Nursing Tips (613)

After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.

General Anesthesia: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.

General Anesthesia: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

After general anesthesia, keep a patient NPO until their gag reflex/swallowing ability returns.

Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.

Pediatric Vaccinations

Cathy Parkes RN, BSN, PHN, CWCN

Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.

Pediatric Vaccinations

Cathy Parkes RN, BSN, PHN, CWCN

Between 4 - 6 years of age a child should receive Varicella, DTaP, IPV, and MMR vaccinations.

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

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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.

Ascending = liquid, Transverse = semi-solid, Descending/Sigmoid = formed.

Ileostomoy versus Colostomy

Cathy Parkes RN, BSN, PHN, CWCN

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...

1 comment

Ileostomoy versus Colostomy

Cathy Parkes RN, BSN, PHN, CWCN

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...

1 comment
Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.

Cutaneous Pain

Cathy Parkes RN, BSN, PHN, CWCN

Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.

Cutaneous Pain

Cathy Parkes RN, BSN, PHN, CWCN

Cutaneous pain involves the skin (e.g., a paper cut) while somatic pain involves deeper tissues such as bones and joints.

Because albumin increases the fluid volume and osmotic pressure of the intravascular space, assess for signs of fluid overload, and be sure not to give this medication to a patient experiencing heart failure.

Albumin

Cathy Parkes RN, BSN, PHN, CWCN

Because albumin increases the fluid volume and osmotic pressure of the intravascular space, assess for signs of fluid overload, and be sure not to give this medication to a patient...

Albumin

Cathy Parkes RN, BSN, PHN, CWCN

Because albumin increases the fluid volume and osmotic pressure of the intravascular space, assess for signs of fluid overload, and be sure not to give this medication to a patient...

A patient who is lying "supine" is lying on their back in a neutral position.

Supine Position

Cathy Parkes RN, BSN, PHN, CWCN

A patient who is lying "supine" is lying on their back in a neutral position. 

1 comment

Supine Position

Cathy Parkes RN, BSN, PHN, CWCN

A patient who is lying "supine" is lying on their back in a neutral position. 

1 comment
The autonomic nervous system is comprised of two parts: the sympathetic nervous system ("fight or flight" responses) and the parasympathetic nervous system ("rest and digest" functions).

Autonomic Nervous System

Cathy Parkes RN, BSN, PHN, CWCN

The autonomic nervous system is comprised of two parts: the sympathetic nervous system ("fight or flight" responses) and the parasympathetic nervous system ("rest and digest" functions).

Autonomic Nervous System

Cathy Parkes RN, BSN, PHN, CWCN

The autonomic nervous system is comprised of two parts: the sympathetic nervous system ("fight or flight" responses) and the parasympathetic nervous system ("rest and digest" functions).

Time-critical scheduled medications (e.g., antibiotics) need to be given within 30 minutes before or after the scheduled time.

Time-critical scheduled medications

Cathy Parkes RN, BSN, PHN, CWCN

Time-critical scheduled medications (e.g., antibiotics) need to be given within 30 minutes before or after the scheduled time.

Time-critical scheduled medications

Cathy Parkes RN, BSN, PHN, CWCN

Time-critical scheduled medications (e.g., antibiotics) need to be given within 30 minutes before or after the scheduled time.

Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.

Seasonal Influenza Vaccine

Cathy Parkes RN, BSN, PHN, CWCN

Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.

Seasonal Influenza Vaccine

Cathy Parkes RN, BSN, PHN, CWCN

Along with the normal vaccination schedule, children should receive their seasonal influenza vaccine beginning at 6 months of age.

Blood is composed of plasma and formed elements. The plasma contains water, ions, protein, nutrients, wastes, gasses, and clotting factors. The formed elements include red blood cells, white blood cells, and platelets.

Blood: Components

Cathy Parkes RN, BSN, PHN, CWCN

Blood is composed of plasma and formed elements. The plasma contains water, ions, protein, nutrients, wastes, gasses, and clotting factors. The formed elements include red blood cells, white blood cells,...

Blood: Components

Cathy Parkes RN, BSN, PHN, CWCN

Blood is composed of plasma and formed elements. The plasma contains water, ions, protein, nutrients, wastes, gasses, and clotting factors. The formed elements include red blood cells, white blood cells,...

Clopidogrel, a platelet aggregate inhibitor, helps to prevent myocardial infarction and stroke in patients with acute coronary syndrome.

Clopidogrel

Cathy Parkes RN, BSN, PHN, CWCN

Clopidogrel, a platelet aggregate inhibitor, helps to prevent myocardial infarction and stroke in patients with acute coronary syndrome. 

Clopidogrel

Cathy Parkes RN, BSN, PHN, CWCN

Clopidogrel, a platelet aggregate inhibitor, helps to prevent myocardial infarction and stroke in patients with acute coronary syndrome. 

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever.

Post-vaccine Care for Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...

Post-vaccine Care for Children

Cathy Parkes RN, BSN, PHN, CWCN

Educate caregivers that after a vaccine it is normal for a child to have pain at the injection site, rash, or a fever. Instruct caregivers that while pain relievers may...

The central nervous system (CNS) is composed of the brain and spinal cord.

Central Nervous System (CNS)

Cathy Parkes RN, BSN, PHN, CWCN

The central nervous system (CNS) is composed of the brain and spinal cord.

Central Nervous System (CNS)

Cathy Parkes RN, BSN, PHN, CWCN

The central nervous system (CNS) is composed of the brain and spinal cord.

Watch out! Extreme words like "always" or "never" may make an otherwise good answer incorrect. It is rare that we always or never do something in nursing!

Extreme Answers

Cathy Parkes RN, BSN, PHN, CWCN

Watch out! Extreme words like "always" or "never" may make an otherwise good answer incorrect.

2 comments

Extreme Answers

Cathy Parkes RN, BSN, PHN, CWCN

Watch out! Extreme words like "always" or "never" may make an otherwise good answer incorrect.

2 comments
Normal lymph nodes are moveable, soft, nontender, and < 1 cm in size.

Lymph Nodes

Cathy Parkes RN, BSN, PHN, CWCN

Normal lymph nodes are moveable, soft, nontender, and < 1 cm in size. 

Lymph Nodes

Cathy Parkes RN, BSN, PHN, CWCN

Normal lymph nodes are moveable, soft, nontender, and < 1 cm in size. 

Proton Pump Inhibitors

Proton Pump Inhibitors

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Isotonic Fluids

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Circumcision Care

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Acute Kidney Injury (AKI): Causes

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

1 comment

Fifth's Disease

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Gut Reaction

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Test Taking: Eliminate Options

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Nociceptive and Neuropathic Pain

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Sulfa Allergies

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

Rest is a productive activity.

Rest While Studying

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Hydatidiform Mole - LevelUpRN

Hydatidiform Mole

Cathy Parkes RN, BSN, PHN, CWCN

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

Hydatidiform Mole

Cathy Parkes RN, BSN, PHN, CWCN

Hydatidiform 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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

Mix up how you consume your content.

Resources Mix Up

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

2 comments

Phases of Helping Relationships

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Gestational Age

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

KEY points about Alcoholics Anonymous (AA).

Key Principle from Alcoholics Anonymous

Cathy Parkes RN, BSN, PHN, CWCN

KEY points about Alcoholics Anonymous (AA).

Sulfonylureas

Sulfonylureas

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

Cranial Nerve XI (Spinal Accessory)

Cathy Parkes RN, BSN, PHN, CWCN

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 RN, BSN, PHN, CWCN

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

2 comments

Practice Tests

Cathy Parkes RN, BSN, PHN, CWCN

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

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

Sodium Disturbances

Cathy Parkes RN, BSN, PHN, CWCN

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

Sodium Disturbances

Cathy Parkes RN, BSN, PHN, CWCN

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