Memory Notebook of Nursing Vol. 1 Table of Content

Table of ContentsTESTING Computer Adaptive Testing (CAT).........................................................................................................................................1 Test Taking Strategies............................................................................................................................................................ 2 CONCEPTS OF NURSING PRACTICE Maslow’s Hierarchy of Basic Human Needs...................................................................................................................... 3 Steps in the Nursing Process............................................................................................................................................... 4 The 10 Supervisory Commandments................................................................................................................................... 5 Charting Body Fluids - COACH..............................................................................................................................................6 Care of the Chronically Ill Child...............................................................................................................................................7 Asepsis.........................................................................................................................................................................................8 Pre Op Checklist - Day of Surgery........................................................................................................................................ 9 Day of Surgery - Nursing Responsibilities........................................................................................................................10 O.R. Patient................................................................................................................................................................................. 11 Immediate Post Op Recovery................................................................................................................................................12 Post Op Nursing Care..............................................................................................................................................................13 Post Op Complications...........................................................................................................................................................14 Dehiscence/Evisceration........................................................................................................................................................15 Pain.............................................................................................................................................................................................. 16 PHARMACOLOGY Medication Administration................................................................................................................................................... 17 Medication Calculations.........................................................................................................................................................18 Atropine Overdose...................................................................................................................................................................19 Ear Drops Administration................................................................................................................................................... 20 Heparin & Coumadin Lab Tests............................................................................................................................................21 FLUIDS, ACID-BASE AND ELECTROLYTES Inflammation.............................................................................................................................................................................22 Respiratory Acidosis............................................................................................................................................................ 23 Metabolic Acidosis.................................................................................................................................................................24 Respiratory Alkalosis............................................................................................................................................................25 Metabolic Alkalosis................................................................................................................................................................ 26 Acid Base Mnemonic (ROME)..............................................................................................................................................27 IMMUNE Immunization Schedule......................................................................................................................................................... 28 Human Immunodeficiency Virus (HIV) Infection............................................................................................................. 29 Prevention of Infection.......................................................................................................................................................... 30 Infectious Mononucleosis - “Mono”.....................................................................................................................................31 © 2012 Nursing Education Consultants, Inc. Memory Notebook of Nursing, Vol. 1 - 5th ed. NursingEd.com vii ABNORMAL CELL GROWTH CAUTION - Early Warning Signs..........................................................................................................................................32 Cancer........................................................................................................................................................................................ 33 PSYCHOSOCIAL NURSING CONCEPTS Alterations of Body Image.................................................................................................................................................. 34 Basic Components of a Psych Assessment.................................................................................................................. 35 Psych Assessment................................................................................................................................................................36 Hallucinations - Illusions - Delusions.................................................................................................................................37 Mental Retardation.............................................................................................................................................................. 38 Delirium Tremens..................................................................................................................................................................... 39 Senile Dementia - Assess Changes in............................................................................................................................. 40 Eating Disorders......................................................................................................................................................................41 Bipolar Disorder.......................................................................................................................................................................42 Depression................................................................................................................................................................................ 43 Suicide Precautions............................................................................................................................................................... 44 Schizophrenia.......................................................................................................................................................................... 45 SENSORY Eye Medications.....................................................................................................................................................................46 Cataract.................................................................................................................................................................................... 47 ENDOCRINE Hyperthyroidism..................................................................................................................................................................... 48 Hypothyroidism....................................................................................................................................................................... 49 Diabetes Insipidus.................................................................................................................................................................. 50 Diabetes Mellitus - Type 1 Signs & Symptoms...............................................................................................................51 Diabetes Mellitus - Nursing Care.......................................................................................................................................52 Blood Sugar Mnemonic......................................................................................................................................................... 53 Triangle of Diabetes Management.................................................................................................................................... 54 Hypoglycemia........................................................................................................................................................................... 55 Metabolic Syndrome - Syndrome X.................................................................................................................................. 56 Addison’s Disease - Adrenocortical Insufficiency.........................................................................................................57 Cushing’s Syndrome - Corticosteroid Excess............................................................................................................... 58 Adrenal Gland Hormones.................................................................................................................................................... 59 HEMATOLOGY Anemias....................................................................................................................................................................................60 Blood Administration.............................................................................................................................................................61 Blood Transfusion Reaction................................................................................................................................................ 62 RESPIRATORY Hypoxia......................................................................................................................................................................................63 Asthma (Reactive Airway Disease).................................................................................................................................. 64 COPD.......................................................................................................................................................................................... 65 viii Memory Notebook of Nursing, Vol. 1 - 5th ed. NursingEd.com © 2012 Nursing Education Consultants, Inc. Emphysema..............................................................................................................................................................................66 Chronic Bronchitis..................................................................................................................................................................67 Acute Laryngotracheobronchitis - LTB (Croup)............................................................................................................68 Pulmonary Edema..................................................................................................................................................................69 Tuberculosis (TB).....................................................................................................................................................................70 Sleep Apnea............................................................................................................................................................................... 71 VASCULAR Neurovascular Assessment................................................................................................................................................. 72 Potential Circulatory Compromise.....................................................................................................................................73 Signs of Shock......................................................................................................................................................................... 74 Hypertension Nursing Care..................................................................................................................................................75 Complications of the Trauma Patient...............................................................................................................................76 CARDIAC Ausculating Heart Sounds.................................................................................................................................................. 77 Preload and Afterload...........................................................................................................................................................78 LDL/HDL.....................................................................................................................................................................................79 Myocardial Infarction (MI)...................................................................................................................................................80 Left Sided Heart Failure........................................................................................................................................................81 Right Sided Heart Failure (Cor Pulmonale)..................................................................................................................... 82 Cyanotic Heart Defects Mnemonic.................................................................................................................................. 83 Congenital Heart Defects - Low Pulmonary Blood Flow............................................................................................. 84 Congenital Heart Defects - Increased Pulmonary Blood Flow................................................................................. 85 Congenital Heart Defect Symptoms...............................................................................................................................86 ECG Complex............................................................................................................................................................................87 Cardiac Electrophysiology...................................................................................................................................................88 GASTROINTESTINAL Peptic Ulcer Disease (PUD)................................................................................................................................................. 89 Peritonitis (Acute Abdomen).............................................................................................................................................. 90 Crohn’s Disease.........................................................................................................................................................................91 LIVER Hepatic Encephalopathy...................................................................................................................................................... 92 Cirrhosis: Later Clinical Manifestations.......................................................................................................................... 93 Cholecystitis............................................................................................................................................................................ 94 Hepatitis A & E (Hepatitis with a Vowel)....................................................................................................................... 95 NEUROLOGY Abnormal Posturing...............................................................................................................................................................96 Cranial Nerve Mnemonic........................................................................................................................................................97 Increased Intracranial Pressure........................................................................................................................................ 98 Increased Intracranial Pressure (IICP) - Cushing’s Triad............................................................................................ 99 Increased Intracranial Pressure - Nursing Care..........................................................................................................100 © 2012 Nursing Education Consultants, Inc. Memory Notebook of Nursing, Vol. 1 - 5th ed. NursingEd.com ix Stroke (Brain Accident, CVA)............................................................................................................................................. 101 Stroke - Nursing Care..........................................................................................................................................................102 FAST Recognition of a Stroke...........................................................................................................................................103 Parkinson’s Disease..............................................................................................................................................................104 Bell’s Palsy...............................................................................................................................................................................105 MUSCULOSKELETAL Fractures................................................................................................................................................................................ 106 Hip Fractures - Nursing Care............................................................................................................................................ 107 Sprains and Strains.............................................................................................................................................................108 Care of Patient in Traction.................................................................................................................................................109 Rheumatoid Arthritis........................................................................................................................................................... 110 Amputations - Nursing Care................................................................................................................................................111 Joint Replacements...............................................................................................................................................................112 REPRODUCTIVE Post Mastectomy - Nursing Care..................................................................................................................................... 113 TURP........................................................................................................................................................................................... 114 URINARY-RENAL Urinary Tract Infection (UTI)............................................................................................................................................... 115 Renal Calculi............................................................................................................................................................................. 116 Acute Kidney Injury (AKI)......................................................................................................................................................117 Acute Kidney Injury (AKI) - Signs & Symptoms........................................................................................................... 118 Chronic Kidney Disease (CKD) - End-Stage Kidney (Renal) Disease...................................................................... 119 MATERNITY AND NEWBORN Physiologic Changes in Pregnancy....................................................................................................................................120 Prenatal Care...........................................................................................................................................................................121 Complications with Pregnancy.......................................................................................................................................... 122 Non-Stress Test.................................................................................................................................................................... 123 Assessment Tests for Fetal Well-Being......................................................................................................................... 124 HELLP Syndrome - Severe Preeclampsia....................................................................................................................... 125 Stages of Labor....................................................................................................................................................................126 Postpartum Assessment....................................................................................................................................................127 Evaluation of Episiotomy Healing.....................................................................................................................................128 Newborn Assessment.......................................................................................................................................................... 129 High Risk Newborn - Nursing Interventions...................................................................................................................130 Tracheal - Esophageal Fistula............................................................................................................................................ 131 Developmental Dysplasia of the Hip................................................................................................................................ 132 Cleft Lip - Post Op Care......................................................................................................................................................133 Imminent Deadline Stress Disorder.................................................................................................................................134 Index................................................................................................................................................................................. 135-138 x Memory Notebook of Nursing, Vol. 1 - 5th ed. NursingEd.com © 2012 Nursing Education Consultants, Inc. STEPS IN THE NURSING PROCESS A Delicious P I E: An Apple P I E: A ssessment D iagnosis P lanning I mplementation E valuation A ssessment A nalysis Planning I mplementation E valuation ©Nursing Education Consultants, Inc. 4 Concepts of Nursing Practice NursingEd.com © 2012 Nursing Education Consultants, Inc. HEPARIN & COUMADIN LAB TESTS H N P E P A T R I T HEPARIN + PTT = 10 LETTERS C I O U M A D N P T COUMADIN + PT = 10 LETTERS Wow, this is a good way to remember which lab goes with which medication. ©Nursing Education Consultants, Inc. © 2012 Nursing Education Consultants, Inc. Pharmacology NursingEd.com 21