Owner: Memoir of a schizo URL:http://gino-memoirofaschizo.blogspot.com Join Date: Mon, 20 Oct 2008 18:51:40 -0500 Rating:0 Site Description: where you can find free NCLEX and other nursing examination reviewer and also updates you on basic nursing procedures and updates. Site statistics:Click here
Oropharyngeal Suctioning 2008-10-20 17:38:54 This care plan assumes that the patient is conscious. However, if the patient is unconscious he should be nursed on his side (to prevent his tongue blocking the airway and to facilitate the drainage of secretions) and an artificial airway may be required. Oral or nasopharyngeal suctioning may be used. Oral suction is used for: unconscious or semi-conscious patients, e.g. post-operative rec
Spinal Cord Injury 2008-10-19 17:34:13 Cervical Injury
: C2 to C3 injury usually fatal C4 is the major innervation to the diaphragm by th phrenic nerve Involvement above th C4 causes respiratory difficulty and paralysis of all the four extremities C5 or below client may have movement in the shoulder Thoracic Level Injury: Loss of movement of the chest, trunk, bowel, bladder, and legs, depending on Read more:Spinal
Complications of Mechanical Ventilation 2008-10-16 18:24:42 1. Associated with patient’s response to mechanical ventilation:A. Decreased Cardiac Output Cause - venous return to the right atrium impeded by the dramatically increased intrathoracic pressures during inspiration from positive pressure ventilation. Also reduced sympatho-adrenal stimulation leading to a decrease in peripheral vascular resistance and reduced blood pressure.Symptoms – increase
The Necessity of Triage 2008-10-16 18:09:55 Simple Triage and EvacuationSimple triage identifies which persons need advanced medical care. In the field, triage also sets priorities for evacuation to hospitals. In START, persons should be evacuated as follows:• DECEASED are left where they fell, covered if necessary; note that in START a person is not triaged "DECEASED" unless they are not breathing and an effort to reposition their air Read more:Necessity
Basic Guidelines for TPN Administration 2008-10-15 02:34:07 1. Verify central line placement after initial insertion via chest (radiograph) prior to beginning TPN infusion; pneumothorax or hemothorax is a risk with central line placement.2. Check vital signs (including blood pressure) at least every 6 hours after initiating infusion.3. Check central line insertion site frequently for signs of infection (infection is a common complication when a central lin Read more:Administration
, Basic
, Guidelines
NCLEX Test Questions (Delmar) 2008-10-13 18:27:45 1. A 27-year-old adult male is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses his nutritional health? Facial rubor. Anthropometric measurements. Dry skin. Bleeding gums.Answer Rationale:Anthropometric measurements are the prime parameters used to evaluate fat and muscle stores in the body. Bleeding gums and dry skin are asso Read more:NCLEX
Normal Growth and Development 2008-10-13 18:20:31 TYPES of PLAYBIRTH to 1 year- Mobiles1-3 years- Push and pull toys3-5 years - Coloring6-12 years- Board Games12-19 years- own StuffDEVELOPMANTAL2-3 months: turns head side to side4-5 months: grasps, switch & roll6-7 months: sit at 6 and waves bye-bye8-9 months: stands straight at eight10-11 months: belly to butt (phrase has 10 letters)12-13 months: twelve and up, drink from a cup Read more:Development
, Growth
, Normal
Positioning After a Medical Procedure 2008-10-13 18:18:33 1. Px w/ R pneumonectomy, post-op position = R side lying2. Post liver biopsy = placed R side lying3. Rales at L lower lobe of lungs, px must be positioned for chest PT = on his R side w/ hip slightly higher than the head4. When inserting TPN to a central line, w/c position shld. the RN place the px to prevent introducing air to the system = Trendelendburg5. How shld. the RN positio Read more:Positioning
, Procedure
NCLEX Fast Facts 3 2008-10-13 18:11:19 A child with t-tubes can only swim if he/she wears earplugs, water should not enter the ears and the child should not put their heads under the waterFosomax should be taken 1st thing in the morning with 6-8 oz of PLAIN water at least 30 min before other foods or meds. Client needs to be instructed to remain in an upright position for 30 min following the dose to facilitate passage into the stomach Read more:NCLEX
NCLEX Pharmacology and Types of Immunity 2008-10-13 18:08:50 Long term use of Casanthrol (cascara sagrada) can cause hypolkalemia. Med stimulates peristalsis and alters fluid and elecrolyte transport, helping fluid to accumulate in the colon.Quinidine gluconate (Dura Quin) is an antidysrhytmic used for prophylactic therapy to maintain normal sinus rhythm after conversion of atrial fib. and/or atrial flutter. Contraindicated in complete AV block.Auranofin (R Read more:Immunity
, NCLEX
NCLEX Fast Facts 2 2008-10-13 18:05:49 Which anti-coagulant is safe in pregnancy?Heparin is! It does not cross the placenta, so when it is ordered, give it, and when you do it is sub-q.What is a t-tube?It drains bile from the bile duct after gallbladder sx, and there could be a lot of drainage, up to 400 cc's/day. It should be bloody initially, and then green. Count it as output.Why does skin temperature drop when someone is experienci Read more:NCLEX
NCLEX Fast Facts 2008-10-13 17:58:26 1. Complication of post-bronchoscopy laryngeal edema/spasm 2. Post- arteriography intervention Increase oral fluid intake 3. Post liver bipsy position Right side lying 4. After a Mantoux test check induration 5. Diagostic for Multiple Sclerosis MRI à demyelination of the brain 6. Purpose of Amniocentesis to determine fetal lung maturity 7. Purpose of Lunc Read more:NCLEX
Key to Burnout Prevention 2008-10-11 17:57:49 In 40 years specializing in stress and burnout, one thing is clear to me. Burnout
is the result of people working in conflict with their deepest values. Nurses have the capacity to work tirelessly and hard for years when they feel good about themselves and the value of their work. Working for prolonged periods with no personal satisfaction from the effort is a situation ripe for burnout. W
Philippines' Top Ten Causes of Mortality 2008-10-10 21:01:12 It is interesting to see what are the leading diseases and health conditions that kill Filipinos everyday and ponder why they continue to do so. The chronology I have below came from the Department of Health's Health Statistics website, and is said to have been updated sometime last January 2007.1. HEART DISEASES. Heart diseases are varied and may include coronary, ischemic, valvular, inflammatory Read more:Philippines
, Top Ten
Cancer alert over talc: Women using powder every day 'are at risk' 2008-10-10 20:36:49 According to an article on daily mail newspaper online “Women
who use talcum powder every
day to keep fresh are 40 per cent more likely to develop ovarian cancer, according to alarming research.” You can find the link to the article here: Do you believe in such findings? Do you think that scientists are exaggerating? Scientists fear powder particles applied to the private parts may travel Read more:Cancer
UPDATES On DISEASES 2008-10-09 19:23:59 1. ALPORT’s SYNDROME Hereditary Like AGN (acute glomerulonephritis) S/Sx: hematuria from start to finish Common: males Confirmatory diagnostic test: kidney biopsy DIET: decrease CHON2. SJOGREN’s SYNDROME Chronic, inflammatory autoimmune process that affects lacrimal glands and salivary glands MAIN CONCEPT: dryness S/Sx: xerostamia (dry mouth), xerodermia (dry s Read more:DISEASES
UPDATES ON DIAGNOSTIC PROCEDURES and MANAGEMENT 2008-10-09 19:12:44 1. KLEIHAUER-BETKE TEST used to confirm if the blood from cordocentesis (Percutaneous Umbilical Blood Sampling) directly came from the fetus detect Rh incompatibility2. HYPERBARIC OXYGEN THERAPY (HBOT) used to treat wounds, burns, air embolism and carbon monoxide poisoning3. GUTHRIE TEST check for metabolic disorder BEFORE: increase CHON diet 2 – 4days before the test
Work as Nurse in New Zealand 2008-10-08 20:52:51 NURSING COUNCIL OF NEW ZEALANDGeneralNurse
s and midwives who have gained registration/enrolment in countries other than Zealand
.htm">New Zealand
must apply to the Nursing Council of New Zealand for admission to the register/roll before being able to practise in New Zealand.On initial inquiry an application form is forwarded to you (the applicant). The letter to applicants describes the registration categories,
Sx's Mneumonics 2008-10-08 18:29:43 We can't expect ourselves to store everything that we studied in our brain. We need to be creative in studying to ensure that there is a good retention. Memorizing the Signs and Symptoms of each diseases is a challenge to us thats why we come up with some strategies like Mneumonics.
Nursing Nuggets 2008-10-07 05:56:38 1. To remember the difference between transudate and exudate, focus on the prefixes … • Trans- means “across,” as in the transcontinental railroad • Ex- means “out of,” as in exhale. 2. To remember the difference between aerobic and anaerobic, think of jogging … • When you jog, an aerobic activity, your body needs oxygen, or air— aerobic means oxygen is required. Read more:Nursing
Taking Steps to Reduce Cancer Risk 2008-11-03 01:59:01 When teaching individual patients or groups, nurses can recommend the following cancer prevention strategies: 1. Increase consumption of fresh vegetables (especially those of the cabbage family) because studies indicate that roughage and vitamin-rich foods help to prevent certain kinds of cancer. 2. Increase fiber intake because high-fiber diets may reduce the risk for certain cancers (eg, breas Read more:Cancer
, Taking
Characteristics of Benign and Malignant Neoplasms 2008-11-03 01:56:29 CHARACTERISTIC BENIGN MALIGNANT Cell characteristics Well-differentiated cells that resemble normal cells of the tissue from which the tumor originated Cells are undifferentiated and often bear little resemblance to the normal cells of the tissue from which they arose Mode of growth Tumor grows by expans Read more:Malignant
Principles in Determining Delegation to Unlicensed Personnel 2008-11-02 17:58:17 The nurse must assess the individual client prior to delegating task.The client must be medically stable or in a chronic condition and not fragile.The task must be considered routine for this client.The task must not require a substantial amount of scientific knowledge or technical skills.The task must be considered safe for this client.The task must have a predictable outcome.Learn the agency's Read more:Delegation
, Personnel
, Principles
Charting Guidelines 2008-10-29 21:24:27 Charting is a written method of conveying client information, nursing assessment and interventions, and client response to care. The following list of guidelines can help you chart accurately.Make sure the nursing record is stamped with client's name before you begin writing.Write legibly; print if necessary. Always write in permanent ink. Check agency policy for color of ink.Begin each entry with Read more:Charting
, Guidelines
Teaching Testicular Self Examination 2008-10-29 20:56:04 Teach TSE to your patient during the scrotal examination. Follow these steps: ■ First, explain the rationale for the exam. Monthly TSEs permit earlier detection of testicular cancer, which occurs most often in 16- to 35-year-olds. Suggest that he perform the exam on the same day each month. ■ Tell him that the scrotum is easier to examine after taking a warm bath or shower. ■ Now, show hi
November Nursing Licensure Examination (NLE) 2008 2008-12-01 04:37:21 Last November
29-30 around 88,000 aspiring nurses took the Nursing
Licensure Examination all over the Philippines. And as expected different reactions from the examiners burst out. Some says that the test was difficult and that some questions were out of the nursing professions.Every examiners should always inject into their mind that the exam is conducted to test your readiness as you enter into
Pneumonia Among Children 2008-11-25 20:07:23 Description Pneumonia is an acute infection/inflammation of the lung parenchyma leading to consolidation of lung tissue as the alveoli fill with exudate that impairs gaseous exchange.Major pneumonias may be classified as communityacquired, hospital-acquired, aspiration, or pneumonias in an immunocompromised host.Community-acquired pneumonia (CAP) occurs in the community or within 48 hours of ente Read more:Children
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