Thursday, 27 July 2017

Q. Before an incisional cholecystectomy is performed, the nurse instructs the client in the correct use of an incentive spirometer. Why is incentive spirometry essential after surgery in the upper abdominal area?

A. The client will be maintained on bed rest for several days.
B. Ambulation is restricted by the presence of drainage tubes.
C. The operative incision is near the diaphragm.
D. The presence of a nasogastric tube inhibits deep breathing.

Correct Answer: C
Explanation: The incisions made for upper abdominal surgeries, such as cholecystectomies, are near the diaphragm and make deep breathing painful. Incentive spirometry, which encourages deep breathing, is essential to prevent atelectasis after surgery. The client is not maintained on bed rest for several days. The client is encouraged to ambulate by the first postoperative day, even with drainage tubes in place. Nasogastric tubes do not inhibit deep breathing and coughing.

Wednesday, 26 July 2017

Q. A 16-year-old primigravida at 36 weeks' gestation who has had no prenatal care experienced a seizure at work and is being transported to the hospital by ambulance. Which of the following should the nurse do upon the client's arrival?

A. Position the client in a supine position.
B. Auscultate breath sounds every 4 hours.
C. Monitor the vital signs every 4 hours.
D. Admit the client to a quiet, darkened room.

Correct Answer: D
Explanation: Because of her age and report of a seizure, the client is probably experiencing eclampsia, a condition in which convulsions occur in the absence of any underlying cause. Although the actual cause is unknown, adolescents and women older than 35 years are at higher risk. The client's environment should be kept as free of stimuli as possible. Thus, the nurse should admit the client to a quiet, darkened room. Clients experiencing eclampsia should be kept on the left side to promote placental perfusion. In some cases, edema of the lungs develops after seizures and is a sign of cardiovascular failure. Because the client is at risk for pulmonary edema, breath sounds should be monitored every 2 hours. Vital signs should be monitored frequently, at least every hour.
The nursing profession has been expanding for years already; you would be surprised with the number of nursing specialties that exists today. Despite the nursing shortage in some countries, the trend for nursing specialties never goes out of style. More and more registered nurses pursue studies in their fields of interests, leading to more competent and competitive nurses around the globe. Notwithstanding the salary (which is pretty much terrific), the satisfaction that a nurse gets from being a nurse specialist draws them to further their studies and perform in their fields of interests. We compiled a list of 10 nursing specialties that a nurse wants to enter, so take a pick and see where it might take you.

1. Nurse Anesthetist


Nurse anesthetists are highly competent and skilled nurses who collaborate with anesthesiologists during surgeries.

Nurse Anesthetist is one of the most sophisticated and complex nursing specialty in the field of nursing. Nurse anesthetists are highly competent and skilled nurses who collaborate with anesthesiologists during surgeries. They specialize in the administration of anesthesia for surgical, obstetrical, and trauma operations. There is an increasing need for nurse anesthetists because more and more rural hospitals are being erected, and almost all surgical anesthesias are administered solely by nurse anesthetists.

How to Become One: To become a certified nurse anesthetist, you have to obtain a bachelor’s degree in nursing and become a licensed nurse. Next, finish a master’s degree and obtain more than a year’s experience from an acute care facility then take a certification exam to become a certified nurse anesthetist.

Why to Pursue This: Most experienced nurses, especially operating room nurses, want to pursue this path because it gives them more precise and detailed knowledge of the nervous system. They yearn for a more challenging task and being a nurse anesthetist would surely satisfy this thirst. The salary is humungous, of course. You may earn up to $154, 390 annually.

2. Nurse Researcher


Nurse Researchers are considered as detail-oriented and very organized. A nurse researcher must possess strong writing skills for writing grant proposals and clinical study reports. They conduct researches that improve nursing practices and standards and also discover cures to diseases.

How to Become One: To become a nurse researcher, obtain a bachelor’s degree in nursing then become a licensed nurse and take up your master’s in nursing. Having a doctorate in nursing is a plus because it can create more opportunities of studies for you.

Why to Pursue This: Nurses who have the passion for writing and discovering new things usually pursue this specialty. It gives them the opportunity to embrace their interests and at the same time be a nurse in the profession. Engaging in experiments also may excite your mind, and you will just find yourself having fun in this specialty. The salary also attracts the nurses because you can earn up to $95,000 annually.

3. Nurse Midwife


A nurse midwife aids the pregnant woman during her labor stages, and she can also handle deliveries.

The maternal and child nursing community is slowly booming today. The demand for maternal nurses shot up because of the increase in the number of women who are giving birth in hospitals. A nurse midwife aids the pregnant woman during her labor stages, and she can also handle deliveries.

How to Become One: One should have a Bachelor’s degree in Nursing and be a licensed nurse. The nurse also would have to obtain one or two years experience in obstetrics, and then complete a nurse-midwife education. After obtaining this, you can apply for certification from a certification council specific only for nurse midwives.

Why to Pursue This: Nurses want to become nurse-midwives because they can hit two birds with one stone: they can still function as a nurse and also deliver babies even without a physician’s present. The salary is also attractive at $ 92,229 annually.

4. Clinical Nurse Specialist


These nurses can work across all fields in a clinical setting. Their work requires a lot of research too, but they also get to work side by side with a patient. Clinical nurse specialists can also prescribe medicines, so when there is no doctor around, you can try to consult with the local nurse specialist for some of your minor diseases, and they would prescribe medicine for you.

How to Become One: First, you have to finish your degree in Nursing and secure your license. You would also have to complete a master’s degree which gives emphasis in clinical practice.

Why to Pursue This: If you are fond of being hands-on with your patients and love working in the actual clinical setting, this would be the job for you. You would also get your mind at work when you reach the research stage. Mind you, the salary is $93, 901 annually. You would certainly love to be one!

5. Critical Care Nurse


Being a critical care nurse requires more extensive knowledge of different medical conditions and should be very detail-oriented when it comes to their patients.

Nurses in the critical care area work in close collaboration with specialists, for they are carefully monitoring each critical patient’s status. The most that are assigned to a critical care nurse would be two patients per shift. They would have to experience a wide variety of diseases, so being a critical care nurse requires more extensive knowledge of different medical conditions and should be very detail-oriented when it comes to their patients.

How to Become One: Obtain your Nursing degree and license first. Experience in the critical care area is a must so you can apply for a critical care certification exam. Once this is passed, to keep your certificate current, you would need to attend continuing education courses as required by your institution.

Why to Pursue This: You would be caring for a patient more closely, and you would be able to see all the changes the patient would undergo as time moves on. You would get to see the effects of your interventions and the medical interventions, and would have more understanding of disease conditions more than a regular nurse has.

6. Family Nurse Practitioner


If most of us have family physicians, it is time to know that nurses have a field that specializes in family care too. These are the nurse practitioners, and they can examine, diagnose, and prescribe medications for common disease conditions of the family.

How to Become One: Completion of a bachelor’s degree in Nursing and obtaining your license are the first steps. Complete a master’s degree, and then apply for your family nurse practitioner certification from the American Nurses Credentialing Center or the American Academy of Nurse Practitioners.

Why to Pursue This: If you are more inclined to help families through their journey towards their wellness, then this would fit you like a tee. You would be the go-to of every family when they have disease conditions, and you would get to monitor each member’s health and wellness. The salary is also pretty attractive at $94, 407 annually.

7. Nurse Manager


Nurse Managers supervise the registered nurses under them and also acts as the bridge between the staff nurses and the management. They facilitate every nurse with their patients and can also be found at the bedside, but they also handle disciplinary works and higher lever tasks.

How to Become One: Finish your bachelor’s degree in nursing and then take management classes. Obtain your license and experience in working in a clinical setting. Complete a master’s degree in healthcare or business administration. Lastly, pass the proper certification exam from the American Organization of Nurse Executives.

Why to Pursue This: When you are born with the leadership skills and also active in supervising every group interactions you had at nursing school, then you can develop and become a nurse manager. A nurse manager must have the skills for patient care and the managing skills too. The salary would be at $93, 371 annually.

8. Nurse Case Manager


Nurse case managers focus on one disease for every person. They obtain information including the history, present illnesses, and practices of the patient that lead to the present disease condition.  They work in a primary care setting to monitor the treatment and coordinate the care of their patient with other healthcare providers.

How to Become One: Complete your bachelor’s degree in Nursing and secure your license. You can take your master’s degree with emphasis on health conditions and illnesses. Then, gain your certification from the Case Management Society of America and pursue continuing education to maintain the certificate.

Why to Pursue This: If you have the penchant for details and health conditions, then you would find your fit at being a case manager. You would be getting to know the patient more than giving care and treatment, and this could be quite fulfilling once you have achieved all your goals for their health. The salary could also motivate you at $85, 000 annually.

9. Neonatal Nurse


These nurses specialize in the care of neonates, newborns who are 28 days old and below. They administer medications, perform procedures, and deliver oxygen to neonates especially the premature ones.

How to Become One: Obtain your degree in nursing first, and then secure your license. You must also have an experience in working in the neonatal care unit and finish your master’s degree.

Why to Pursue This: Most would answer that they would pursue this specialty because they love babies. You would not only care for healthy babies, but you would also have the chance to care for neonates who are critically ill. Estimated annual salary for neonatal nurses is $ 91,000.

10. Nurse Educators


They are responsible for the education that we had at nursing school. They teach student nurses all they need to know to become a nurse and also supervise them during clinical duties in hospitals they are affiliated in. This is currently the highest nurse specialty in demand across all states.

How to Become One: Obtain your bachelor’s degree in nursing and secure your nursing license. You also have to complete a master’s degree. A doctorate is not necessary, but higher positions are given to those who have doctorate degrees. You would also need to pass a nursing educator’s certification exam from the National League of Nursing or other professional nursing organizations.

Why Pursue This: This is a very fulfilling specialty because you would be giving the students their foundations on how to become an efficient nurse. You would teach them all they need to know until they become your colleagues and you would be able to see the fruit of your labor when they become registered nurses like you. The salary is also competitive at $83,000 annually.

Tuesday, 25 July 2017

Question Of The Day, Mood, Adjustment, and Dementia Disorders
Q. A nurse is facilitating mandated group therapy for clients who have sexually abused children. Children who are victims of sexual abuse are typically:

A. from any segment of the population.
B. of low socioeconomic background.
C. strangers to the abuser.
D. willing to engage in sexual acts with adults.


Correct Answer: A
Explanation: Victims of childhood sexual abuse come from all segments of the population and from all socioeconomic backgrounds. Most victims know their abuser. Children rarely willingly engage in sexual acts with adults because they don't have full decision-making capacities.

Monday, 24 July 2017

Question Of The Day, The Nursing Process
Q. A nurse has received change-of-shift-report and is briefly reviewing the documentation about a client in the client's medical record. A recent entry reads, "Client was upset throughout the morning." How could the charting entry be best improved?

A. The entry should include clearer descriptions of the client's mood and behavior.
B. The entry should avoid mentioning cognitive or psychosocial issues.
C. The entry should list the specific reasons that the client was upset.
D. The entry should specify the subsequent interventions that were performed.

Correct Answer: A
Explanation: Entries in the medical record should be precise, descriptive, and objective. An adjective such as "upset" is unclear and open to many interpretations. As such, the nurse should elaborate on this description so a reader has a clearer understanding of the client's state of mind. Stating the apparent reasons that the client was "upset" does not resolve the ambiguity of this descriptor. Cognitive and psychosocial issues are valid components of the medical record. Responses and interventions should normally follow assessment data but the data themselves must first be recorded accurately.
Your feet literally carry you through life, bear your weight and take you places. As a nurse, you are constantly on your feet, from eight hours to sixteen-hour shifts.  The importance of the feet cannot be over-stated. Despite their importance, the feet are often neglected. So what can you do to treat your feet right?

Nursing Job, Nursing Career

Pedicure and Foot Baths


Taking care of your feet is important. Make sure you wash your feet when you shower, and be sure to give them a good scrub when you take a bath. You can buy a foot bath with a massage function to target your feet in particular. Bathe your feet with Epsom salt or other organic bath salts for an extra enjoyable bath. Add a few drops of organic lavender essential oil for a relaxing scent that also fights foot fungus.

After properly washing your feet, you will want to trim and file your toenails regularly. Taking good care of your feet prevents in-grown toenails. In-grown toenails are hellishly painful, so taking easy steps to avoid them will prevent unnecessary pain. Besides, effective feet care routine that you turn to a regular habit will leave you with gorgeous, sandal-ready feet when the summer comes!

Reflexology and Foot Massage


Have you ever had a foot massage? There’s almost nothing more heavenly. Take things a step further, and you have reflexology: foot massage geared toward relieving certain ailments in the body. The principle behind reflexology is that the foot is like a map for the entire body. One part of the foot corresponds to a body part, such as the edge of the foot connects via nerve endings to the spine. If you massage certain areas, you can sometimes trigger healing of a body part. Massage the arch of the right foot to target your liver and aid in detoxification.

Make Your own Foot Cream


To make your foot cream, simply combine coconut oil with a few drops of peppermint oil. The peppermint and coconut oils are antibacterial and anti-fungal and help to combat foot odor. They also leave the feet feeling silky, moisturized and refreshed -especially after a long day on your feet!

Rest Your Feet


After a hard day on the job, you will not want to underestimate the importance of rest! Give your feet a nice foot bath, massage your feet and then put them up! Not on the table necessarily, but on a comfortable foot rest. This will help blood flow and circulation to your feet that will soothe them and help prevent soreness.

Magnesium


Did you know that an effective way to take your vitamins is via the skin? Try a magnesium spray right on your feet and legs. This prevents soreness and soothes your muscles after a hard day. This is an often overlooked part of foot care that you should incorporate into their daily routine. You will feel so much better, more relaxed and just plain healthier!

Intensive Foot Care


If you suffer from calluses, you are not alone. It is completely common among nurses because they walk constantly. They are painful and unsightly though, so of course, you want to take care of them! Here’s an easy way to do it.

Take a foot bath in Epsom salt. Scrub at the calluses with a pumice stone. After that, rinse your feet in apple cider vinegar. Repeat the process. At night, apply a foot creme consisting of peppermint oil and coconut oil to the affected area. Cover the area with a bandage and see how much softer your feet will become! Your calluses will be gone in days if you repeat this process regularly.

Don’t Cheat your Feet!


The feet are among the most important parts of the body. Like the roots of a tree, they support us, and we should repay them with tender care. Make foot care a part of your daily beauty routine and be sure to get plenty of rest for your feet. Massage your feet often, whether at home or work.

Saturday, 22 July 2017

Question Of The Day, Respiratory Disorders
Q. A nurse is caring for a client who has a tracheostomy and temperature of 103° F (39.4° C). Which intervention will most likely lower the client's arterial blood oxygen saturation?

A. Endotracheal suctioning
B. Encouragement of coughing
C. Use of a cooling blanket
D. Incentive spirometry

Correct Answer: A
Explanation: Endotracheal suctioning removes secretions as well as gases from the airway and lowers the arterial oxygen saturation (SaO2) level. Coughing and using an incentive spirometer improve oxygenation and should raise or maintain oxygen saturation. Because of superficial vasoconstriction, using a cooling blanket can lower peripheral oxygen saturation readings, but SaO2 levels wouldn't be affected.


Friday, 21 July 2017

Question Of The Day, Neurosensory Disorders
Q. A nurse is caring for a client diagnosed with a cerebral aneurysm who reports a severe headache. Which action should the nurse perform?

A. Sit with the client for a few minutes.
B. Administer an analgesic.
C. Inform the nurse manager.
D. Call the physician immediately.

Correct Answer: D
Explanation: The nurse should notify the physician immediately because the headache may be an indication that the aneurysm is leaking. Sitting with the client is appropriate but only after the physician has been notified of the change in the client's condition. The physician will decide whether or not administration of an analgesic is indicated. Informing the nurse manager isn't necessary.

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