Nursing Tips (613)

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.

Albumin
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
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...

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

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

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

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

Post-vaccine Care for Children
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
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...

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

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

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

Proton Pump Inhibitors
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
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
Isotonic fluids do not change the volume of the body's cells.
Isotonic Fluids
Isotonic fluids do not change the volume of the body's cells.

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

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

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

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

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

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

Labor: Transition Phase
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
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...

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


Systemic Lupus Erythematosus (SLE)
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)
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 individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!
Orthodox Jewish diet
Orthodox jewish individuals do not eat meat WITH dairy, pork products, or shellfish. A hamburger is OK, but not a cheeseburger!

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

Auscultation of the vessels of the neck
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
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
Good way to remember anticholinergic side effects: Can't see, can't pee, can't spit, can't s**t.
Anticholoinergic side effects
Good way to remember anticholinergic side effects: Can't see, can't pee, can't spit, can't s**t.

Hypospadias and Epispadias
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
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...

Cranial Nerve VII (Facial)
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)
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.


Calculating Due Date
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
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 Helping Relationships
Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.
Phases of Helping Relationships
Phases of a helping (therapeutic) relationship with a patient include Orientation, Working, and Termination.

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

Addison's Disease
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
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 Principle from Alcoholics Anonymous
KEY points about Alcoholics Anonymous (AA).
Key Principle from Alcoholics Anonymous
KEY points about Alcoholics Anonymous (AA).

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

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

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

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