Family Teaching
Educate families that an emollient (e.g., baby oil) may be placed on areas of an infant's scalp affected by cradle cap.
Aldosterone
Aldosterone increases blood pressure and blood volume by promoting renal reabsorption of sodium (and therefore water!) and excretion of potassium.
Aldosterone
Aldosterone increases blood pressure and blood volume by promoting renal reabsorption of sodium (and therefore water!) and excretion of potassium.
Suppressing Lactation: Patient Teaching
For a patient wishing to suppress lactation, encourage the use of a supportive bra for 72 hours after delivery.
Suppressing Lactation: Patient Teaching
For a patient wishing to suppress lactation, encourage the use of a supportive bra for 72 hours after delivery.
Vegetarian Diet: Patient Teaching
Ensure vegetarians get sufficient protein, vitamin B12, iron, calcium, vitamin D, and omega-3 fatty acids in their diet.
Vegetarian Diet: Patient Teaching
Ensure vegetarians get sufficient protein, vitamin B12, iron, calcium, vitamin D, and omega-3 fatty acids in their diet.
Lice: Family Teaching
Educate families of children diagnosed with lice (pediculosis capitis) that the whole family should be examined and treated.
Lice: Family Teaching
Educate families of children diagnosed with lice (pediculosis capitis) that the whole family should be examined and treated.
Culturally Competent Care
Culturally competent care begins with identifying your own cultural beliefs and values!
Culturally Competent Care
Culturally competent care begins with identifying your own cultural beliefs and values!
Lactation
When it comes to lactation, prolactin is responsible for causing milk production, while oxytocin controls the release of milk from the breasts through the "letdown reflex."
Lactation
When it comes to lactation, prolactin is responsible for causing milk production, while oxytocin controls the release of milk from the breasts through the "letdown reflex."
Weight Loss: Patient Teaching
Educate patients that in order to lose one pound per week, they should decrease daily caloric intake by 500.
Weight Loss: Patient Teaching
Educate patients that in order to lose one pound per week, they should decrease daily caloric intake by 500.
Effective Nonverbal Communication
For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.
Effective Nonverbal Communication
For effective nonverbal communication, remember your ROLES: Relaxed body language, Open posture, Lean in, Eye contact, Sit squarely toward the patient.
Lamotrigine: Patient Teaching
Educate patients to immediately report a rash when taking lamotrigine, as this may be due to Stevens-Johnson Syndrome, a life-threatening complication!
Lamotrigine: Patient Teaching
Educate patients to immediately report a rash when taking lamotrigine, as this may be due to Stevens-Johnson Syndrome, a life-threatening complication!
Lyme Disease: Prevention
Educate patients to prevent Lyme Disease (a tick-borne illness) by wearing long sleeves/long pants/close-toed shoes/a hat in wooded or grassy areas, and check their body fully for ticks when returning...
Lyme Disease: Prevention
Educate patients to prevent Lyme Disease (a tick-borne illness) by wearing long sleeves/long pants/close-toed shoes/a hat in wooded or grassy areas, and check their body fully for ticks when returning...
Pediatric Vaccine Administration
When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...
Pediatric Vaccine Administration
When administering vaccinations to a child less than 12 months of age, be sure to use the vastus lateralis muscle of the thigh. The deltoid should not be used until...
Palpating the Carotid Pulse
When palpating the carotid pulse, be sure to only do one side at a time to avoid restricting blood flow to the brain!
Palpating the Carotid Pulse
When palpating the carotid pulse, be sure to only do one side at a time to avoid restricting blood flow to the brain!
Thrombolytics
Thrombolytics may be given within three hours of the onset of symptoms in the case of an ischemic stroke, but are NOT indicated for hemorrhagic strokes.
Thrombolytics
Thrombolytics may be given within three hours of the onset of symptoms in the case of an ischemic stroke, but are NOT indicated for hemorrhagic strokes.
Cyclosporine
Cyclosporine is a medication used to prevent organ rejection in transplant patients.
Cyclosporine
Cyclosporine is a medication used to prevent organ rejection in transplant patients.
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.
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