Nursing Tips (614)

Progressive Relaxation involves tightening and relaxing muscle groups. Guided Imagery helps a patient relax by visualizing detailed images. Meditation can improve health and well-being by helping an individual focus on a word or sensation.

Therapeutic Relaxation Techniques

Cathy Parkes RN, BSN, PHN, CWCN

Progressive Relaxation involves tightening and relaxing muscle groups. Guided Imagery helps a patient relax by visualizing detailed images. Meditation can improve health and well-being by helping an individual focus on...

Therapeutic Relaxation Techniques

Cathy Parkes RN, BSN, PHN, CWCN

Progressive Relaxation involves tightening and relaxing muscle groups. Guided Imagery helps a patient relax by visualizing detailed images. Meditation can improve health and well-being by helping an individual focus on...

A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.

Phenytoin and Gingival Hyperplasia

Cathy Parkes RN, BSN, PHN, CWCN

A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.

1 comment

Phenytoin and Gingival Hyperplasia

Cathy Parkes RN, BSN, PHN, CWCN

A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.

1 comment
A child with a head injury is at risk for elevated intracranial pressure (ICP).

Intracranial Pressure (ICP); Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...

Intracranial Pressure (ICP); Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A child with a head injury is at risk for elevated intracranial pressure (ICP). Nursing care to decrease ICP includes reducing hypercapnia by hyperventilating the patient, avoiding oral suctioning, keeping...

A high pressure alarm from a ventilator could indicate Pulmonary edema, Pneumothorax, Bronchospasm, Biting of the tube, Secretion excess, Coughing, or a Kink in the tubing.

High Pressure Alarm: Causes

Cathy Parkes RN, BSN, PHN, CWCN

A high pressure alarm from a ventilator could indicate Pulmonary edema, Pneumothorax, Bronchospasm, Biting of the tube, Secretion excess, Coughing, or a Kink in the tubing.

1 comment

High Pressure Alarm: Causes

Cathy Parkes RN, BSN, PHN, CWCN

A high pressure alarm from a ventilator could indicate Pulmonary edema, Pneumothorax, Bronchospasm, Biting of the tube, Secretion excess, Coughing, or a Kink in the tubing.

1 comment
First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative hCG level testing.

Lab Tests for First Trimester

Cathy Parkes RN, BSN, PHN, CWCN

First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...

Lab Tests for First Trimester

Cathy Parkes RN, BSN, PHN, CWCN

First trimester lab testing should include: CBC, urinalysis, STI testing, pap test, blood typing (including Rh factor), rubella titer, Hepatitis B, and HIV. High risk patients may also require quantitative...

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

What is a Living Will?

Cathy Parkes RN, BSN, PHN, CWCN

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

What is a Living Will?

Cathy Parkes RN, BSN, PHN, CWCN

A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

Right to Refuse Medication

Cathy Parkes RN, BSN, PHN, CWCN

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

Right to Refuse Medication

Cathy Parkes RN, BSN, PHN, CWCN

Patients always have the right to refuse medication, even if they have been involuntarily admitted (except in an emergency)! Support the patient's right to autonomy.

A medication reconciliation is the process of compiling a complete and up-to-date list of medications a patient has been taking at home (including over-the-counter and herbal supplements) and comparing it with the provider's orders.

Medication Reconciliation

Cathy Parkes RN, BSN, PHN, CWCN

A medication reconciliation is the process of compiling a complete and up-to-date list of medications a patient has been taking at home (including over-the-counter and herbal supplements) and comparing it...

Medication Reconciliation

Cathy Parkes RN, BSN, PHN, CWCN

A medication reconciliation is the process of compiling a complete and up-to-date list of medications a patient has been taking at home (including over-the-counter and herbal supplements) and comparing it...

A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.

Chickenpox (Varicella)

Cathy Parkes RN, BSN, PHN, CWCN

A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.

Chickenpox (Varicella)

Cathy Parkes RN, BSN, PHN, CWCN

A child with Chickenpox (Varicella) is contagious until all lesions have crusted over. Educate families to keep them at home and away from others until this time.

A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.

Home Health Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.

Home Health Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.

Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.

Neuroleptic Malignant Syndrome (NMS)

Cathy Parkes RN, BSN, PHN, CWCN

Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.

Neuroleptic Malignant Syndrome (NMS)

Cathy Parkes RN, BSN, PHN, CWCN

Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.

A dry powder inhaler (DPI) does not require the patient to shake the device or use a spacer. Instead, the patient should breathe in rapidly and deeply to move the dry powder fully into the lungs.

Dry Powder Inhaler (DPI)

Cathy Parkes RN, BSN, PHN, CWCN

A dry powder inhaler (DPI) does not require the patient to shake the device or use a spacer. Instead, the patient should breathe in rapidly and deeply to move the...

Dry Powder Inhaler (DPI)

Cathy Parkes RN, BSN, PHN, CWCN

A dry powder inhaler (DPI) does not require the patient to shake the device or use a spacer. Instead, the patient should breathe in rapidly and deeply to move the...

A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.

ADHD in Children: Treatment and Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate. 

ADHD in Children: Treatment and Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate. 

Following a bronchoscopy (visualization of the structures of the airway with sedation), ensure the patient's gag reflex has returned prior to allowing the patient to eat or drink.

Bronchoscopy: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

Following a bronchoscopy (visualization of the structures of the airway with sedation), ensure the patient's gag reflex has returned prior to allowing the patient to eat or drink.

Bronchoscopy: Nursing Care

Cathy Parkes RN, BSN, PHN, CWCN

Following a bronchoscopy (visualization of the structures of the airway with sedation), ensure the patient's gag reflex has returned prior to allowing the patient to eat or drink.

Warning signs in pregnancy include diarrhea, fever, chills, severe abdominal cramping, sever vomiting, vaginal bleeding, and decreased fetal activity. Notify your provider immediately.

Warning Signs in Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...

Warning Signs in Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Educate patients about warning signs in pregnancy for which they should notify their provider: diarrhea, fever, chills, severe abdominal cramping or pain, severe vomiting, vaginal bleeding, and decreased fetal activity...

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Cultural Assessment

Cathy Parkes RN, BSN, PHN, CWCN

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Cultural Assessment

Cathy Parkes RN, BSN, PHN, CWCN

A cultural assessment involves the identification of a patient's cultural and spiritual beliefs, practices, and preferences regarding medical interventions, illness, family, diet, pregnancy, death, and postmortem care.

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

Complicated Grief

Cathy Parkes RN, BSN, PHN, CWCN

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

Complicated Grief

Cathy Parkes RN, BSN, PHN, CWCN

Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.

Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.

Oral Contraceptives

Cathy Parkes RN, BSN, PHN, CWCN

Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.

Oral Contraceptives

Cathy Parkes RN, BSN, PHN, CWCN

Combined oral contraceptive pills (contain estrogen and progestin) are contraindicated for patients who are breastfeeding, smoke, or have a history of blood clots, stroke, coronary artery disease, or hypertension.

Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.

Assertive Community Treatment (ACT)

Cathy Parkes RN, BSN, PHN, CWCN

Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.

Assertive Community Treatment (ACT)

Cathy Parkes RN, BSN, PHN, CWCN

Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

High-Fowler's Position

Cathy Parkes RN, BSN, PHN, CWCN

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

High-Fowler's Position

Cathy Parkes RN, BSN, PHN, CWCN

A High-Fowler's position involves the patient sitting with the head of the bed at 60 - 90°. This is the ideal position to help with difficulty breathing.

A child who presents with an abnormal tuft of hair, a dimple, or a birthmark on the spine should be evaluated for spina bifida occulta, a form of spina bifida. Report these findings to the provider.

Spina Bifida Occulta

Cathy Parkes RN, BSN, PHN, CWCN

A child who presents with an abnormal tuft of hair, a dimple, or a birthmark on the spine should be evaluated for spina bifida occulta, a form of spina bifida....

Spina Bifida Occulta

Cathy Parkes RN, BSN, PHN, CWCN

A child who presents with an abnormal tuft of hair, a dimple, or a birthmark on the spine should be evaluated for spina bifida occulta, a form of spina bifida....

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Ectopic Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Ectopic Pregnancy

Cathy Parkes RN, BSN, PHN, CWCN

Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Bipolar Disorders: I and II

Cathy Parkes RN, BSN, PHN, CWCN

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

Bipolar Disorders: I and II

Cathy Parkes RN, BSN, PHN, CWCN

Bipolar I Disorder is characterized by episodes of severe mania and depression. Bipolar II Disorder is marked by episodes of hypomania (less severe than true mania) and depression.

A child who appears to be frequently "day dreaming" or often exhibits blank staring, eye fluttering, lip smacking, or picking at clothes should be evaluated for absence seizures.

Absence Seizures: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child who appears to be frequently "day dreaming" or often exhibits blank staring, eye fluttering, lip smacking, or picking at clothes should be evaluated for absence seizures.

Absence Seizures: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child who appears to be frequently "day dreaming" or often exhibits blank staring, eye fluttering, lip smacking, or picking at clothes should be evaluated for absence seizures.

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Durable Power of Attorney (DPoA)

Cathy Parkes RN, BSN, PHN, CWCN

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Durable Power of Attorney (DPoA)

Cathy Parkes RN, BSN, PHN, CWCN

A Durable Power of Attorney (DPoA) is a document that identifies another person responsible for medical decision-making. This person does not have to be related to the patient.

Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.

St. John's Wort and Serotonin Syndrome

Cathy Parkes RN, BSN, PHN, CWCN

Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.

St. John's Wort and Serotonin Syndrome

Cathy Parkes RN, BSN, PHN, CWCN

Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis. Restrict fluids, sodium, and protein.

Acute Glomerulonephritis: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.

Acute Glomerulonephritis: Signs and Symptoms

Cathy Parkes RN, BSN, PHN, CWCN

A child demonstrating oliguria, cola-colored urine, and signs/symptoms of hypervolemia following a recent streptococcal infection (strep throat) should be evaluated for Acute Glomerulonephritis.

A Braden scale score ≤ 18 indicates a patient is at risk for pressure injuries. In this case, take measures to prevent injuries of this type.

Braden Scale: Pressure Injuries

Cathy Parkes RN, BSN, PHN, CWCN

A Braden scale score ≤ 18 indicates a patient is at risk for pressure injuries. In this case, take measures to prevent injuries of this type.

Braden Scale: Pressure Injuries

Cathy Parkes RN, BSN, PHN, CWCN

A Braden scale score ≤ 18 indicates a patient is at risk for pressure injuries. In this case, take measures to prevent injuries of this type.

"Vesicular" breath sounds are a normal finding upon auscultation (i.e., the sound air makes flowing in and out of lungs). "Adventitious" breath sounds are always abnormal!

Breath Sounds: Vesicular and Adventitious

Cathy Parkes RN, BSN, PHN, CWCN

"Vesicular" breath sounds are a normal finding upon auscultation (i.e., the sound air makes flowing in and out of lungs). "Adventitious" breath sounds are always abnormal!

Breath Sounds: Vesicular and Adventitious

Cathy Parkes RN, BSN, PHN, CWCN

"Vesicular" breath sounds are a normal finding upon auscultation (i.e., the sound air makes flowing in and out of lungs). "Adventitious" breath sounds are always abnormal!

Wound irrigation points to remember

Wound Irrigation

Cathy Parkes RN, BSN, PHN, CWCN

Wound irrigation points to remember!

Wound Irrigation

Cathy Parkes RN, BSN, PHN, CWCN

Wound irrigation points to remember!

When performing suctioning, apply suction intermittently while withdrawing the catheter and rotating it for 10-15 seconds. For endotrachial suctioning, hyperoxygenate patient prior to suctioning. Use a suction pressure between 120 - 150 mmHg.

Suctioning

Cathy Parkes RN, BSN, PHN, CWCN

When performing suctioning, apply suction intermittently while withdrawing the catheter and rotating it for 10-15 seconds.

Suctioning

Cathy Parkes RN, BSN, PHN, CWCN

When performing suctioning, apply suction intermittently while withdrawing the catheter and rotating it for 10-15 seconds.

Lead Exposure - LevelUpRN

Lead Exposure

Cathy Parkes RN, BSN, PHN, CWCN

Lead exposure: Pre-1978 housing is at risk for lead-based paint! Check out these patient teaching tips.

Lead Exposure

Cathy Parkes RN, BSN, PHN, CWCN

Lead exposure: Pre-1978 housing is at risk for lead-based paint! Check out these patient teaching tips.

KEY symptoms of Coarctation of the Aorta: elevated BP and bounding pulses in the arms, decreased BP and pulses in the legs.

Key Symptoms of Coarctation of the Aorta

Cathy Parkes RN, BSN, PHN, CWCN

KEY symptoms of Coarctation of the Aorta: elevated BP and bounding pulses in the arms, decreased BP and pulses in the legs.

Key Symptoms of Coarctation of the Aorta

Cathy Parkes RN, BSN, PHN, CWCN

KEY symptoms of Coarctation of the Aorta: elevated BP and bounding pulses in the arms, decreased BP and pulses in the legs.

KEY symptoms of a Patent Ductus Arteriosus: machine-hum murmur, bounding pulses, and wide pulse pressure.

Key Symptoms of a Patent Ductus Arteriosus

Cathy Parkes RN, BSN, PHN, CWCN

KEY symptoms of a Patent Ductus Arteriosus: machine-hum murmur, bounding pulses, and wide pulse pressure.

Key Symptoms of a Patent Ductus Arteriosus

Cathy Parkes RN, BSN, PHN, CWCN

KEY symptoms of a Patent Ductus Arteriosus: machine-hum murmur, bounding pulses, and wide pulse pressure.

Key points when taking a patient's blood glucose: Place hand in dependent position; Pierce the outer edge of the fingertip (not the pad); Wipe away first drop of blood; Hold test strip NEXT to the blood drop (do not smear blood on strip).

Blood Glucose Key Points

Cathy Parkes RN, BSN, PHN, CWCN

Key points when taking a patient's blood glucose: Place hand in dependent position; Pierce outer; Wipe away first drop of blood; Hold test trip NEXT to the blood drop

1 comment

Blood Glucose Key Points

Cathy Parkes RN, BSN, PHN, CWCN

Key points when taking a patient's blood glucose: Place hand in dependent position; Pierce outer; Wipe away first drop of blood; Hold test trip NEXT to the blood drop

1 comment
Celiac Disease is the inability to digest gluten. Foods containing wheat, rye, and barley should be avoided.

Celiac Disease

Cathy Parkes RN, BSN, PHN, CWCN

Celiac disease is the inability to digest gluten. Patients with celiac disease CAN eat: dairy, rice, corn, potatoes, eggs, fruits and vegetables. Foods containing wheat, rye, and barley should be...

Celiac Disease

Cathy Parkes RN, BSN, PHN, CWCN

Celiac disease is the inability to digest gluten. Patients with celiac disease CAN eat: dairy, rice, corn, potatoes, eggs, fruits and vegetables. Foods containing wheat, rye, and barley should be...

Signs/Symptoms of Autism

Signs and Symptoms of Autism

Cathy Parkes RN, BSN, PHN, CWCN

Key signs/symptoms of Autism: Lack of eye contact Repetitive motions/actions Delayed speech and language skills Strict adherence to routines Unusual eating or sleeping habits Digestive problems.

Signs and Symptoms of Autism

Cathy Parkes RN, BSN, PHN, CWCN

Key signs/symptoms of Autism: Lack of eye contact Repetitive motions/actions Delayed speech and language skills Strict adherence to routines Unusual eating or sleeping habits Digestive problems.

Incidence Vs Prevalence

Incidence Vs Prevalence

Cathy Parkes RN, BSN, PHN, CWCN

Incidence vs. Prevalence: Incidence is the number of NEW cases of disease/injury in a population during a period of time. Prevalence is the number of ALL cases (new and pre-existing) of disease/injury...

Incidence Vs Prevalence

Cathy Parkes RN, BSN, PHN, CWCN

Incidence vs. Prevalence: Incidence is the number of NEW cases of disease/injury in a population during a period of time. Prevalence is the number of ALL cases (new and pre-existing) of disease/injury...

Negative Nitrogen Balance indicates insufficient protein intake (due to illness, malnutrition, or aging).

Negative Nitrogen Balance

Cathy Parkes RN, BSN, PHN, CWCN

A negative nitrogen balance indicates insufficient PROTEIN intake (due to illness, malnutrition, or aging). It means the patient is using protein faster than it is being synthesized.

Negative Nitrogen Balance

Cathy Parkes RN, BSN, PHN, CWCN

A negative nitrogen balance indicates insufficient PROTEIN intake (due to illness, malnutrition, or aging). It means the patient is using protein faster than it is being synthesized.

How to recognize behaviors that may indicate intention to commit suicide! These include giving away prized possessions, sudden improvement of mood or calmness, and making preparations.

Indications of Intent to Commit Suicide

Cathy Parkes RN, BSN, PHN, CWCN

Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.

Indications of Intent to Commit Suicide

Cathy Parkes RN, BSN, PHN, CWCN

Recognize behaviors that may indicate an intention to commit suicide . For example: Giving away prized possessions, sudden improvement of mood or calmness, and/or making of final preparations.

Immunizations in first 6 months

Immunizations in first 6 months

Cathy Parkes RN, BSN, PHN, CWCN

IMMUNIZATIONS IN FIRST 6  MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...

Immunizations in first 6 months

Cathy Parkes RN, BSN, PHN, CWCN

IMMUNIZATIONS IN FIRST 6  MONTHS Birth = "B" Hep B 2 Months = "B. Dr. HIP" Hep B, DTAP, RV, Hib, IPV, PCV 4 months = "Dr. HIP" DTAP, RV,...

A key function of Vitamin D is that it helps with absorption of calcium. Sunlight is a key source of Vitamin D! Other sources include fortified milk, fatty fish, and eggs.

Vitamin D

Cathy Parkes RN, BSN, PHN, CWCN

A key function of Vitamin D is that it helps with absorption of calcium. Sunlight is a key source of Vitamin D! Other sources include: fortified milk, fatty fish, and eggs.

Vitamin D

Cathy Parkes RN, BSN, PHN, CWCN

A key function of Vitamin D is that it helps with absorption of calcium. Sunlight is a key source of Vitamin D! Other sources include: fortified milk, fatty fish, and eggs.

For abdominal wound dehiscence with evisceration (protruding internal organs): Place saline-soaked gauze over wound and protruding organs; Do NOT try and reinsert organs!; Notify provider and prepare the patient for possible surgery (NPO).

Abdominal Wound Dehiscence

Cathy Parkes RN, BSN, PHN, CWCN

For abdominal wound dehiscence with evisceration: Place saline-soaked gauze over wound; Don't try to reinsert organs!; Prepare patient for possible surgery.

Abdominal Wound Dehiscence

Cathy Parkes RN, BSN, PHN, CWCN

For abdominal wound dehiscence with evisceration: Place saline-soaked gauze over wound; Don't try to reinsert organs!; Prepare patient for possible surgery.

In toddlers, parallel play is expected.  Parallel play means that children play independently NEXT to other children. Toddlers do not typically engage in cooperative play.

Parallel Play in Children

Cathy Parkes RN, BSN, PHN, CWCN

In toddlers, parallel play is expected. Parallel play means that children play independently NEXT to other children.

Parallel Play in Children

Cathy Parkes RN, BSN, PHN, CWCN

In toddlers, parallel play is expected. Parallel play means that children play independently NEXT to other children.

Alcohol withdrawal occurs within 4 to 12 hours of cessation of heavy, prolonged alcohol abuse. Symptoms peak ~24 to 72 hours after the patient’s last drink. Be sure to ask the patient when they had their last drink!

Alcohol Withdrawal

Cathy Parkes RN, BSN, PHN, CWCN

Alcohol withdrawal starts 4-12 hours after last drink and peaks at 24-48 hours. Be sure to ask the patient when they had their last drink!

Alcohol Withdrawal

Cathy Parkes RN, BSN, PHN, CWCN

Alcohol withdrawal starts 4-12 hours after last drink and peaks at 24-48 hours. Be sure to ask the patient when they had their last drink!

3,500 calories = 1 pound. To lose 1 pound a week, you need to decrease your daily caloric intake by 500 calories.

How Many Calories in a Pound?

Cathy Parkes RN, BSN, PHN, CWCN

3,500 calories = 1 pound. To lose 1 pound a week, patients need to decrease their daily caloric intake by 500 calories.

How Many Calories in a Pound?

Cathy Parkes RN, BSN, PHN, CWCN

3,500 calories = 1 pound. To lose 1 pound a week, patients need to decrease their daily caloric intake by 500 calories.

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

Airborne Precautions

Cathy Parkes RN, BSN, PHN, CWCN

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

Airborne Precautions

Cathy Parkes RN, BSN, PHN, CWCN

Airborne precautions require the patient to have a NEGATIVE airflow room. Caregivers and visitors need to wear N95 masks when going in the room.

Electroconvulsive therapy (ECT) is used to treat severe depression that is unresponsive to drug therapy.  It is used in conjunction with drug therapy. It does not replace the need for medication!

Electroconvulsive Therapy

Cathy Parkes RN, BSN, PHN, CWCN

Electroconvulsive therapy (ECT) is used to treat severe depression that is unresponsive to drug therapy.

Electroconvulsive Therapy

Cathy Parkes RN, BSN, PHN, CWCN

Electroconvulsive therapy (ECT) is used to treat severe depression that is unresponsive to drug therapy.