Wednesday, 16 August 2017

Question Of The Day, Basic Physical Care
Q. A nurse takes informed consent from a client scheduled for abdominal surgery. Which of the following is the most appropriate principle behind informed consent?

A. Protects the client's right to self-determination in health care decision making.
B. Helps the client refuse treatment that he or she does not wish to undergo.
C. Helps the client to make a living will regarding future health care required.
D. Provides the client with in-depth knowledge about the treatment options available.

Correct Answer: A
Explanation: Informed consent protects the client's right to self-determination in health care decision making. Informed consent helps the client to refuse a treatment that the client does not wish to undergo and helps the client to gain in-depth knowledge about the treatment options available, but the most important function is to encourage shared decision making. Informed consent does not help the client to make a living will.
A nursing career requires much more than just an aptitude for science. You could be the most intellectually astute person in the world, but it’s your passion for nursing and people that will make you great and sustain you through the obstacles.

Nursing Career, Nursing Job

While it takes many qualities to have a successful nursing career, we’ve narrowed it down to two virtues, which are often overlooked: resilience and humility.

Nursing Career Secret 1: Resilience     

Those who decide to pursue a nursing career are a rare breed indeed. You must possess both an intellectual and emotional resilience—both of which are underestimated by those outside the profession.

First, people often underestimate the rigorous training a nurse in training must undergo. If they are able to pass their nursing entrance exam, they then take on the rigorous nursing school curriculum—giving up a social life to study, differentiating between subtleties on exams, and missing holidays to work 12-hour shifts, to name a few.

But even if you have the best time management skills and study habits on a practical level, you must also develop an emotional fervor. Especially in clinical, you test your ability to practice resilience in the most trying of circumstances—witnessing traumatic events, stomaching graphic injuries, withstanding horrible odors, and losing clients you become close to—all the while keeping a smile on your face and staying strong for those in need. Among all the exams you are required to pass, this will be the most challenging and important.

Nursing Career Secret 2: Humility      

C.S. Lewis once said, “True humility is not thinking less of yourself; it’s thinking of yourself less.” In a profession that still battles a stigma of inferiority, we must remember the first part of this sentence.

You’ve probably had a client say, “Oh, you’re just a nurse. Where’s my doctor?” A comment like this can sting quite a bit. In a moment, they dismiss all the years of sacrifice you’ve put in to pursue a nursing career. Whether a client realizes it or not, you actually contribute to their quality of care and emotional health more than any physician can. Chances are, it is the registered nurse who knows all the clients by names, whereas doctors may know them by the room number.

While sick clients may not always be in the emotional space to acknowledge all that we do, we should take it upon ourselves to show each other the appreciation we deserve and empower each other to keep going. Don’t allow yourself to become discouraged or embarrassed by your profession—a nursing career is truly one of the most noble and rewarding careers out there.

Saturday, 12 August 2017

Whether you’re interested in the fast-paced and unpredictable environment of the emergency room or the joys and challenges of pediatric care, there are so many different fascinating nursing specialties to choose from.

Nursing Specialties, Nurse
Of all the many nursing specialties, find the one that best fits you.

Even if you already have a good idea what you would like to pursue, it’s wise to first explore all your options before making a decision. Here is an overview of 10 nursing specialties to help you get started:

1. Critical Care Nurse

A critical care nurse works with clients who typically stay in the intensive care unit (ICU) of a hospital. Communication is a big part of your job—from taking careful notes to talking with physicians about symptoms and changes in the client’s condition. As a critical care nurse, you help make difficult experiences easier for clients and their family members.

2. Emergency Room Nurse

Being an emergency room (ER) nurse can be one of the most hectic and unpredictable nursing specialties. Clients arrive with everything from broken bones to life-threatening injuries, and it’s up to you to respond quickly to assess their condition, provide necessary medications, and decide which clients need immediate attention. Ultimately, your job is to offer comfort to clients in the midst of what can wind up being the most stressful and shocking times of their lives.

3. Forensic Nurse

The role of a forensic nurse goes far beyond medical care for clients—though that’s a big part of it. As a forensic nurse, you’ll need specific knowledge of the legal system and the ability to identify, evaluate, and document injuries. Once you address a client’s immediate medical needs, you’ll often collect evidence, give medical testimony in court, and consult with others within the legal system.

4. Medical-Surgical Nurse  

Medical-surgical nurses are responsible for answering patient questions and serving as a reassuring presence in the operating room. Because of the accountability you have to your team of medical professionals as a medical-surgical nurse, you’ll need to carefully record all information that you gather from each client. You’ll play a vital role in making sure quality care is provided throughout the client’s surgical procedure.

5. Nurse Anesthetist

A certified registered nurse anesthetist (CRNA) is a highly educated healthcare professional who provides the full range of general, regional, and local anesthesia, along with pain management services. As a CRNA, you’re associated with the impressive legacy of anesthesia practice in the U.S. for more than 150 years. The nurse anesthetist position is one of the most lucrative nursing specialties, with projected employment growth of 30 percent by 2022.

6. Occupational Health Nurse

As an occupational health nurse, your job is to diagnose and treat people who get sick or injured in the workplace. This multifaceted position involves not just health care for clients, but also administrative duties. You may work in a small office or a large corporation evaluating workplaces for possible dangers, giving workplace safety talks, holding classes on health education, and training in first aid.

7. Oncology Nurse

At a very critical time in a cancer patient’s life, you can be the oncology nurse who provides a listening ear and a caring touch. A key role you play is to help clients throughout their chemotherapy or radiation treatments. Whether you’re assisting clients in a hospital, cancer research center, specialized care center, or at home, your kindness and compassion can make a big difference physically and emotionally.

8. Palliative Nurse

As a palliative nurse, you’ll have the important job of focusing on quality of life for clients who are seriously ill. You will offer pain and symptom management, psychosocial and spiritual support, and care for the patient as a whole person. Another major part of palliative care includes patient advocacy—explaining a condition and its progression to clients and their families to help them make the best decisions about their care.

9. Pediatric Nurse

As a pediatric nurse, you will need a thorough knowledge of human development and genetic disorders so you can help detect and diagnose illnesses. Being a strong communicator is another must, so you can ask kids questions that don’t confuse them. Pediatric nurses also talk to clients and their families about their illnesses or injuries, the treatments they’ll receive, and how they can care for conditions at home.

10. Travel Nurse

If you enjoy the challenges of new people and places, becoming a travel nurse may be the right path for you. A travel nurse is a licensed vocational nurse or a registered nurse who works at understaffed hospitals, offices, and clinics as part of short-term assignments that might last anywhere from eight weeks to a year. Not only can you travel the world and help people as a travel nurse, but you may get the added benefits of free housing and complimentary airfare along the way.
Question Of The Day, The Nursing Process
Q. The nurse is caring for a client with asthma. The nurse should conduct a focused assessment to detect which of the following?

A. Increased forced expiratory volume.
B. Normal breath sounds.
C. Inspiratory and expiratory wheezing.
D. Morning headaches.

Correct Answer: C

Explanation: The hallmark signs of asthma are chest tightness, audible wheezing, and coughing. Inspiratory and expiratory wheezing is the result of bronchoconstriction. Even between exacerbations, there may be some soft wheezing, so a finding of normal breath sounds would be expected in the absence of asthma. The expected finding is decreased forced expiratory volume [forced expiratory flow (FEF) is the flow (or speed) of air coming out of the lung during the middle portion of a forced expiration] due to bronchial constriction. Morning headaches are found with more advanced cases of COPD and signal nocturnal hypercapnia or hypoxemia.

Friday, 11 August 2017

Due to the nature of health care, nursing workplaces can be stressful, feel overwhelming, and even take on a negative energy if you don’t guard against it. This creates tension not only among nurses, but also patients. Thus, it is important for nurses to remember that we have the power—and the responsibility—to create a more positive work environment.

Nursing Responsibilities, Nursing Career, Nursing Job

Here are five ways you can help promote positive change within the workplace:

1. Demonstrate gratitude

You may have heard it said, “A person who feels appreciated will always do more than what is expected.” Be sure to recognize others for contributing to your success and accomplishments. By showing them you appreciate their hard work and contributions, you establish respect and provide a sense of worth for your co-workers. Well-placed, simple “thank yous” can really go a long way in creating a more positive work environment.

2. Utilize individual strengths

Rather than expecting everyone to do it all, maximize your team’s efforts by identifying and utilizing each co-worker’s strengths. For example, if you excel at calming disoriented patients and your co-worker is a master at explaining things to upset family members, you should plan to work together to quickly and effectively manage the situation. Be sure to share your strengths with your team, and give validation to other nurses for theirs.

3. Don’t take workplace conflicts personally

Conflicts or disagreements will occur from time to time, and it is important that you do not make a bigger deal of them than necessary. Be the cooler head, the bigger person—whatever you want to call it. There are higher priorities right under all of your noses.

At the same time, remain open to constructive criticism from other nurses—you can turn these into valuable learning experiences that can improve your practice. Being a nurse is not about individual egos, but working together to achieve the best solutions and quality care for your patients.

4. Offer solutions to recurring issues

Instead of simply venting with other nurses about issues that arise on the job, try to find solutions to rectify ongoing problems. By suggesting ways to resolve issues in daily meetings, or by submitting a formal request to management, you will help create a more positive work environment rather than adding to the tension.

5. Be a positive role model

Nothing sends a stronger message to your fellow nurses and supervisors than your actions. If you consistently demonstrate professionalism, effective communication, prudent nursing practice, teamwork, and accountability, you will set the tone for how others should follow. No matter what level of experience you may have, it is never too soon to be a positive role model for your colleagues.
Question Of The Day, Gastrointestinal Disorders
Q. A home health nurse who sees a client with diverticulitis is evaluating teaching about dietary modifications necessary to prevent future episodes. Which statement by the client indicates effective teaching?

A. "I'll increase my intake of protein during exacerbations."
B. "I should increase my intake of fresh fruits and vegetables during remissions."
C. "I'll snack on nuts, olives, and popcorn during flare-ups."
D. "I'll incorporate foods rich in omega-3 fatty acids into my diet."

Correct Answer: B
Explanation: A client with diverticulitis needs to modify fiber intake to effectively manage the disease. During episodes of diverticulitis, he should follow a low-fiber diet to help minimize bulk in the stools. A client with diverticulosis should follow a high-fiber diet. Clients with diverticular disease don't need to modify their intake of protein and omega-3 fatty acids.

Thursday, 10 August 2017

Question Of The Day, The Nursing Process
Q. The nurse is serving on the hospital ethics committee which is considering the ethics of a proposal for the nursing staff to search the room of a client diagnosed with substance abuse while he is off the unit and without his knowledge. Which of the following should be considered concerning the relationship of ethical and legal standards of behavior?

A. Ethical standards are generally higher than those required by law.
B. Ethical standards are equal to those required by law.
C. Ethical standards bear no relationship to legal standards for behavior.
D. Ethical standards are irrelevant when the health of a client is at risk.

Correct Answer: A
Explanation: Some behavior that is legally allowed might not be considered ethically appropriate. Legal and ethical standards are often linked, such as in the commandment "Thou shalt not kill." Ethical standards are never irrelevant, though a client's safety or the safety of others may pose an ethical dilemma for health care personnel. Searching a client's room when they are not there is a violation of their privacy. Room searches can be done with a primary health care provider's order and generally are done with the client present.
I don’t know about you, but I’m irritable when I’m sick (just ask my husband). And that’s in the comfort of my own home with people I’m know taking care of me. Now imagine having a life threatening illness, in a sterile environment, completely depending on strangers who don’t know your preferences for medications, food, and even bathing. Then getting bad news on top of that.

Nurse, Nurse-Patient Relationship

It’s no wonder there can be tension in the nurse-patient relationship. Fortunately, those who pursue a career in nursing have the rare ability to provide compassionate care for patients at their worst. Here are some key skills to help you nurture the nurse-patient relationship and make everyone’s lives a lot easier:


As nurses, we often feel obligated to have all the answers, when in fact, the most important skill we can master is listening. When someone is in pain, sometimes they don’t want solutions, they just want to be heard. So before responding to a distraught patient or family, take the time to listen. You may actually find that listening—without interruption or response—is all it takes to resolve an issue.


After taking the time to listen, let the patient know what you understood. Repeating back what they said in your own words shows them how they feel is acknowledged and valid. At the same time, it gives patients a chance to hear what they’ve said and expand on it if necessary. This reflection period is an important step in building a trusting, therapeutic nurse-patient relationship


Once you’re both on the same page, thank the patient for sharing their concerns with you. It can feel very risky to share emotions—especially if they’re already feeling vulnerable. Make sure patients understand that expressing their concerns is welcome and appreciated.


Once you’ve established an emotional connection you can move onto more practical ways of implementing a solution. Work together to develop a plan that meets the patient’s individual needs, and adjust it accordingly based on his or her input. Verbalize what will happen step by step. Now it’s time to have your patient repeat back the plan of action to you. Research shows patients retain less than half of what is said to them. You want to make sure they leave with a solid grasp on all the information they’ve received and can assimilate proper treatment into their life.

Review and resolve

Summarize the main objective to the patient as well as the exact next step they are to take once they leave the hospital. Answer any remaining questions the patient might have, and let them know they can call any time if more should arise. Also, offer to follow-up with them later.

Mastering the nurse-patient relationship is a crucial and ongoing part of your journey towards becoming a registered nurse. Along with its challenges come several more rewards.  




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