My Darkest Moments (World Mental Health Day)
In this post, I’m going to open up with you about my mental health journey – including some of my darkest moments – and where
In this post, I’m going to open up with you about my mental health journey – including some of my darkest moments – and where
Mastering Pharmacology is one of the most complicated, overlooked, yet ESSENTIAL components of being a well-rounded, safe nurse. One of our primary foci at NURSING.com
Can I be honest? I had an amazing experience last month. It was one of those moments when you are filled with thousands of
I want to share with you four significant moments in my nursing career. These are moments that were “pivotal” to my career, yet I felt
Caveat: some people (nurses) might not agree AT ALL with what I say here . . . oh well! I want to share how it
So You Want to Be a Nurse? Are you cut out to be a nurse? Wondering how hard nursing school is? What are the nursing
Generic Name NPH Trade Name Humulin N, Novolin N Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis Action stimulates uptake of glucose into
When Robert Frost penned the words “the road not taken”, he must have had Juliana Adams BSN MSN MA in mind. To say that Juliana has
ADPIE (A Delicious PIE) Assessment Diagnosis Planning Implementation Evaluation View our full Nursing Mnemonics course inside NURSING.com
Generic Name indomethacin Trade Name Indocin Indication Inflammatory disorders when patients do not respond to other medications Action Decreases pain and inflammation by inhibiting prostaglandin
SCUM Shopping Cooking and Cleaning Using telephone or transportation Managing money and medications
Generic Name ibuprofen Trade Name Advil / Motrin Indication Mild to moderate pain, inflammatory states Action Decreases pain and inflammation by inhibiting prostaglandins Therapeutic Class
White – right Clouds over grass (white over green) Smoke over fire (black over red) Chocolate on the stomach (brown) BEEP Bleeding
Generic Name hydromorphone Trade Name Dilaudid Indication moderate to severe pain Action alters the perception and reaction to pain by binding to opiate receptors in
COAL Cane Opposite Affected Leg Wandering Wilma Always Late Walker With Affected Leg
Generic Name hydrocodone/acetaminophen Trade Name Norco Indication management of moderate to severe pain Action alters the perception and reaction to pain by binding to opiate
Generic Name hydrochlorothiazide Trade Name HydroDiuril Indication Hypertension, CHF, renal dysfunction, cirrhosis, glucocorticoid therapy Action Increases sodium and water excretion and produces arterial vasodilation Therapeutic
SAMS Slurred Speech Altered Central Nervous System Muscle Twitching Seizures
The day has arrived. Nursing Practice Questions is live and ready to go! What is NPQ? It’s our bank of NCLEX® style questions along with
We spend most of our time here at NRSNG teaching you HOW to be a nurse . . . I thought today I could share
Generic Name hydralazine Trade Name Apresoline Indication hypertension Action arterial vasodilation by unclarified mechanism Therapeutic Class anti-hypertensive Pharmacologic Class vasodilator Nursing Considerations may cause tachycardia,
Wait!!! Don’t take or give another handoff report until you use this nursing report sheet template. Handoff report is one of those areas that I
Drugs to LEAN on Lidocaine Epinephrine Atropine Sulfate Narcan
Generic Name heparin Trade Name Hep-Lock Indication Venous thromboembolism prophylaxis and treatment, low dose used to ensure patency of IV catheters Action increases the inhibitory
Nursing school can be.. well, hell. Senior year is particularly horrific. From applying for jobs, to completing your last clinicals, to finals week, to scheduling
Having trouble finding a place to practice NCLEX® questions? Trust me, I get it, this is one of the most common questions we get
Generic Name haloperidol Trade Name Haldol Indication Schizophrenia, mania, aggressive and agitated patient Action Alters the effect of dopamine Therapeutic Class Antipsychotic Pharmacologic Class butyrophenones
Anticholinergics- side effects Can’t see – burred vision Can’t pee – urinary retention Can’t spit – dry mouth Can’t s*** – constipation
You learn a many wonderful things in nursing school….it is JAM PACKED with information. Sometimes there are some bits and piece that they don’t seem
Generic Name guaifenesin Trade Name Robitussin Indication Cough suppression, expectorant Action Decreases viscosity of and mobilizes secretions Therapeutic Class allergy, cold and cough remedies, expectorant
So you’ve gotten your registered nurse licensure… Now what? When you become licensed as a registered nurse, you will need to have your licensure renewed.
Beta 1: heart Beta 2: lungs You have one heart and two lungs Beta Blockers Mnemonics
Resources for New Nurses and New Grads Here are a few of the resources mentioned in this video: 4 No Fail Tips to Get
I am pretty sure during nursing school I said multiple times, “This is crazy, I can’t do this anymore.” I heard it from many of
Question: An 86-year-old male patient is transferred from the long-term care facility where he lives to the hospital for treatment after falling in the hallway.
SALT LOSS Stupor/coma Anorexia, N&V Lethargy Tendon Reflexes decreased Limp muscles (weakness) Orthostatic hypotension Seizures/headache Stomach cramping
Question: A pregnant client is in labor to deliver her baby. The mother is 39 weeks’ gestation and has had gestational diabetes during pregnancy. The
CATS of hypocalcemia Convulsions Arrhythmias Tetany Spasms and stridor Groans, Moans, Bones, Stones, Overtones Groans – constipation Moans – joint pain Bones – loss
Hey there y’all . . . This is kinda an in-between-a-sode . . . I’ve had a few things on my mind that I wanted
Question: A 35-year-old client is undergoing a bronchoscopy procedure to evaluate a mass in his airway. Following the procedure, the nurse periodically assesses the patients
Generic Name Furosemide Trade Name Lasix Indication edema, hypertension Action prevents reabsorption of sodium and chloride in the kidneys, increase excretion of water, sodium, chloride,
Hypernatremia Nursing Mnemonic You are FRIED from learning about sodium Flushed skin Restlessness: irritability Increased fluid retention and increased BP Edema: peripheral and
Question: A nurse is caring for a 15-year-old girl who is recovering from an appendectomy. The nurse is trying to assess the patients level of
Hyperkalemia Nursing Mnemonics The hyperkalemia MACHINE Medications – ACE Inhibitors, NSAIDS, potassium-sparing diuretics Acidosis – Metabolic and respiratory Cellular destruction – burns, traumatic
6 L’s Lethargy Leg cramps Limp muscles Low, shallow respirations Lethal cardiac dysrythmias Lots of urine (polyuria)
Question: A nurse working in the newborn nursery is caring for an infant who was born 3 hours ago. The infant’s axillary temperature is 97.0F
My concern is . . . as with everything else . . . we have allowed antiquated systems and process and fear keep us from
Picture type O as a huge circle, like the universe, because they are the universal donor. They can give to everyone. However, also think of
Welcome, welcome, welcome . . . what is up guys? We are at it again, dropping another valuable podcast for you to enjoy. This will
Question: An 80-year-old patient is being seen at the primary care clinic for routine care. The nurse performs a physical assessment on the patient. Based
Question: A nurse needs to assess a patients back and listen to posterior lung sounds. In which position would it be most appropriate to place
Question: A 35-year-old pregnant patient tells the nurse that she has been feeling significant stress in her life since she found out she was pregnant.
Generic Name ferrous sulfate Trade Name Feosol Indication prevention and treatment of iron-deficiency anemia Action Iron is essential for hemoglobin, myoglobin and enzymes, it is
Question: A 67-year-old patient complains to the nurse that while he used to run long distances and participate in marathons, he no longer has the
Question: A patient who is 16 weeks’ pregnant is at the healthcare provider’s office for a routine prenatal exam. The nurse is educating the patient
After serving six years as a Senator, Angie O’Donnell decided it was time to explore her passion of nursing. This meant giving up her career
Question: A child is brought to the hospital for care after falling down some stairs and is in a state of neurogenic shock. The nurse
Question: A 61-year-old patient is being treated in the care clinic. The patient has been a school bus driver for 40 years and is asking
Question: A nurse is teaching a patient about self-care at home after he has experienced an anaphylactic reaction to shellfish. For future reference for the
Question: A 40-year-old patient is being seen for a health check-up and the nurse is providing information to him about prevention of coronary artery disease.
I Love You . . . My first shift in the Neuro ICU all by myself as a new nurse I was assigned a patient
Question: A patient tells the nurse that she is afraid that she has sleep apnea. She says that she does not feel rested in the
I can still remember my first shift. . . I arrived to the Neuro ICU about 5 minutes late, sweating, out of breath, and flustered
Question: A 16-year-old patient needs to get up to ambulate after having knee surgery. A nurse assigns a nursing assistant to ambulate the patient. Which
Question: A 37-year-old patient with a spinal tumor has been having a difficult time sleeping. Which best explains how a tumor can make sleep more
What are the Bills? HR 1602 – view the bill HERE S. 864 – view the bill HERE How Can You Get “Involved”? Listen to
Question: A nurse is preparing to irrigate a patients nasogastric tube. She has assessed the patients abdomen and determined that the tip of the tube
Question: Which sleep disorder is associated with cataplexy? Answer: A. Narcolepsy Rationale: Cataplexy describes an involuntary loss of muscle function that is temporary. Cataplexy is
Question: A nurse is caring for a patient who is visually impaired. Which of the following interventions is most appropriate when working with this client?
Generic Name epinephrine Trade Name Adrenalin, EpiPen Indication asthma and COPD exacerbations, allergic reactions, cardiac arrest, anesthesia adjunct Action Affects both beta1 and beta2 also
Normal 12-37 U/L Indications Monitor progression of: Liver disease Response to treatments. Monitor liver toxic medications Description Aspartate aminotransferase (AST) is an enzyme primarily found
As nurses and nursing students, we only fail when we stop trying. My guest today reached out via email about a month ago and shared
What: Rally for National Nurse-to-Patient Ratios When: May 12, 2016 8am-4pm (rally 11am-2pm) Where: Washington D.C. (Corner of First St NE and Constitution Ave Permit area
Question: A nurse is caring for a patient who is recovering from surgery and is in pain at the incision site. The nurse has administered
Question: A nurse is teaching a client who has trouble with mobility about how best to decrease the risk of a blood clot. Which of
Question: A patient has come to the healthcare clinic complaining of pain in his left arm after an injury. Which describes the characteristics of nociceptive
Question: A patient with chronic pain as a result of multiple sclerosis has requested music therapy for help with pain management. Which of the following
I remember the first time I thought I was going to drown . . . I was about 4 years old and somehow wandered into
Question: The family member of a patient with lung cancer has asked the nurse about palliative care for the patient. Which describes when palliative care
Any tips on coping with your first time doing postmortem care? mine was in the NICU. Death is a difficult reality of nursing care. This
Question: A patient asks the nurse about spinal cord stimulation as a method of pain control. Which of the following describes an element of this
Question: A patient who is dying of cancer tells the nurse that he is in extreme pain. Which of the following principles should the nurse
Question: A nurse is assessing a patient who is being admitted to the long-term care facility where she works. The nurse is utilizing the Katz
Question: A nurse is caring for a patient who is recovering from a stroke and who has difficulties swallowing. The patient must have all liquids
We asked some of our nursing friends to tell us about their most embarrassing moments at work. The results were shocking, cringe worthy, and
Question: A patient who is recovering from surgery has been ordered to have a full liquid diet. Which foods would the nurse provide for this
Question: A nurse is using a TENS device to help a patient with his low back pain. Which of the following considerations should the nurse
Question: A nurse must position the patient prone after his diagnosis of acute respiratory distress syndrome (ARDS). Which of the following is a benefit of
Question: A nurse is working with a client who has been confined to his bed for the past week because of illness. While turning this
Nursing education can be challenging to navigate for any student. One of the most common emails we get from students concerns the frustrations and doubts
Question: A nurse is caring for a patient who has been immobile for the past three weeks while recovering from surgery. The patient has been
Kati Kleber with NurseEyeRoll.com is one of my favorite nurses. In fact . . . this is the second time I have had her on
Question: A 76-year-old patient has urinary incontinence diagnosed because of instability of the detrusor muscle. Which of the following describes a form of management of
Question: A patient with Alzheimer’s disease has had difficulties eating and is not getting enough nutrients in his diet. The patients daughter asks the nurse
Question: A patient with heart failure has been ordered to reduce her sodium intake in order to better control her condition. Which best explains why
You can never take enough practice NCLEX questions. The problem most students find is that you quickly run out of good questions. . . .
Question: A 41-year-old patient is being seen at the primary care clinic for a physical exam. The patient is overweight and wants to talk to
Question: A physician has ordered calorie counts for a patient who needs to lose weight. Which best describes how the nurse would instruct the client
Question: A nurse is caring for a client who is at high risk of dehydration. Which parameter would the nurse use for assessment if this
Question: A patient with lung disease has decided to receive palliative care at home. The patient does not want his mother to be nearby while
Question: A palliative care nurse is counseling a patient who is suffering from cancer. Which statement by the patient indicates that more education is needed
Question: A nurse who is caring for a patient with chronic pain and recommends the patient undergoes relaxation therapy as part of pain management. How
Question: A nurse is preparing to apply thigh-high anti-embolism stockings to a patient with a history of DVT. The nurse notes that the patients legs
Question: A patient has suffered a bruise on her elbow from being assisted in bed for repositioning. Which best describes how the nurse can prevent
Today’s Question: How can I make sure I never forget WHY I want to be a nurse?
Question: A nurse is caring for a patient with reduced mobility following hip surgery. Which best describes how the nurse would intervene to prevent skin
Question: A patient with stress incontinence is undergoing treatment through rehabilitation of the pelvic floor muscles. Which statement by the patient suggests that he is
Question: A patient with a spinal cord injury has difficulty determining when he needs to empty his bladder. The nurse teaches him about tapping to
Answer: B. Writing down pertinent information for the patient to read Rationale: A patient with hearing loss and who has no assistive devices for hearing
Answer: D. The level of the amputation Rationale: Various factors go into determining the most appropriate type of prosthetic appliance to use for a patient
Today’s Question: How do you tell friends and family you can’t hang out?
Question: A nurse is caring for a patient who is recovering from a stroke. The nurse arranges for a swallowing screening to be performed on
Answer: D. Achieve and maintain a healthy weight Rationale: A patient with COPD suffers from a chronic disease that can progressively worsen if he does
I am so excited to introduce someone incredibly important. Take a minute and listen to this episode . . . we share a lot of
Answer: C. Obesity Rationale: Dyspnea, also known as breathlessness, is a state in which a person is unable to get enough air. Dyspnea may be
Answer: A. Tobacco use C. Exposure to certain pesticides Rationale: Cancer of the pancreas is a life-threatening condition that often has a poor prognosis. Risk
Answer: A. Assess the interactions between the parents and the child C. Respond to the child consistently with nurturance D. Provide positive feedback when the
Answer: C. Increased confidence in the ability to perform tasks D. The ability to separate from parents for a time E. Learning to master skills
codeine Trade Name Paveral Indication management of pain, diarrhea, cough suppressant Action Binds to opiate receptors in the CNS and alters perception of pain while
Answer: C. “The nurse can make a copy of my medical record to send it to my friend.” Rationale: Privacy and confidentiality are important aspects
Today’s Question: My two biggest struggles with nursing school are procrastination and not being assertive during clinicals. I have a B+ average a year into
Answer: C. The patient has no plans to quit smoking Rationale: The phases of change, such as when a person wants to make a change
Today I want to talk about nine common classes of cardiac meds, that you’re going to need to understand, and you’re going to need to
Answer: C. Inspection, auscultation, percussion, palpation Rationale: When assessing any other part of the body, the nurse would normally perform the methods of assessment in
Today’s Question: Getting nervous to push iv meds and start iv lines
Answer: D. The pads of the fingers Rationale: When assessing a patient through palpation, the nurse may use different parts of the hand to find
Answer: B. Drink fluids starting several hours before exercise begins Rationale: A person who exercises a great amount, such as with a student athlete, may
Answer: C. There are high expectations of each family member E. Punishment may involve withdrawal of approval Rationale: A nurse who works with families may
Today’s Question: The ever changing clinic schedules for school! It makes it hard when you work
Answer: A. There may be step-siblings in the family who do not share a biologic parent B. The parents come together after a previous divorce
So . . . a couple things here . . . One of the most common concerns that we get from nursing students is .
Today’s Question: “Teacher says we need to read entire book but there is absolutely no questions from the book. How do we suppose to study”
This is the first in a series from Susan Dupont RN BSN who is an Emergency Room Nurse and contributor at NRSNG.com . . .
Answer: C. Dysphagia Rationale: Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that causes a decline in respiratory function, including shortness of breath and
Answer: C. “This test checks how much sugar is coating the hemoglobin in your red blood cells; it can tell us your blood sugar levels
Answer: A. mitral valve prolapse. Rationale: When auscultating heart sounds, the nurse may hear a variety of different sounds; some are normal parts of the heart’s
One of the biggest struggles I see new nurses and nursing students . . . and even experienced nurses at times have is . .
Answer: A. The patient will be able to dress himself appropriately B. The patient will demonstrate how to use adaptive equipment effectively C. The patient
Today’s Question: I have passed every class. I’m a 2nd semester junior in med surg. Just having doubts. I feel like they haven’t taught me
Answer: A. Stated doubts about an ability to survive alone B. Expressed feelings of abandonment or loneliness C. Feelings of uselessness Rationale: A patient who suffers from
Excuse the slight detour from our normal episodes . . . but I wanted to let you know that we just released a clipboard designed
Answer: D. Supine with the legs elevated Rationale: The most appropriate position for the patient in shock is to have him lie supine with the
This article is another in a series by Ashely Adkins RN BSN entitled “Nursing School Struggles” where she answers your questions about nursing school. To
This article is another in a series by Ashely Adkins RN BSN entitled “Nursing School Struggles” where she answers your questions about nursing school. To
Answer: C. Percutaneous electrical nerve stimulation Rationale: Diabetic peripheral neuropathy can cause severe pain and nerve dysfunction in the extremities. The patient with this condition
Answer: C. The patient will more likely desire change after connecting with another person Rationale: Change is necessary when a patient is exhibiting behaviors that
“The biggest problem I am having with nursing school is the figure out a good study pattern.” It seems that every nursing student is searching
Today’s question: “My biggest issue right now is overcoming my crippling anxiety that I get before an exam or test. I wake up completely nauseous
Today’s Question: I’m either “ALL WORK NO PLAY” or “ALL PLAY NO WORK.” I have to find that perfect balance.
This is the first in a series from Susan Dupont RN BSN who is an Emergency Room Nurse and contributor at NRSNG.com . . .
Answer: B. Art therapy C. Watching a movie D. Blowing bubbles Rationale: A preschool-age child is at a different developmental age when compared to an
“I am struggling with passing the NCLEX® RN exam. I graduated nursing school in June 2012. I have taken the NCLEX 4 times. The first
Masen Mills (@nurse_muscles) journey into nursing was very nontraditional. In fact it reminded me a lot of my own (job he hated, new baby, contemplated
Answer: B. Problems within parents’ marriage/relationship C. Speech difficulties D. Boredom Rationale: It is normal and common for a 3-year-old child to have tantrums.
An overview of non invasive respiratory support for nursing students Let’s be honest . . . Ventilation can be a tough subject. I have said
Answer: B. benign tumors on the pituitary that cause excess secretion of growth hormone. Rationale: A patient with acromegaly produces too much growth hormone
Finding a nursing clipboard that meets your needs is tough . . . I remember during clinicals as a student I often ran into two
Answer: D. Decreased cardiac contractility Rationale: A patient with a cardiac condition is at risk of developing cardiogenic shock when the heart has been damaged
Listen to the episode before leaving a comment or sending hate mail 😉 Get the Friday Freebies by going to NURSING.com/freebies Okay . . .
In this video episode we discuss why you shouldn’t place all your trust in SpO2 and how the oxygen deliver system works within the body.
Answer: A. The patient has a Glasgow Coma Score of 8 Rationale: A spinal cord injury produces paresthesia below the level of the injury; paraplegia
Answer: C. Loss of muscle control Rationale: A patient who has suffered a traumatic brain injury is at high risk of developing sleep problems. Narcolepsy
“I am a nursing graduate as of Dec 2012 with a 3.4 GPA. I have taken the NCLEX twice and have gotten “near passing” on
Answer: A. Eating breakfast Rationale: Myasthenia gravis is an autoimmune disorder characterized by weakness of skeletal muscles and fatigue with exertion. The patient would most
HOW TO LEAVE US FEEDBACK IN iTUNES: 1. On your iPhone click on your “Podcasts” app 2. Search “NRSNG” within the Podcasts App
“I am currently struggling with SATA. I am trying to prepare for the NCLEX-RN.” SATA-type questions has long been a dreaded feature of the NCLEX,