November 30, 2011

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
“Fun foods” are the worst offenders in terms of potential for choking. Offending foods in the order of frequency of choking are hot dogs, round candies, nuts, grapes, cookies or biscuits, carrots, peas, apples and peanut butter.

November 29, 2011

Book Recommendations | Understanding Clinical Procedures!

Nursing Interventions & Clinical Skills 
ISBN: 0323069681 | 978-0323069687

If you're like me, you can't remember every single clinical procedure. From wound dressing changes, the proper insertion of an indwelling catheter to even proper bed motility... this book will keep you current and on your nursing toes. On my nursing floor, we deal with chronic and acute medical conditions. From acute renal failure to ETOH withdrawal, each condition will involve some type of bedside nursing procedure. This book provides adequate, close up photos and the directions needed for various types of procedures. No matter the field of nursing you are in, procedures are done on all hospital floors. Keep your head in the game and implement proper procedures constantly with the help of this book. It answers all your procedural questions and rationales.

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals
Bowel sounds usually last 1/2 second to several seconds. It normally takes 5 to 20 seconds to hear a bowel sound. However, it takes 5 minutes of continuous listening before determining that bowel sounds are absent.

November 28, 2011

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals
S4 heart sound, or an atrial gallop, occurs just before S1 or ventricular systole. The sound of an S4 is similar to that of “Ten-es-see.” Physiologically, it is due to an atrial contraction pushing against a ventricle that is not accepting blood.

November 27, 2011

YouTube Vlog | How To Manage The Stressors of Nursing

NCLEX-RN Practice Question Challenge!


Correct Answer: 4

1: Obtain an order for an antipyretic and monitor patient until patient can be evaluated by MD
2: Assess the neurovascular status of the effected extremity, then ice, splint and elevate it until patient can be evaluated by MD
3: Average healthy young adult's body can adequately compensate for dehydration over the short term
4: CORRECT | Compromised circulation take precedence

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals
S3 heart sound, or a ventricular gallop, occurs just after S2 at the end of ventricular diastole. This is due to a premature rush of blood into a ventricle that is stiff or dilated. The combination of S1, S2, and S3 sounds like “Ken-tuck-y.”

November 26, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 2

1: Appropriate action, but glucose should be rechecked 15 minutes after treatment
2: CORRECT | If the client is able to take oral fluids, a high carbohydrate beverage should be given
3: Increased protein in a beverage does not improve glucose response
4: Not a priority at this time

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals
An inefficient contraction of the heart that fails to transmit a pulse wave to the peripheral pulse site creates a pulse deficit. To assess a pulse deficit you and a colleague assess radial and apical rates simultaneously and then compare rates.

November 25, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 4

1: Requires standard precautions in adults
2: Requires standard precautions in client with intact immune system
3: Requires standard precautions
4: CORRECT | Requires droplet precautions for 5 days, longer for immunocompromised clients

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
When esophageal atresia or tracheoesophageal fistula is suspected, the infant is immediately taken off oral intake, started on IV fluids and placed in the position least likely to cause aspiration of either mouth or stomach secretions.

November 24, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 1

1: CORRECT | Assess whether client is experiencing side effects
2: Should ask client if incision is red or if there is any drainage
3: Second call to be returned, ensure that skin sealant does not contain alcohol and instruct client to use stoma powder or paste
4: Stable client

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
Esophageal atresia is a surgical emergency. The treatment includes maintenance of a patent airway, prevention of pneumonia, gastric or blind pouch decompression and surgical repair of the anomaly.

November 23, 2011

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
Normally the newborn infant passes a first meconium stool within 24 to 36 hours of birth. Any infant who does not do so should be assessed for evidence of intestinal atresia or stenosis, HD, hypothyroidism, meconium plugs or ileus.

November 22, 2011

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
If a potty chair is not available, having the child sit facing the toilet tank provides added support. Practice sessions should be limited to 5 to 8 minutes and a parent should stay with the child, practicing sanitary habits after every session.

November 20, 2011

YouTube Vlog | Finding A Nursing Job In & Out of Nursing School

Nursing Tip of the Day! - Fundamentals

Category: Fundamentals
Second spacing refers to an abnormal accumulation of interstitial fluid (edema). Third spacing occurs when fluid accumulates in a portion of the body from which it is not easily exchanged with the rest of the ECF (ascites).

November 19, 2011

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing
Malignant hyperthermia (MH) is a rare metabolic disease characterized by hyperthermia, in addition to rigidity of the skeletal muscles that can result in death. It occurs in affected people exposed to certain anesthetic agents.

NCLEX-RN Practice Question Challenge!


Correct Answer: 2

1: Proper positioning, assess for postoperative bleeding
2: CORRECT | Patients with closed head injuries are prone to increased intracranial pressure. Elevate head of bed 30 to 45 degrees to promote venous drainage
3: 72 hours post-BKA, the primary concern is the development of contractures. The prone position will stretch the hip flexors/quadriceps muscle and help to prevent contractures
4: Although usually most comfortable in a 60 to 90 degree position, a 45 degree position is acceptable

November 18, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 4

1: No sounds heard in 3 to 5 minutes, indicates late intestinal obstruction
2: 1 or 2 sounds heard in 2 minutes, indicates decreased motility of bowel
3: 5 to 30 sounds per minute
4: CORRECT | Greater than 30 sounds per minute, indicates motility due to gastroenteritis, diarrhea and laxative use

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
The initial goals for the patient with a spinal cord injury are to sustain life and prevent further cord damage. Systemic and neurogenic shock must be treated to maintain an adequate blood pressure.

November 17, 2011

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing
In the past, insulin was made from beef and pork pancreas, but these are no longer available. Today, only human insulin is used. Human insulin is not directly harvested from human organs. Instead, it is made by genetic engineering.

November 16, 2011

Nursing Tip of the Day! - Maternal Neonatal Nursing

Category: Maternal Neonatal Nursing
DIC, also called consumptive coagulopathy, is a life-threatening defect in coagulation that may occur with several complications of pregnancy such as abruptio placentae or hypertension. DIC is not limited to obstetric conditions.

November 15, 2011

Nursing Tip of the Day! - Pediatric Nursing

Category: Pediatric Nursing
A form of tooth decay in infants and young toddlers is nursing caries, which occurs when the child is routinely given a bottle of milk or juice at nap or bedtime or uses the bottle as a pacifier while awake.

November 14, 2011

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
Esophageal varices are dilated, tortuous veins occurring in the lower portion of the esophagus as a result of portal hypertension. Esophageal varices are a common complication of liver cirrhosis.

November 13, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 3

1: Implementation: Need to assess first
2: Implementation: Need to assess first
3: CORRECT | Assess unconsciousness. Open airway with head tilt (jaw thrust if neck injury is suspected), look, listen and feel for signs of breathing
4: Assessment: Should not be done first

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
Emergency management of abdominal trauma focuses on establishing a patent airway, adequate breathing, fluid replacement and prevention of hypovolemic shock. If an impaled object is present, stabilize the object and do not remove it.

November 12, 2011

YouTube Vlog | Do I Need A Supportive Family To Be Successful?

NCLEX-RN Practice Question Challenge!


Correct Answer: 4

1: Body is unable to store excess proteins, proteins breakdown into wastes that can't be excreted by the compromised kidneys
2: 1 to 2 liters are recommended to maintain fluid balance and avoid fluid retention that can't be excreted by compromised kidneys
3: Many salt substitutes are high in potassium, which may not be adequately excreted by the compromised kidneys
4: CORRECT | Increasing carbohydrate intake helps patients to maintain energy requirements

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
Rib fractures are the most common type of chest injury resulting from trauma. Ribs five through ten are most commonly fractured because they are least protected by chest muscles.

November 10, 2011

YouTube Vlog | My Personal NCLEX-RN Experience

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
Open pneumothorax occurs when air enters the pleural space through an opening in the chest wall. Examples include stab or gunshot wounds and surgical thoracotomy. A penetrating chest wound is referred to as a sucking chest wound.

November 9, 2011

Nursing School Resume Tips

Updated: December 21, 2016


You've graduated, and congratulations are in order. Take a day or two to relax, reflect, and enjoy life. Days of long clinicals and you reading 50 chapters a week are behind you now. It's time to study for one last exam, that NCLEX-RN examination, and then you're on to bigger and better things. Yes, the NCLEX-RN exam is overwhelming and studying is imperative. But, often institutions hire nurse graduates, and the expectation is that you will pass the NCLEX-RN in the near future (usually within 15-60 days). If hired, the stipulation is that you will pass the exam. So, what does this mean? It means that you can go job hunting while technically NOT being a licensed registered nurse (yet). This recruitment technique isn't always utilized, but where I work (Central Florida region), many hospitals use this hiring strategy. The goal is to recruit nurses quickly before the competitor scoops them up. Obviously, if you don't pass the NCLEX-RN exam, the employment contract is rescinded. It's a gamble, but it's a weight off your shoulders, and you have a job in your pocket. You would be untethered and able to focus more on studying. The faster you procure a job, the less stress you will have going into that final exam, the NCLEX-RN exam.

For nursing graduates who have no bedside or hospital experience and are looking for a job, the key to job procurement is to highlight your clinical experience. I know it's not considered "hospital experience" in some circles, but it is in my eyes. You must display your clinical experience as job experience. In order to do this, you must be as detailed as possible. If you want your clinical experience to be taken seriously, you must be able to explain your clinical experience thoroughly and confidently. Here are some tips that will guide you in showing the human resource recruiter just how awesome you are.

1. Resume length - keep your resume 1-2 pages in length.

I've been on interview boards, I've conducted interviews (in-person, on the phone, and via Skype) and I've been on nursing hiring panels. It's tough in these streets! Lengthy resumes are often not read, and pages get lost in the shuffle. I heard one nurse manager state, "This is confusing. There are too many pages. Let me see the next applicant." Most managers don't need to hear about the babysitting job you had when you were 16 years old. Keep your resume healthcare focused and your thoughts organized. If you have more than one page, staple or use a paper clip to keep your pages together. Make this process seamless and simple to follow.

2. Clinical details - know floor specifics, patient population, etc.

As a student, you rotate to various nursing floors (medical-surgical, psychiatric, labor & delivery). No nursing program is the same, and no curriculum is identical. You have to display your talents and articulate the clinical picture for the hiring staff. If you had a 3-month clinical rotation on a cardiovascular intensive care unit, you have to explain what you did as a student there. Did you collect vital signs? Hemodynamics? Did you speak to providers regarding plans of care? What role did you serve? How did you contribute? This sounds wordy, but it isn't. State the facts and be honest. Listing these in bullet form is an excellent way to organize your thoughts clearly.

3. Volunteer work - show your passion for nursing.

This is the section where you wow the hiring staff with how dedicated you are to the nursing profession. In this area, you present any certifications or association memberships you currently have or hold. The goal is to show that you're in this profession for the long haul and that this employment opportunity isn't a whim. Examples of "passion" include first aid certification, nursing student association, Red Cross volunteer work, etc. I know, just because you have or perform these tasks doesn't guarantee a certain length of employment, but it does paint a picture of someone who loves helping people. You can't teach that.

Below is an example, good luck!

2010 - 2012  Southern Memorial Hospital
-   Clinical Rotations For Nursing Curriculum
-   University of Nursing - Bachelor of Nursing Program
-   Graduation Date: January 2017
-   Professor Recommendation:
  • Jane Johnson
  • Phone: (407) 222-5120
  • Email: jane.johnson@hosp.org
________________________________

Southern Memorial Hospital - Medical-Surgical 
Rotation Time: Three Months (January - March 2016)
Clinical Location: Multisystem Medical-Surgical Floor
Patient Population: Chronic Renal Failure, COPD, HTN
Clinical Instructor: John Smith
Contact Information: (407) 222-5100
  • Obtained Vital Signs
  • Monitored For Change In Condition
  • Charted Head To Toe Assessment
  • Communicated With Physician 
________________________________

Southern Memorial Hospital - Mental Health 
Rotation Time: Three Months (April - June 2016)
Clinical Location: Inpatient Psychiatric Floor
Patient Population: Bipolar, Suicidal Ideations, PTSD
Clinical Instructor: Samantha Smith
Contact Information: (407) 222-5106
  • Obtained Vital Signs
  • Monitored For Change In Condition
  • Performed Individual Interviews
  • Participated In Group Therapy

Nursing Tip of the Day! - Critical Care Nursing

Category: Critical Care Nursing
The greatest initial threat to a patient with a major burn is hypovolemic shock. This is caused by a massive shift of fluids out of the blood vessels as a result of increased capillary permeability and can begin as early as 20 minutes postburn.

November 8, 2011

Nursing Tip of the Day! - Medical Surgical Nursing

Category: Medical Surgical Nursing
Atherosclerosis is the major cause of CAD. It is characterized by a focal deposit of cholesterol and lipids, primarily within the intimal wall of the artery. Inflammation and endothelial injury play a central role in the development of atherosclerosis.

November 3, 2011

NCLEX-RN Practice Question Challenge!


Correct Answer: 3

1: Least important
2: Important assessment, remember the ABCs
3: CORRECT | Assessing respiratory functioning is priority, especially due to cervical injury
4: First, assess client's condition

YouTube Vlog | Do Nurses Use Anatomy & Physiology?