Nursing Tips

Key points about Therapeutic Communication: Avoid asking "Why...?" Ask OPEN ended questions. Ex: "Tell me more...." Do not offer your opinion, give false reassurance, or change the subject.

Therapeutic Communication Key Points

Cathy Parkes

Key points about Therapeutic Communication: Avoid asking "Why...?" Ask OPEN ended questions. Don't offer opinion, give false reassurance, or change subject.

Therapeutic Communication Key Points

Cathy Parkes

Key points about Therapeutic Communication: Avoid asking "Why...?" Ask OPEN ended questions. Don't offer opinion, give false reassurance, or change subject.

Key nursing interventions for patients with Eating Disorders: Supervise patients before and after meals; Set limits on exercise; Restrict caffeine; Provide rewards for calories consumed.

Eating Disorders Key Interventions

Cathy Parkes

Key nursing interventions for patients with Eating Disorders: Supervise before/after meals; Set limits on exercise; Restrict caffeine; Provide rewards for calories consumed.

Eating Disorders Key Interventions

Cathy Parkes

Key nursing interventions for patients with Eating Disorders: Supervise before/after meals; Set limits on exercise; Restrict caffeine; Provide rewards for calories consumed.

Injectible medroxyprogesterone (i.e. Depo-Provera) can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Injectible Medroxyprogesterone

Cathy Parkes

Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Injectible Medroxyprogesterone

Cathy Parkes

Injectible medroxyprogesterone can cause bone loss. Advise patient to take Calcium and Vitamin D supplements to reduce the risk of bone loss.

Important patient teaching about diaphragms: Should remain in place for 6 hrs after intercourse; Spermicide needs to be reapplied after each act of intercourse. Women need to be refitted: every 2 years, after a 20% weight change, or after a pregnancy.

Diaphragm Patient Teaching

Cathy Parkes

Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.

Diaphragm Patient Teaching

Cathy Parkes

Important patient teaching about diaphragms: Diaphragms should remain in place for 6 hrs after intercourse; Reapply spermicide after intercourse.

Patient with mild anxiety, can assist patient with problem-solving/relaxation techniques. Patient with severe anxiety, problem-solving NOT realistic. Provide minimal stimulation, remain with the patient, use simple directions, administer PRN medications.

Mild and Severe Anxiety

Cathy Parkes

For mild anxiety, you can assist the patient with problem-solving and relaxation techniques. For severe anxiety, problem-solving is NOT realistic.

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Mild and Severe Anxiety

Cathy Parkes

For mild anxiety, you can assist the patient with problem-solving and relaxation techniques. For severe anxiety, problem-solving is NOT realistic.

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For a patient with Obsessive Compulsive Disorder (OCD): Set time limits for compulsive behavior. The nurse should also help the patient identify the source of anxiety (which prompts the compulsive behavior) and provide medications (ex: SSRIs) as ordered.

Obsessive Compulsive Disorder

Cathy Parkes

For Obsessive Compulsive Disorder (OCD): Set time limits. Help the patient identify source of anxiety and provide medications as ordered.

Obsessive Compulsive Disorder

Cathy Parkes

For Obsessive Compulsive Disorder (OCD): Set time limits. Help the patient identify source of anxiety and provide medications as ordered.

Diabetic foot care teaching: Inspect feet daily using a mirror. Check shoes for objects; Apply moisturizer to feet, but not between toes; Wear cotton socks; Cut nails straight across; Do not use OTC products; Do not use heating pads on feet.

Diabetic Foot Care

Cathy Parkes

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

Diabetic Foot Care

Cathy Parkes

Diabetic foot care teaching: Inspect feet; Apply moisturizer; Wear cotton socks; Cut nails straight across; Don't use OTC products or use heating pads on feet.

With a Urinary Tract Infection (UTI), the urinanalysis will be positive for leukocyte esterase and nitrites.

Urinary Tract Infection

Cathy Parkes

With a Urinary Tract Infection (UTI), the urinanalysis may be positive for leukocyte esterase and nitrites.

Urinary Tract Infection

Cathy Parkes

With a Urinary Tract Infection (UTI), the urinanalysis may be positive for leukocyte esterase and nitrites.

When performing tracheostomy care, be sure to: Use split gauze dressing under tracheostomy plate (DO NOT cut gauze). Secure new tracheostomy ties before removing old ones.

Tracheostomy Care

Cathy Parkes

When performing tracheostomy care, be sure to: Use split gauze dressing under tracheostomy plate (DO NOT cut gauze). Secure new tracheostomy ties before removing old ones.

Tracheostomy Care

Cathy Parkes

When performing tracheostomy care, be sure to: Use split gauze dressing under tracheostomy plate (DO NOT cut gauze). Secure new tracheostomy ties before removing old ones.

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Diabetes Insipidus

Cathy Parkes

With Diabetes InSIPidus, you will want to SIP a lot of water. Diabetes Insipidus causes the patient to urinate large quantities of dilute urine, leaving the patient dehydrated and thirsty!

Who can give informed consent? An unimpaired adult (i.e. not under the influence of drugs/alcohol, not experiencing command hallucinations). Emancipated minor. Parent or legal guardian of a minor.

Giving Informed Consent

Cathy Parkes

Who can give informed consent? An unimpaired adult (i.e. not under the influence of drugs/alcohol, not experiencing command hallucinations). Emancipated minor. Parent or legal guardian of a minor.

Giving Informed Consent

Cathy Parkes

Who can give informed consent? An unimpaired adult (i.e. not under the influence of drugs/alcohol, not experiencing command hallucinations). Emancipated minor. Parent or legal guardian of a minor.

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

Glomerulonephritis Labs

Cathy Parkes

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

Glomerulonephritis Labs

Cathy Parkes

Key labs with Glomerulonephritis: Serum: Positive antistreptolysin-O titer. Urinanalysis: hematuria, proteinuria. Throat culture: Positive for group A beta-hemolytic streptococcus

NEGATIVE symptoms in schizophrenia include the absence of things that normally present. Symptoms (5As): Anhedonia (inability to experience pleasure), Anergia (lack of energy), blunt Affect, Alogia (↓ speech), and Avolition (↓ motivation).

Negative Schizophrenia Symptoms

Cathy Parkes

NEGATIVE symptoms in schizophrenia include the absence of things that normally present. Symptoms (5As): Anhedonia (inability to experience pleasure), Anergia (lack of energy), blunt Affect, Alogia (↓ speech), and Avolition (↓...

Negative Schizophrenia Symptoms

Cathy Parkes

NEGATIVE symptoms in schizophrenia include the absence of things that normally present. Symptoms (5As): Anhedonia (inability to experience pleasure), Anergia (lack of energy), blunt Affect, Alogia (↓ speech), and Avolition (↓...

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

Chlamydia & Gonorrhea

Cathy Parkes

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

Chlamydia & Gonorrhea

Cathy Parkes

Chlamydia and Gonorrhea are STDs that can lead to Pelvic Inflammatory Disease (PID) and infertility if not treated promptly.

How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities: A swan is going to the prom (with a boutonniere on) to dance - exercise helps his RA!

Rheumatoid Arthritis Symptoms

Cathy Parkes

How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities

Rheumatoid Arthritis Symptoms

Cathy Parkes

How to remember that Rheumatoid Arthritis causes swan neck and boutonniere deformities

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

Key Information: Beta Blockers

Cathy Parkes

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

Key Information: Beta Blockers

Cathy Parkes

Non-selective beta blockers are used for hypertension, angina, arrhythmias, and MIs. However, they should NEVER be used in patients with asthma, as they can cause bronchospasm.

During pregnancy, an ultrasound is typically performed at 18-20 weeks gestation to assess growth, development, and age of the fetus.Full bladder allows better visualization. Instruct mom to drink approximately 1 quart of water before the procedure.

Ulstrasounds in Pregnancy

Cathy Parkes

During pregnancies, an ultrasound is typically performed ~ 18-20 weeks gestation to assess for growth, development, and age of the fetus.

Ulstrasounds in Pregnancy

Cathy Parkes

During pregnancies, an ultrasound is typically performed ~ 18-20 weeks gestation to assess for growth, development, and age of the fetus.

Please Listen Carefully - these beta blockers are NON-selective:  Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Non-selective Beta Blockers

Cathy Parkes

Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Non-selective Beta Blockers

Cathy Parkes

Please Listen Carefully - these beta blockers are NON-selective: Propranolol, Labetalol, Carvedilol. They will impact the lungs too!

Chorionic Villus Sampling (CVS) is a procedure used to identify chromosomal abnormalities in the fetus. A small sample of placenta tissue is removed from the uterus. Key Advantage: CVS is done earlier, so it provides an EARLIER diagnosis.

Chorionic Villus Sampling

Cathy Parkes

Chorionic Villus Sampling (CVS) is a procedure used to identify chromosomal abnormalities in the fetus.

Chorionic Villus Sampling

Cathy Parkes

Chorionic Villus Sampling (CVS) is a procedure used to identify chromosomal abnormalities in the fetus.

During a patient's seizure: Lower patient to the bed or floor if standing/sitting. Turn the patient to his/her side. Loosen restrictive clothing. Do NOT put anything in the patient’s mouth. Do NOT restrain patient. Note onset/duration of seizure.

Seizures

Cathy Parkes

During a seizure, take these important nursing actions

Seizures

Cathy Parkes

During a seizure, take these important nursing actions

Maternal Phenylketonuria is a genetic disease that causes the amino acid phenylalanine to build up, which can cause birth defects. Teach mom to adhere to a PKU diet 3 months prior to and throughout pregnancy. With PKU, Protein might Kill U.

Maternal Phenylketonuria

Cathy Parkes

Maternal Phenylketonuria (PKU) is a genetic disease that causes the amino acid phenylalanine to build up in the body, which can cause birth defects in the developing fetus.

Maternal Phenylketonuria

Cathy Parkes

Maternal Phenylketonuria (PKU) is a genetic disease that causes the amino acid phenylalanine to build up in the body, which can cause birth defects in the developing fetus.

Innate vs. Acquired Immunity. Innate Immunity: Defense mechanisms in the body that respond immediately to all antigens. Acquired Immunity: Body produces antibodies in response to a specific antigen through the action of B and T lymphocytes.

Innate v. Acquired Immunity

Cathy Parkes

Innate vs. Acquired Immunity Pathophysiology

Innate v. Acquired Immunity

Cathy Parkes

Innate vs. Acquired Immunity Pathophysiology

Care of an infant born to a HIV-positive mom. Scheduled c-section.
Administer antiviral agents during pregnancy, labor and delivery, and to newborn. Avoid forceps, vaccum, scalp electrodes, amniotomy. Breastfeeding NOT recommended.

HIV-Positive Moms

Cathy Parkes

Care of an infant born to a HIV-positive patient

HIV-Positive Moms

Cathy Parkes

Care of an infant born to a HIV-positive patient

Bleeding during pregnancy: PAINLESS bright red bleeding during the second half of pregnancy is indicative of Placenta Previa. Bleeding with INTENSE UTERINE PAIN is indicative of Abruptio Placenta.

Bleeding During Pregnancy

Cathy Parkes

Causes of bleeding during pregnancy

Bleeding During Pregnancy

Cathy Parkes

Causes of bleeding during pregnancy

Nursing Tips - Fetal Lung Maturity

Fetal Lung Maturity

Cathy Parkes

Fetal lung maturity is determined by the L/S ratio.

Fetal Lung Maturity

Cathy Parkes

Fetal lung maturity is determined by the L/S ratio.

Nursing Tips - Syndrome of Inappropriate ADH

Syndrome of Inappropriate ADH

Cathy Parkes

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

Syndrome of Inappropriate ADH

Cathy Parkes

Syndrome of Inappropriate ADH (SIADH) causes the excess water to be reabsorbed by the kidneys, resulting in hypervolemia.

Nursing Tips - Signs of Child Neglect

Signs of Child Neglect

Cathy Parkes

Signs of child neglect: poor hygiene, inappropriate dress (for weather), malnourishment, withdrawal, school absences.

Signs of Child Neglect

Cathy Parkes

Signs of child neglect: poor hygiene, inappropriate dress (for weather), malnourishment, withdrawal, school absences.

Nursing Tips - Amiodarone Drip

Amiodarone Drip

Cathy Parkes

Amy owes me one hundred dollars, but she is in the hospital with VFIB on an amiodarone drip... so I guess it's not a good time to collect.

Amiodarone Drip

Cathy Parkes

Amy owes me one hundred dollars, but she is in the hospital with VFIB on an amiodarone drip... so I guess it's not a good time to collect.

Nursing Tips - Dysphagia

Dysphagia

Cathy Parkes

Patients with dysphagia (difficulty swallowing) need to have a swallow evaluation by a speech language pathologist.

Dysphagia

Cathy Parkes

Patients with dysphagia (difficulty swallowing) need to have a swallow evaluation by a speech language pathologist.

Nursing Tips - Rheumatoid Arthritis

Rheumatoid Arthritis Labs

Cathy Parkes

Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer

Rheumatoid Arthritis Labs

Cathy Parkes

Expected labs with Rheumatoid Arthritis: Positive Rheumatoid Factor (RF) antibody and Positive ANA titer

Nursing Tips - Menorrhagia

Menorrhagia

Cathy Parkes

Menorrhagia = Excessive menstrual bleeding. This can result in anemia.If you have menorrhagia, it will make you want to rage!

Menorrhagia

Cathy Parkes

Menorrhagia = Excessive menstrual bleeding. This can result in anemia.If you have menorrhagia, it will make you want to rage!

Anticoagulant Side Effects

Anticoagulant Side Effects

Cathy Parkes

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Anticoagulant Side Effects

Cathy Parkes

The key side effect to remember with ALL anticoagulants (ex: heparin, warfarin, rivaroxaban) is BLEEDING!

Nursing Tips - Halo Traction Devices

Halo Traction Devices

Cathy Parkes

If your patient has a halo traction device in place, make sure wrench/screwdriver are attached to the vest to release patient from the device in the event of an emergency.

Halo Traction Devices

Cathy Parkes

If your patient has a halo traction device in place, make sure wrench/screwdriver are attached to the vest to release patient from the device in the event of an emergency.

Epoetin Alfa

Epoetin Alfa

Cathy Parkes

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

Epoetin Alfa

Cathy Parkes

Taking epoetin alfa will fix your anemia so you can grow up to be a strong alpha male.

Nursing Tips - External Radiation Therapy Patient Teaching

External Radiation Therapy Patient Teaching

Cathy Parkes

Patient teaching for external radiation therapy.

External Radiation Therapy Patient Teaching

Cathy Parkes

Patient teaching for external radiation therapy.

Nursing Tips - Pyelonephritis

Pyelonephritis

Cathy Parkes

Costovertebral tenderness is a key symptom with Pyelonephritis.

Pyelonephritis

Cathy Parkes

Costovertebral tenderness is a key symptom with Pyelonephritis.

Nursing Tips - Hip Flexion Contractures

Hip Flexion Contractures

Cathy Parkes

Prevent hip flexion contractures in patients with a BKA (below-the-knee amputation): Have patient lie prone every 3-4 hrs for 20-30 min.

Hip Flexion Contractures

Cathy Parkes

Prevent hip flexion contractures in patients with a BKA (below-the-knee amputation): Have patient lie prone every 3-4 hrs for 20-30 min.

Nursing Tips - Hormone Replacement Therapy

Hormone Replacement Therapy

Cathy Parkes

Hormone Replacement therapy can be used to treat the signs/symptoms of menopause. However, it is important to remember that HT increases the risk of embolic events (DVT, MI, stroke) and...

Hormone Replacement Therapy

Cathy Parkes

Hormone Replacement therapy can be used to treat the signs/symptoms of menopause. However, it is important to remember that HT increases the risk of embolic events (DVT, MI, stroke) and...

Neutropenia and Thrombocytopenia

Neutropenia and Thrombocytopenia

Cathy Parkes

Neutropenia and Thrombocytopenia are key symptoms of hematologic cancers (ex: leukemia, multiple myeloma). Key Nursing priority: Prevent infection and bleeding!

Neutropenia and Thrombocytopenia

Cathy Parkes

Neutropenia and Thrombocytopenia are key symptoms of hematologic cancers (ex: leukemia, multiple myeloma). Key Nursing priority: Prevent infection and bleeding!

Peritoneal Dialysis

Peritoneal Dialysis

Cathy Parkes

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Peritoneal Dialysis

Cathy Parkes

With peritoneal dialysis, bloody or cloudy outflow indicates possible infection!

Niacin Hypercholesterolemia

Niacin Hypercholesterolemia

Cathy Parkes

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

Niacin Hypercholesterolemia

Cathy Parkes

Niacin (Vitamin B3) can be used to treat hypercholesterolemia. Key side effect is flushing of the face. My face doesn't look very nice after taking niacin (because it is flushed!)

Lyme Disease

Lyme Disease

Cathy Parkes

Key feature of Lyme Disease is a ring-shaped, "bullesye" lesion at the site of the tick bite.

Lyme Disease

Cathy Parkes

Key feature of Lyme Disease is a ring-shaped, "bullesye" lesion at the site of the tick bite.

Prostate Cancer Screening

Prostate Cancer Screening

Cathy Parkes

When screening a patient for prostate cancer, be sure to obtain the PSA (prostate specific antigen) before performing a DRE (digital rectal exam).

Prostate Cancer Screening

Cathy Parkes

When screening a patient for prostate cancer, be sure to obtain the PSA (prostate specific antigen) before performing a DRE (digital rectal exam).

Urolithiasis

Urolithiasis

Cathy Parkes

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Urolithiasis

Cathy Parkes

For a patient with urolithiasis (kidney stone), a key nursing intervention is to strain the patient's urine. Send stone for lab analysis!

Gastric and Duodenal Ulcers

Gastric and Duodenal Ulcers

Cathy Parkes

Key differences in symptoms for Gastric and Duodenal ulcers: Gastric ulcer: Pain 30-60 minutes after meal, worse in DAY, worse with eating. Duodenal ulcer: Pain 1.5-3 hours after meal, worse...

Gastric and Duodenal Ulcers

Cathy Parkes

Key differences in symptoms for Gastric and Duodenal ulcers: Gastric ulcer: Pain 30-60 minutes after meal, worse in DAY, worse with eating. Duodenal ulcer: Pain 1.5-3 hours after meal, worse...

Malignant Hyperthermia

Malignant Hyperthermia

Cathy Parkes

Malignant hyperthermia is a life-threatening complication due to certain general anesthesia medications. Symptoms: Muscle rigidity, tachycardia, fever, dysrhythmias, tachypnea, hypotension, cyanosis.

1 comment

Malignant Hyperthermia

Cathy Parkes

Malignant hyperthermia is a life-threatening complication due to certain general anesthesia medications. Symptoms: Muscle rigidity, tachycardia, fever, dysrhythmias, tachypnea, hypotension, cyanosis.

1 comment
Continuous Bladder Irrigation

Continuous Bladder Irrigation

Cathy Parkes

When administering Continuous Bladder Irrigation (CBI) for a patient following a Transurethral Resection of the Prostate (TURP), be sure to increase the CBI rate if outflow is bright red or...

Continuous Bladder Irrigation

Cathy Parkes

When administering Continuous Bladder Irrigation (CBI) for a patient following a Transurethral Resection of the Prostate (TURP), be sure to increase the CBI rate if outflow is bright red or...

Ferrous Sulfate

Ferrous Sulfate

Cathy Parkes

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!

Ferrous Sulfate

Cathy Parkes

Ferrous Sulfate is an iron supplement that can stain the teeth. I'm furious that my teeth got stained from ferrous sulfate!