Quiz me Nurse

Scenario: Mark sustained a traumatic brain injury while surfing. He had an EVD (  external ventricular device ) inserted and ICP monitoring ordered by the doctor. His family members are very anxious as, no one has taken the time to explain what is happening. There is an obvious need for family education. Helpful info for the layperson Care planning: Below are some potential problems: - anxiety related to illness and lack of knowledge - infection related to EVD insertion -  neurological changes  related to brain injury - fever related to brain injury - pain related to injury * Always follow your MD orders and Institution's policies and procedures  Enjoy watching the video: Care planning Family teaching is also necessary Be safe and check information! A nurse who is new to the  clinical settin g, knows all too well it is a challenge. Typically, a combination of learning in the classroom and a clinical area is done. learn more: Critical Thinking

  Most people who anticipate taking a long plane  flight, may hardly stop to think about dehydration  and  its consequences.   Making sure adequate clothing is packed, arriving at the airport on time, and making sure pets or children are cared for, are just a few of the concerns  a traveler might have. Skipping a meal as a result of anxiety   may very readily happen. To further complicate matters, there are significant changes in time zones on a long flight   across the  globe. Someone who has been on a long flight and sitting for a considerable length of time, coupled with inadequate fluid intake, may be at risk for  DVT (Deep Vein Thrombosis) . It is worth noting , that taking the time to drink extra fluids before and during a long flight, will help prevent dehydration. Here are some diagnostic tests that are done frequently. Follow the links below: 1.  Chest X ray 2. CAT scan 3. EKG 4. MRI scan 5. Ultrasound 6. Echocard...

  Above is a 35 year old female who has been having problems after a divorce. Alcohol ingestion in large quantities has become a way of coping . This is not a case study, but an example of how pancreatitis and autodigestion may come about.  ARDS may also result. Autodigestion Autodigestion is of significance in the patient  with pancreatitis. The pancreatic enzymes  consume the pancreas, setting up inflammation. Pancreatitis is defined as inflammation of the pancreas and may be acute or chronic. Alcohol ingestion in excess, trauma or tumors are some of the ways this may be acquired. Acute pancreatitis may resolve in a short period of time.Rest, IV therapy and pain medication are used in the treatment . Antibiotics like Imipenem may also be ordered by the doctor. Turner's sign is an indication of acute pancreatitis and is manifested as bruising around the flank. Learn more about these by reading the image. Related topic: Sessions 47- Organ Transplantation Have a go...

IV site care An intravenous infusion may be started in a peripheral site or a central line site . It is important for the nurse to recognize, that every effort should be made , to prevent an infection. Any redness or swelling , should be documented and addressed. Sometimes, a new IV site may be necessary, to prevent infection. Assessment and documentation of the condition of the site is also of paramount importance. Every institution has policies and procedures in place, for IV site care. Inservice education provides a platform for staff members  to be educated regarding a  safe  work environment. Each institution has  policies  and procedures in place that are demonstrated as needed , in order to maintain a  good standard  of care. Helpful Hints: - Handwashing is important in preventing the spread of infection - A full needle holder can become a source of contamination. Getting stuck with a dirty needle poses a  risk of infection . Preventing...

  The Numerical Pain Scale is a useful tool when assessing pain. It is based on a scale of 0-10. A ladder starts from the ground and escalates to| the highest point, so does pain start from 0-10. It is important to do a pain assessment after pain medication has been given. See image for more information. Scenario : In the above image, a patient was brought into the   Emergency room with complaints of  chest pain  and a drop in   blood pressure. The doctor ordered Morphine for the pain and    Dopamine for the  hypotension.  Both medications were given      as ordered. The nurse in the green top (left) gave the Morphine and started the Dopamine infusion. Next  : What  went wrong ? The nurse forgot to put a label on the  IV bag and did not document what time both medications were   given. It is very  important  for the nurse to pay  close attention  to the time that medicatio...

  Scenario : In the image above, Ann is an opera singer. While on stage, she suddenly starts having trouble getting her words out. Her right arm also feels weak. These symptoms are classic of someone experiencing a stroke. Signs and stroke  symptom s: - sudden ,  severe headache - slurred speech, mental confusion -  nausea  and vomiting -  visual disturbances ,  hearing loss - facial weakness -  weakness  in arm or leg on one side A CAT scan or  MRI  or both may be done to  confirm  diagnosis. Scenario : In the image a waitress is busy at work.  She suddenly develops stroke symptoms.  What is a stroke ? A  stroke  is also known as a brain attack. It may be hemorrhagic ( caused by bleeding) or ischemic ( embolic), caused by a clot  or plaque. Can a stroke be prevented? It is suggested that a stroke can be prevented. People who smoke frequently, eat a diet rich in cholesterol foods and do not exerci...