Saturday, 16 June 2018

Q. The nurse is evaluating the pin insertion site of a client's skeletal traction. Which of the following indicate a complication?

A. Presence of crusts around the pin insertion site.
B. Serous drainage on the dressing.
C. Pin moves slightly at insertion site.
D. Client does not feel pain at insertion site.

Correct Answer: C

Explanation: Skeletal pins should not be loose and able to move. Any pin loosening should be reported immediately. Slight serous drainage is normal and may crust around the insertion site or be present on the dressing. The pin insertion site should be cleaned with aseptic technique according to facility policy. Pin insertion sites are typically not painful; pain may be indicative of an infection and should be reported.

Friday, 15 June 2018

Q. A 75-year-old client is newly diagnosed with diabetes. The nurse is instructing him about blood glucose testing. After the session, the client states, "I can't be expected to remember all this stuff." The nurse should recognize this response as most likely related to which of the following?

A. Moderate to severe anxiety.
B. Disinterest in the illness.
C. Early-onset dementia.
D. Normal reaction to learning a new skill.

Correct Answer: A

Explanation: Anxiety, especially at higher levels, interferes with learning and memory retention. After the client's anxiety lessens, it will be easier for him to learn the steps of the blood glucose monitoring. Because the client's illness is a chronic, lifelong illness that severely changes his lifestyle, it is unlikely that he is uninterested in the illness or how to treat it. It is also unlikely that dementia would be the cause of the client's frustration and lack of memory. The client's response indicates anxiety. Client responses that would indicate lessening anxiety would be questions to the nurse or requests to repeat part of the instruction.

Thursday, 14 June 2018

Q. A client receiving a blood transfusion begins to have chills and headache within the first 15 minutes of the transfusion. The nurse should first:

A. Administer acetaminophen.
B. Take the client's blood pressure.
C. Discontinue the transfusion.
D. Check the infusion rate of the blood.

Correct Answer: C

Explanation: Chills and headache are signs of a febrile, nonhemolytic blood transfusion reaction and the nurse's first action should be to discontinue the transfusion as soon as possible and then notify the physician. Antipyretics and antihistamines may be ordered. The nurse would not administer acetaminophen without an order from the physician. The client's blood pressure should be taken after the transfusion is stopped. Checking the infusion rate of the blood is not a pertinent action; the infusion needs to be stopped regardless of the rate.

Wednesday, 13 June 2018

Nursing Skill, Nursing Responsibilities, Nursing Career

Networking is an essential aspect of your nursing career. According to the Bureau of Labor Statistics, over 70% of jobs are found through professional networking. Whether the need to network is for mentorship or to land a dream job, it is crucial that one builds a secure network of professionals. Opportunities that arise from networking are priceless and limitless. Career advancement and placement are just two benefits. Being a confident networker is a necessity. 

Here is a list of 10 ways to build a long-lasting and robust network:

1. Social Media

Today is the age of social media. There is no better time to be a nurse. With access to resources and tools, at the click of a tab, social media is quickly becoming the number one resource for professional networking. It is one of the most effective ways to build alliances. Tens of millions of people use the internet, and social media is where you can find potential partners, mentors, and collaborations. Using hashtags on Twitter and Instagram is an easy and straightforward way to spot those who share the same interests as you. With the click of the follow tab, you’ll have access to them. Linkedin is a sure way to find quality contacts. When using Linkedin look for those who are high-level networkers. These are the people with at least 500 connections and have optimized profiles; meaning their profiles are entirely set up and complete. Send connection requests to those of influence in your industry (aka the movers and shakers). Linkedin also has a feature that will connect you with those who are open to mentorship and consulting. These are people who are willing and wanting to network. Utilize it!

2. Facebook groups 

Let’s face it. Facebook isn’t going anywhere. With the ever-changing algorithms, Facebook groups are still an effortless way to make connections. Facebook groups offer visibility with colleagues from all over the world. With groups such as Nurse CEOs for nurses interested in entrepreneurship and The Travel Nurse Network-the Gypsy Nurse, for those interested in travel, there is sure to be a group that fits your needs. Reading the descriptions of the group is the simplest way to determine if it’s a fit for you. Try joining no more than ten groups, if you are a novice networker, as to not become overwhelmed. The key to networking is building genuine relationships. Introduce yourself and your specialty; comment on posts; share relevant articles or resources to the group; most of all be active.

3. Become an Influencer

Like to write? Then, become a blogger. Like to teach? Fill your Instagram page with graphics of interesting facts. Create content that is compelling, informative, and intriguing. Influencers network with other influencers. One does NOT need to have a 10k+ following. All that is necessary is value. When others see you are offering valuable information and substance, your profile will become attractive, and before you can say, “network” you will be receiving invitations to seminars and conferences. Use your nursing knowledge. Even if you’re a novice nurse, share your journey with other novice nurses, nursing students, and aspiring nurses. Be consistent. Connect with and contact those whom you are beneficial to your network. Like, comment, and tag. Share ideas and information. Be noticeable.

4. Volunteer

Volunteering gives the chance to learn a new set of skills while providing the experience of working with diverse types of people. Find charities and organizations that align with your cause and goals. Volunteer to work events and fundraisers. You’ll get to connect with the community and learn more about the industry. Here, you have a free opportunity to rub elbows with those in your space. Use this opportunity to learn from the leaders of the organizations and to build meaningful relationships. 

5. Conferences

Conferences are an excellent way to meet like-minded individuals. They provide a way to be in the same room, with those who have similar interests. You will have access to successful nurses who have achieved the goals and aspirations you have set for yourself, and they are accessible. This may be a once in a lifetime opportunity to speak with some of the top leaders in your specialty or industry. Prepare yourself. Have networking cards readily available. Have a professional email address. Make certain your social media pages do not show you in a bad light. This could be your opportunity to meet a mentor, and he or she wants to know that they will not be wasting their valuable time.

6. Have a signature look

While attending events, conferences, and seminars make sure you are noted. Be certain there is something about you that is memorable. Wear a signature color, statement jewelry, or clothing. Stand out! Be sure to remain professional, yet confident. 

7. Ask for a connection

Utilize family, friends, and classmates. There might be someone, in their network whom you should connect with. Ask for a warm connection. Do not be afraid to ask. It’s a small world. There’s a chance you already know someone who can offer an intro.

8. Networking cards

What happens when you meet that Director of Nursing or Chief Nursing Officer of your dream unit? What will you have to present when he or she asks for your contact info? You want to make sure that others have an uncomplicated way to access to you. Networking cards are tangibles that you can use to create connections. They can be icebreakers or conversations starters. They focus on YOUR unique selling proposition. Include your specialty, certifications, degrees awarded, and a link to your full online resume. Be sure to include links to your Linkedin account, blog, and any other pertinent information. 

9. Be ahead of the curve

Once the initial connection is made, prepare for the next contact. Use your connection’s business card to jot down keywords, phrases, or distinctive characteristics to assist you in differentiating and remembering people. ALWAYS send a follow-up email. A few days to weeks after the initial contact, reach out and mention something that he or she said in the previous conversation.  Send links to articles that may peak their interest; showing you are a giver and resourceful: two traits that can get anyone through almost any door. 

10. Practice

As with anything, the more you network, the better and the more comfortable you’ll become. Join a local Toastmasters if you have difficulty with public speaking. Get comfortable with meeting and speaking with strangers. Find your strengths are and use those to your advantage. Work on your weaknesses. 

A nursing career has many career paths that one can explore. Becoming an adept networker is a skill that can open doors to new career paths, positions, and even specialties. Whether you want to climb the ladder or become a nurse entrepreneur learning to network is a useful skill. Often, the adage is true: it’s not what you know, it’s whom you know! Ensure that those whom you know can help get you to the next level.
Question Of The Day, Integumentary Disorders
Q. Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that suggests necrotizing fasciitis is:

A. erythema.
B. leukocytosis.
C. pressurelike pain.
D. swelling.

Correct Answer: C

Explanation: Severe pressurelike pain out of proportion to visible signs distinguishes necrotizing fasciitis from cellulitis. Erythema, leukocytosis, and swelling are present in both cellulitis and necrotizing fasciitis.

Tuesday, 12 June 2018

Question Of The Day, Gastrointestinal Disorders
Q. A client with esophageal cancer decides against placement of a jejunostomy tube. Which ethical principle is a nurse upholding by supporting the client's decision?

A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Veracity

Correct Answer: A

Explanation: Autonomy refers to an individual's right to make his own decisions. Fidelity is equated with faithfulness. Nonmaleficence is the duty to "do no harm." Veracity refers to telling the truth.

Monday, 11 June 2018

Question Of The Day, Oncologic Disorders
Q. A 45-year-old single mother of three teenaged boys has metastatic breast cancer. Her parents live 750 miles away and have only been able to visit twice since her initial diagnosis 14 months ago. The progression of her disease has forced the client to consider high-dose chemotherapy. She is concerned about her children's welfare during the treatment. When assessing the client's present support systems, the nurse will be most concerned about the potential problems with:

A. Denial as a primary coping mechanism.
B. Support systems and coping strategies.
C. Decision-making abilities.
D. Transportation and money for the boys.

Correct Answer: B

Explanation: The client's resources for coping with the emotional and practical needs of herself and her family need to be assessed because usual coping strategies and support systems are often inadequate in especially stressful situations. The nurse may be concerned with the client's use of denial, decision-making abilities, and ability to pay for transportation; however, the client's support systems will be of more importance in this situation.

Saturday, 9 June 2018

Q. A neonate has a large amount of secretions. After vigorously suctioning the neonate, the nurse should assess for what possible result?

A. Bradycardia.
B. Rapid eye movement.
C. Seizures.
D. Tachycardia.

Correct Answer: A

Explanation: As a result of vigorous suctioning the nurse must watch for bradycardia due to potential vagus nerve stimulation. Rapid eye movement is not associated with vagus nerve stimulation. Vagal stimulation will not cause seizures or tachycardia.




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