Nursing Tips (659)
Synchronous Pacemaker
A synchronous pacemaker only fires when the heart's intrinsic rate falls below a certain rate.
Synchronous Pacemaker
A synchronous pacemaker only fires when the heart's intrinsic rate falls below a certain rate.
Macrosomic Infants
A macrosomic infant (large for gestational age) is one who is over 4,000 g (or 8 lbs., 13 oz.).
Macrosomic Infants
A macrosomic infant (large for gestational age) is one who is over 4,000 g (or 8 lbs., 13 oz.).
Sinus Node (SA node)
The sinus node (SA node) is the heart's normal pacemaker.
Sinus Node (SA node)
The sinus node (SA node) is the heart's normal pacemaker.
Chemical Buffers
Chemical buffers are the first line of defense in maintaining acid/base balance.
Chemical Buffers
Chemical buffers are the first line of defense in maintaining acid/base balance.
Sick Cell Anemia and Vaso-occlusive Crisis
A child with Sickle Cell Anemia experiencing vaso-occlusive crisis should be treated with scheduled opioid analgesia (non-opioid analgesia will not be sufficient!).
Sick Cell Anemia and Vaso-occlusive Crisis
A child with Sickle Cell Anemia experiencing vaso-occlusive crisis should be treated with scheduled opioid analgesia (non-opioid analgesia will not be sufficient!).
Ostomy Patient Teaching
Ostomy patient teaching: Cut opening in skin barrier ≤ 1/8" bigger than the measured stoma size to prevent skin damage from contact with ostomy output. Assess stoma regularly - should...
Ostomy Patient Teaching
Ostomy patient teaching: Cut opening in skin barrier ≤ 1/8" bigger than the measured stoma size to prevent skin damage from contact with ostomy output. Assess stoma regularly - should...
Meckel's Diverticulum
A child with Meckel's Diverticulum is likely to exhibit painless rectal bleeding and stool with the consistency and appearance of "currant jelly."
Meckel's Diverticulum
A child with Meckel's Diverticulum is likely to exhibit painless rectal bleeding and stool with the consistency and appearance of "currant jelly."
Pap Tests
A pap test to screen for cervical cancer should be performed every three years starting three years after a patient's first instance of sexual intercourse, or by age 21.
Pap Tests
A pap test to screen for cervical cancer should be performed every three years starting three years after a patient's first instance of sexual intercourse, or by age 21.
Positive Signs of Pregnancy
Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...
Positive Signs of Pregnancy
Positive signs of pregnancy include identification of fetal heart sounds, fetal movement felt by a healthcare provider, and ultrasound visualization of the fetus. There is no other explanation for these...
Medication Half-life
A medication's half-life is the amount of time it takes for the amount of medication in the body to be reduced by 50%.
Medication Half-life
A medication's half-life is the amount of time it takes for the amount of medication in the body to be reduced by 50%.
Infective Endocarditis in Children
A child with infective endocarditis will require IV antibiotics via PICC line for 2 - 6 weeks, and may require a valve repair or replacement.
Infective Endocarditis in Children
A child with infective endocarditis will require IV antibiotics via PICC line for 2 - 6 weeks, and may require a valve repair or replacement.
Negative Feedback Loop
A negative feedback loop governs most endocrine hormones. In this type of feedback, when the body senses there is not enough of a hormone circulating in the blood, changes are...
Negative Feedback Loop
A negative feedback loop governs most endocrine hormones. In this type of feedback, when the body senses there is not enough of a hormone circulating in the blood, changes are...
Infertility Test: Hysterosalpingogram (HSG)
One test that can be performed for infertility is a hysterosalpingogram (HSG). Because this test uses contrast dye to assess the patency of the fallopian tubes, be sure to assess...
Infertility Test: Hysterosalpingogram (HSG)
One test that can be performed for infertility is a hysterosalpingogram (HSG). Because this test uses contrast dye to assess the patency of the fallopian tubes, be sure to assess...
Nursing Interventions for the Restrained Patient
The timing of nursing interventions for the restrained patient is crucial! 1) Assess the patient's status every 15 minutes. 2) Offer fluids, ROM exercises, and toileting every 2 hours. 3)...
Nursing Interventions for the Restrained Patient
The timing of nursing interventions for the restrained patient is crucial! 1) Assess the patient's status every 15 minutes. 2) Offer fluids, ROM exercises, and toileting every 2 hours. 3)...
Hemophilia in Children: Signs and Treatment
A child with Hemophilia A is deficient in Factor VIII. In Hemophilia B the deficiency is with Factor IX. Treatment of these conditions will include replacement of the missing factor,...
Hemophilia in Children: Signs and Treatment
A child with Hemophilia A is deficient in Factor VIII. In Hemophilia B the deficiency is with Factor IX. Treatment of these conditions will include replacement of the missing factor,...
Peptic Ulcer Disease: Signs and Symptoms
A major complication of peptic ulcer disease is perforation of an ulcer. Assess for symptoms of perforation such as severe pain, fever, or a rigid/boardlike abdomen.
Peptic Ulcer Disease: Signs and Symptoms
A major complication of peptic ulcer disease is perforation of an ulcer. Assess for symptoms of perforation such as severe pain, fever, or a rigid/boardlike abdomen.
Natural Family Planning
Natural family planning methods involve avoiding intercourse during fertile periods by tracking the patient's menstrual cycle, or assessing the basal body temperature or cervical mucus consistency daily.
Natural Family Planning
Natural family planning methods involve avoiding intercourse during fertile periods by tracking the patient's menstrual cycle, or assessing the basal body temperature or cervical mucus consistency daily.
Sublimation
Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors.
Sublimation
Sublimation is marked by an individual transforming unacceptable impulses into socially acceptable behaviors.
Growth Hormone Deficiency
A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.
Growth Hormone Deficiency
A child with Growth Hormone Deficiency would have an average birth weight/length, but show delayed growth through childhood.
Chorea and Huntington's Disease
A key finding in Huntington's Disease is chorea, which is a type of abnormal and excessive involuntary movement. Tetrabenazine may be given to treat this symptom.
Chorea and Huntington's Disease
A key finding in Huntington's Disease is chorea, which is a type of abnormal and excessive involuntary movement. Tetrabenazine may be given to treat this symptom.
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
Maternal Serum Alpha-fetoprotein (MSAFP)
Maternal Serum Alpha-fetoprotein (MSAFP) is a test for genetic abnormalities performed between 15 and 20 weeks gestation.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
When to Perform a Medication Reconciliation
A medication reconciliation should be done during admission, upon transfer to another floor/unit/facility, and at discharge.
Therapeutic Relaxation Techniques
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
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...
Phenytoin and Gingival Hyperplasia
A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.
Phenytoin and Gingival Hyperplasia
A key side effect of phenytoin (an anti-seizure medication) is gingival hyperplasia. Educate patients to maintain regular dental checkups.
Intracranial Pressure (ICP); Nursing Care
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
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...
High Pressure Alarm: Causes
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
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.
Lab Tests for First Trimester
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
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...
What is a Living Will?
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?
A living will is an advance directive indicating a patient's desired or prohibited medical interventions (e.g., tube feeding, ventilation).
Right to Refuse Medication
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
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.
Medication Reconciliation
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
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...
Chickenpox (Varicella)
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)
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.
Home Health Nursing Care
A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.
Home Health Nursing Care
A home health nurse provides care in the patient's residence. Responsibilities include assessment, treatment, education, and care coordination.
Neuroleptic Malignant Syndrome (NMS)
Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.
Neuroleptic Malignant Syndrome (NMS)
Neuroleptic Malignant Syndrome (NMS) is a life-threatening condition by the use or withdrawal of antipsychotic medications.
Dry Powder Inhaler (DPI)
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)
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...
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
ADHD in Children: Treatment and Nursing Care
A child with ADHD may be treated with CNS stimulants such as amphetamine mixtures or methylphenidate.
Bronchoscopy: Nursing Care
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
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
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
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...
Cultural Assessment
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
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
Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.
Complicated Grief
Complicated grief is that which lasts longer than a year and interferes with the individual's daily functioning.
Oral Contraceptives
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
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)
Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.
Assertive Community Treatment (ACT)
Assertive Community Treatment (ACT) is useful for individuals with severe and persistent schizophrenia or major depressive disorder with psychosis.
High-Fowler's Position
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
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.
Spina Bifida Occulta
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
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....
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Ectopic Pregnancy
Any pregnant patient complaining of unilateral stabbing pain in the lower abdomen/pelvis should be evaluated for ectopic pregnancy.
Bipolar Disorders: I and II
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
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.
Absence Seizures: Signs and Symptoms
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
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.
Durable Power of Attorney (DPoA)
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)
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.
St. John's Wort and Serotonin Syndrome
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
Any patient taking psychiatric medications should avoid St. John's wort, as this increases the risk for serotonin syndrome.
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