Nursing Tips (579)

Proton Pump Inhibitors

Proton Pump Inhibitors

Cathy Parkes

Omeprazole and Pantoprazole are Proton Pump Inhibitors used to treat duodenal and gastric ulcers, GERD, and Zollinger-Ellison syndrome. HINT: I will take Omeprazole and pray my ulcer pain goes away....

Proton Pump Inhibitors

Cathy Parkes

Omeprazole and Pantoprazole are Proton Pump Inhibitors used to treat duodenal and gastric ulcers, GERD, and Zollinger-Ellison syndrome. HINT: I will take Omeprazole and pray my ulcer pain goes away....

Isotonic fluids do not change the volume of the body's cells.

Isotonic Fluids

Cathy Parkes

Isotonic fluids do not change the volume of the body's cells. 

Isotonic Fluids

Cathy Parkes

Isotonic fluids do not change the volume of the body's cells. 

If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.

Circumcision Care

Cathy Parkes

If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.

Circumcision Care

Cathy Parkes

If an infant is circumcised, clean the penis with warm water & apply petroleum jelly at every diaper change.

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

Acute Kidney Injury (AKI): Causes

Cathy Parkes

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

Acute Kidney Injury (AKI): Causes

Cathy Parkes

Acute Kidney Injury (AKI) may have prerenal, intrarenal, or postrenal causes.

Patients with rheumatoid arthritis, lupus, or malaria may require use of the medication hydroxychloroquine. Because this medication can cause agranulocytosis, monitor CBC levels during therapy.

Hydroxychloroquine

Cathy Parkes

Patients with rheumatoid arthritis, lupus, or malaria may require use of the medication hydroxychloroquine. Because this medication can cause agranulocytosis, monitor CBC levels during therapy.

Hydroxychloroquine

Cathy Parkes

Patients with rheumatoid arthritis, lupus, or malaria may require use of the medication hydroxychloroquine. Because this medication can cause agranulocytosis, monitor CBC levels during therapy.

Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.

Fifth's Disease

Cathy Parkes

Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.

1 comment

Fifth's Disease

Cathy Parkes

Fifth's Disease (Parvovirus-B19) has a classic finding of a "slapped cheek" rash on the face.

1 comment
TRUST YOUR GUT! If you had a gut reaction to an answer, don't change it!

Gut Reaction

Cathy Parkes

TRUST YOUR GUT! If you had a gut reaction to an answer, don't change it!

Gut Reaction

Cathy Parkes

TRUST YOUR GUT! If you had a gut reaction to an answer, don't change it!

Stuck on a question? If you can eliminate even one option, you increase your odds of choosing correctly!

Test Taking: Eliminate Options

Cathy Parkes

Stuck on a question? If you can eliminate even one option, you increase your odds of choosing correctly!

Test Taking: Eliminate Options

Cathy Parkes

Stuck on a question? If you can eliminate even one option, you increase your odds of choosing correctly!

Nociceptive pain is caused by tissue damage or inflammation. This type of pain is often described as "aching" or "throbbing". Neuropathic pain is caused by nerve damage. This type of pain is often described as "shooting" or "burning".

Nociceptive and Neuropathic Pain

Cathy Parkes

Nociceptive pain is caused by tissue damage or inflammation. Neuropathic pain is caused by nerve damage.

Nociceptive and Neuropathic Pain

Cathy Parkes

Nociceptive pain is caused by tissue damage or inflammation. Neuropathic pain is caused by nerve damage.

If a laboring patient begins to express feeling out of control it is likely they are in the transition phase with cervical dilation of 8-10cm!

Labor: Transition Phase

Cathy Parkes

If a laboring patient begins to express feeling out of control (e.g., saying things such as "I can't take it anymore," or "I don't think I can do this,") it...

Labor: Transition Phase

Cathy Parkes

If a laboring patient begins to express feeling out of control (e.g., saying things such as "I can't take it anymore," or "I don't think I can do this,") it...

A patient who reports "sulfa" allergies should not be given sulfonamide antibiotics such as sulfamethoxazole.

Sulfa Allergies

Cathy Parkes

A patient who reports "sulfa" allergies should not be given sulfonamide antibiotics such as sulfamethoxazole.

Sulfa Allergies

Cathy Parkes

A patient who reports "sulfa" allergies should not be given sulfonamide antibiotics such as sulfamethoxazole.

Rest is a productive activity. If you are so tired you're reading the same sentence over and over, it may be time to take a break, or get some sleep.

Rest While Studying

Cathy Parkes

Rest is a productive activity.

Rest While Studying

Cathy Parkes

Rest is a productive activity.

A patient with Systemic Lupus Erythematosus (SLE) has some classic findings including fatigue, joint pain, fever, butterfly rash on the face, Raynaud's phenomenon, and a positive ANA titer.

Systemic Lupus Erythematosus (SLE)

Cathy Parkes

A patient with Systemic Lupus Erythematosus (SLE) has some classic findings including fatigue, joint pain, fever, butterfly rash on the face, Raynaud's phenomenon, and a positive ANA titer.

Systemic Lupus Erythematosus (SLE)

Cathy Parkes

A patient with Systemic Lupus Erythematosus (SLE) has some classic findings including fatigue, joint pain, fever, butterfly rash on the face, Raynaud's phenomenon, and a positive ANA titer.

Orthodox Jewish diet

Orthodox Jewish diet

Cathy Parkes

Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

Orthodox Jewish diet

Cathy Parkes

Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

Hydatiform mole (molar pregnancy) is a type of Gestational Trophoblastic Disease. Key signs/symptoms of a molar pregnancy include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

Hydatiform Mole

Cathy Parkes

Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

Hydatiform Mole

Cathy Parkes

Hydatiform mole is a type of Gestational Trophoblastic Disease. Key S&S include: "Prune juice" discharge; Hyperemesis (severe n/v); Elevated hCG levels

During auscultation of the vessels of the neck, use the bell of the stethoscope, and ask the patient to hold their breath while you listen.

Auscultation of the vessels of the neck

Cathy Parkes

During auscultation of the vessels of the neck, use the bell of the stethoscope, and ask the patient to hold their breath while you listen.

Auscultation of the vessels of the neck

Cathy Parkes

During auscultation of the vessels of the neck, use the bell of the stethoscope, and ask the patient to hold their breath while you listen.

Anticholoinergic side effects

Anticholoinergic side effects

Cathy Parkes

Good way to remember anticholinergic side effects: Can't see, can't pee, can't spit, can't s**t.

Anticholoinergic side effects

Cathy Parkes

Good way to remember anticholinergic side effects: Can't see, can't pee, can't spit, can't s**t.

If a child is born with Hypospadias or Epispadias (abnormal placement of the urethral meatus on the penis), circumcision should be delayed, as the foreskin may be needed for reconstructive surgery.

Hypospadias and Epispadias

Cathy Parkes

If a child is born with Hypospadias or Epispadias (abnormal placement of the urethral meatus on the penis), circumcision should be delayed, as the foreskin may be needed for reconstructive...

Hypospadias and Epispadias

Cathy Parkes

If a child is born with Hypospadias or Epispadias (abnormal placement of the urethral meatus on the penis), circumcision should be delayed, as the foreskin may be needed for reconstructive...

The motor function of Cranial Nerve VII (Facial) can be assessed by asking the patient to smile, frown, puff out their cheeks, and raise their eyebrows.

Cranial Nerve VII (Facial)

Cathy Parkes

The motor function of Cranial Nerve VII (Facial) can be assessed by asking the patient to smile, frown, puff out their cheeks, and raise their eyebrows.

Cranial Nerve VII (Facial)

Cathy Parkes

The motor function of Cranial Nerve VII (Facial) can be assessed by asking the patient to smile, frown, puff out their cheeks, and raise their eyebrows.

Mix up how you consume your content. Rather than just reading the book, use multiple forms of resources to help enhance your understanding of the material!

Resources Mix Up

Cathy Parkes

Mix up how you consume your content.

Resources Mix Up

Cathy Parkes

Mix up how you consume your content.

How to calculate a pregnant patient's due date:  Add 9 months PLUS 1 week from the first day of their last menstrual period.  Example: Last menstrual period started on 6/1/20. Add 9 months PLUS 1 week. Expected due date = 3/8/21

Calculating Due Date

Rachel Simmons

How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.

Calculating Due Date

Rachel Simmons

How to calculate a pregnant patient's due date: Add 9 months PLUS 1 week from the first day of their last menstrual period.

Phases of a helping/therapeutic relationship: Orientation, Working, and Termination. During Orientation, parameters are established: Goal of relationship; Meeting location, frequency, and length; Confidentiality; Duration of relationship.

Phases of Helping Relationships

Cathy Parkes

Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

2 comments

Phases of Helping Relationships

Cathy Parkes

Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

2 comments
Between 18 and 32 weeks gestation, the fundal height = gestational age.

Gestational Age

Cathy Parkes

Between 18 and 32 weeks gestation, the fundal height = gestational age.

Gestational Age

Cathy Parkes

Between 18 and 32 weeks gestation, the fundal height = gestational age.

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose.

Addison's Disease

Cathy Parkes

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose. 

Addison's Disease

Cathy Parkes

A patient with Addison's Disease (a form of adrenocortical insufficiency) will have increased potassium, calcium, and BUN, but decreased cortisol, sodium, and glucose. 

KEY points about Alcoholics Anonymous (AA).

Key Principle from Alcoholics Anonymous

Cathy Parkes

KEY points about Alcoholics Anonymous (AA).

Key Principle from Alcoholics Anonymous

Cathy Parkes

KEY points about Alcoholics Anonymous (AA).

Sulfonylureas

Sulfonylureas

Cathy Parkes

Glipizide and glyburide are Sulfonylureas used to treat type 2 Diabetes. HINT: Think of riding down a slide, as your blood sugar comes down with this medication. Key side effect...

Sulfonylureas

Cathy Parkes

Glipizide and glyburide are Sulfonylureas used to treat type 2 Diabetes. HINT: Think of riding down a slide, as your blood sugar comes down with this medication. Key side effect...

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

Closed-Ended Questions

Cathy Parkes

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

1 comment

Closed-Ended Questions

Cathy Parkes

Closed-ended questions (i.e., yes/no questions) should be avoided because they do not encourage the patient to elaborate on their feelings.

1 comment
Look for the "odd man out." If there are three answers that have a lot in common, but one answer is unique, it may be the correct answer!

Odd Man Out

Cathy Parkes

If there are three answers that have a lot in common, but one answer is unique, it may be the correct answer!

Odd Man Out

Cathy Parkes

If there are three answers that have a lot in common, but one answer is unique, it may be the correct answer!

Corrections to Documentation - LevelUpRN

Corrections to Documentation

Cathy Parkes

If the nurse should make an error while documenting on a written error, cross out the error with one line and add initials, date, and time. Do not use correction...

Corrections to Documentation

Cathy Parkes

If the nurse should make an error while documenting on a written error, cross out the error with one line and add initials, date, and time. Do not use correction...

Cranial Nerve XI (Spinal Accessory) controls the sternocleidomastoid and trapezius muscles.

Cranial Nerve XI (Spinal Accessory)

Cathy Parkes

Cranial Nerve XI (Spinal Accessory) controls the sternocleidomastoid and trapezius muscles.

Cranial Nerve XI (Spinal Accessory)

Cathy Parkes

Cranial Nerve XI (Spinal Accessory) controls the sternocleidomastoid and trapezius muscles.

Don't let the test be the first time you're exposed to test material! Practice the art of testing like a nurse by utilizing practice tests.

Practice Tests

Cathy Parkes

Don't let the test be the first time you're exposed to test material!

1 comment

Practice Tests

Cathy Parkes

Don't let the test be the first time you're exposed to test material!

1 comment
A patient with sodium disturbances may experience changes in their CNS.

Sodium Disturbances

Cathy Parkes

A patient with sodium disturbances may experience changes in their CNS.

Sodium Disturbances

Cathy Parkes

A patient with sodium disturbances may experience changes in their CNS.

A patient with a spinal cord injury is at risk for experiencing life-threatening hypertension known as autonomic dysreflexia.

Autonomic Dysreflexia

Cathy Parkes

A patient with a spinal cord injury is at risk for experiencing life-threatening hypertension known as autonomic dysreflexia. 

Autonomic Dysreflexia

Cathy Parkes

A patient with a spinal cord injury is at risk for experiencing life-threatening hypertension known as autonomic dysreflexia. 

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

Family Systems Theory

Cathy Parkes

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

Family Systems Theory

Cathy Parkes

Family systems theory states that the family is an interdependent unit. Any change or stressor experienced by one family member affects the entire family.

Cramming the night before an exam? STOP! There is nothing you will learn in the hours before your test that would serve you better than a good night's sleep.

Cramming

Cathy Parkes

Cramming the night before an exam? STOP!

Cramming

Cathy Parkes

Cramming the night before an exam? STOP!

The gag reflex is controlled by Cranial Nerve IX (Glossopharyngeal) and X (Vagus). It can be assessed by briefly touching the posterior pharyngeal wall with a tongue blade.

Gag Reflex

Cathy Parkes

The gag reflex is controlled by Cranial Nerve IX (Glossopharyngeal) and X (Vagus). It can be assessed by briefly touching the posterior pharyngeal wall with a tongue blade.

Gag Reflex

Cathy Parkes

The gag reflex is controlled by Cranial Nerve IX (Glossopharyngeal) and X (Vagus). It can be assessed by briefly touching the posterior pharyngeal wall with a tongue blade.

For Hypoplastic Left Heart Syndrome a surgery in three stages is required: First the Norwood procedure, then the Glenn Shunt, and finally the Fontan procedure.

Hypoplastic Left Heart Syndrome

Cathy Parkes

For Hypoplastic Left Heart Syndrome a surgery in three stages is required: First the Norwood procedure, then the Glenn Shunt, and finally the Fontan procedure.

1 comment

Hypoplastic Left Heart Syndrome

Cathy Parkes

For Hypoplastic Left Heart Syndrome a surgery in three stages is required: First the Norwood procedure, then the Glenn Shunt, and finally the Fontan procedure.

1 comment
Major Depressive Disorder (MDD) has 3 phases: Acute, Continuation, Maintenance. Patient is at greatest risk for suicide during the Acute phase of MDD.

Major Depressive Disorder Phases

Cathy Parkes

Major Depressive Disorder (MDD) has 3 phases: Acute, Continuation, Maintenance. Patient is at greatest risk for suicide during the Acute phase of MDD.

Major Depressive Disorder Phases

Cathy Parkes

Major Depressive Disorder (MDD) has 3 phases: Acute, Continuation, Maintenance. Patient is at greatest risk for suicide during the Acute phase of MDD.

Fundal assessment is part of the routine postpartum assessment. If the fundus is displaced laterally, have the patient empty their bladder!

Fundal Assessment

Cathy Parkes

Fundal assessment is part of the routine postpartum assessment. If the fundus is displaced laterally, have the patient empty their bladder!

1 comment

Fundal Assessment

Cathy Parkes

Fundal assessment is part of the routine postpartum assessment. If the fundus is displaced laterally, have the patient empty their bladder!

1 comment
OTs and ADLs

OTs and ADLs

Cathy Parkes

An Occupational Therapist (OT) is a key member of the interprofessional team. They help patients regain their ability to perform their ADLs (Activities of Daily Living). Examples of ADLs: brushing...

OTs and ADLs

Cathy Parkes

An Occupational Therapist (OT) is a key member of the interprofessional team. They help patients regain their ability to perform their ADLs (Activities of Daily Living). Examples of ADLs: brushing...

If you see two answers that are the exact opposite of one another (e.g. constipation and diarrhea), it is likely that one of those is the correct answer.

Test taking: Opposite answers

Cathy Parkes

If you see two answers that are the exact opposite of one another, it is likely that one of those is the correct answer.

Test taking: Opposite answers

Cathy Parkes

If you see two answers that are the exact opposite of one another, it is likely that one of those is the correct answer.

Blood pressure may be taken in either arm except when the patient has an IV infusion running, or has had a mastectomy, PICC line, or AV fistula.

Taking Blood Pressure

Cathy Parkes

Blood pressure may be taken in either arm except when the patient has an IV infusion running, or has had a mastectomy, PICC line, or AV fistula.

Taking Blood Pressure

Cathy Parkes

Blood pressure may be taken in either arm except when the patient has an IV infusion running, or has had a mastectomy, PICC line, or AV fistula.

Educate patients taking proton pump inhibitors (e.g., omeprazole, pantoprazole) to report watery diarrhea, as these medications can cause C. diff by decreasing stomach acid production.

Proton Pump Inhibitors: Patient Teaching

Cathy Parkes

Educate patients taking proton pump inhibitors (e.g., omeprazole, pantoprazole) to report watery diarrhea, as these medications can cause C. diff by decreasing stomach acid production.

Proton Pump Inhibitors: Patient Teaching

Cathy Parkes

Educate patients taking proton pump inhibitors (e.g., omeprazole, pantoprazole) to report watery diarrhea, as these medications can cause C. diff by decreasing stomach acid production.

As a patient ages, their thirst mechanism decreases. This puts the older adult at increased risk for dehydration.

Dehydration in Older Adults

Cathy Parkes

As a patient ages, their thirst mechanism decreases. This puts the older adult at increased risk for dehydration.

Dehydration in Older Adults

Cathy Parkes

As a patient ages, their thirst mechanism decreases. This puts the older adult at increased risk for dehydration.

Cranial Nerve III (Oculomotor), IV (Trochlear), and VI (Abducens) can be assessed using the corneal light reflex, the cover test, and/or the six cardinal positions of gaze.

Cranial Nerve Assessment: III, IV, and VI

Cathy Parkes

Cranial Nerve III (Oculomotor), IV (Trochlear), and VI (Abducens) can be assessed using the corneal light reflex, the cover test, and/or the six cardinal positions of gaze.

Cranial Nerve Assessment: III, IV, and VI

Cathy Parkes

Cranial Nerve III (Oculomotor), IV (Trochlear), and VI (Abducens) can be assessed using the corneal light reflex, the cover test, and/or the six cardinal positions of gaze.

VEAL CHOP

VEAL CHOP

Cathy Parkes

To understand the cause of different fetal heart rate patterns, remember VEAL CHOP. Variable decelerations -> Cord compression. Early deceleration -> Head compression. Accelerations -> OK. Late decelerations -> Placental...

VEAL CHOP

Cathy Parkes

To understand the cause of different fetal heart rate patterns, remember VEAL CHOP. Variable decelerations -> Cord compression. Early deceleration -> Head compression. Accelerations -> OK. Late decelerations -> Placental...

Failure to Thrive (FTT) is indicated by a child's weight being less than the fifth percentile. Assess for both organic causes and parental bonding/care of the child.

Failure to Thrive (FTT)

Cathy Parkes

Failure to Thrive (FTT) is indicated by a child's weight being less than the fifth percentile. Assess for both organic causes and parental bonding/care of the child.

Failure to Thrive (FTT)

Cathy Parkes

Failure to Thrive (FTT) is indicated by a child's weight being less than the fifth percentile. Assess for both organic causes and parental bonding/care of the child.

A patient with a Central Venous Catheter (CVC) should have the dressing changed 24 hours after insertion and weekly thereafter (or per facility policy) using sterile technique.

Central Venous Catheter (CVC)

Cathy Parkes

A patient with a Central Venous Catheter (CVC) should have the dressing changed 24 hours after insertion and weekly thereafter (or per facility policy) using sterile technique.

Central Venous Catheter (CVC)

Cathy Parkes

A patient with a Central Venous Catheter (CVC) should have the dressing changed 24 hours after insertion and weekly thereafter (or per facility policy) using sterile technique.