Wednesday 28 December 2016

Question Of The Day: Cardiovascular Disorders
Q. A client with chronic heart failure is receiving digoxin (Lanoxin), 0.25 mg by mouth daily, and furosemide (Lasix), 20 mg by mouth twice daily. The nurse instructs the client to notify the physician if nausea, vomiting, diarrhea, or abdominal cramps occur because these signs and symptoms may signal digoxin toxicity. Digoxin toxicity may also cause:

A. visual disturbances.
B. taste and smell alterations.
C. dry mouth and urine retention.
D. nocturia and sleep disturbances.

Correct Answer: A

Explanation: Digoxin toxicity may cause visual disturbances (such as, flickering flashes of light, colored or halo vision, photophobia, blurring, diplopia, and scotomata), central nervous system abnormalities (such as headache, fatigue, lethargy, depression, irritability and, if profound, seizures, delusions, hallucinations, and memory loss), and cardiovascular abnormalities (abnormal heart rate and arrhythmias). Digoxin toxicity doesn't cause taste and smell alterations. Dry mouth and urine retention typically occur with anticholinergic agents, not inotropic agents such as digoxin. Nocturia and sleep disturbances are adverse effects of furosemide — especially if the client takes the second daily dose in the evening, which may cause diuresis at night.

Tuesday 27 December 2016

Question Of The Day: The Neonate
Q. During the first feeding, the nurse observes that the neonate becomes cyanotic after gagging on mucus. Which of the following should the nurse do first?

A. Start mouth-to-mouth resuscitation.
B. Contact the neonatal resuscitation team.
C. Raise the neonate's head and pat the back gently.
D. Clear the neonate's airway with suction or gravity.

Correct Answer: D

Explanation: If a neonate gags on mucus and becomes cyanotic during the first feeding, the airway is most likely closed. The nurse should clear the airway by gravity (by lowering the infant's head) or suction. Starting mouth-to-mouth resuscitation is not indicated unless the neonate remains cyanotic and lowering his head or suctioning doesn't clear his airway. Contacting the neonatal resuscitation team is not warranted unless the infant remains cyanotic even after measures to clear the airway. Raising the neonate's head and patting the back are not appropriate actions for removing mucus. Doing so allows the mucus to remain lodged causing further breathing difficulties.

Monday 26 December 2016

Question Of The Day: Postpartum Period
Q. On the second postpartum day a gravida 6, para 5 complains of intermittent abdominal cramping. The nurse should assess for:

A. endometritis.
B. postpartum hemorrhage.
C. subinvolution.
D. afterpains.

Correct Answer: D

Explanation: In a multiparous client, decreased uterine muscle tone causes alternating relaxation and contraction during uterine involution, which leads to afterpains. The client's symptoms don't suggest endometritis, hemorrhage, or subinvolution.

Friday 23 December 2016

Question Of The Day: Substance Abuse, Eating Disorders, Impulse Control Disorders
Q. Which of the following is a priority during the first 24 hours of hospitalization for a comatose client with suspected drug overdose?

A. Educate regarding drug abuse.
B. Minimize pain.
C. Maintain intact skin.
D. Increase caloric intake.

Correct Answer: C

Explanation: Maintaining intact skin is a priority for the unconscious client. Unconscious clients need to be turned every hour to prevent complications of immobility, which include pressure ulcers and stasis pneumonia. The unconscious client cannot be educated at this time. Pain is not a concern. During the first 24 hours, the unconscious client will mostly likely be on nothing-by-mouth status.

Thursday 22 December 2016

A Positive Attitude in Health Care: Mark it the thumb Rule

Your knowledge and aptitude landed you an excellent job. However these possible weren’t the one belongings that received you employed. Chances are high your enthusiasm and perspective performed a task, too. In a financial system with plenty of job seekers, employers are searching for individuals who can carry first-rate abilities to the desk, with a persona to match. In health care, that is very true a constructive perspective in health care actually counts. Your angle, because the care giver, could make a distinction in how your sufferers really feel. It’ll assist them really feel they're being cared for with compassion. A positive perspective will be infectious!

Create positive attitude in profession of nursing

A positive attitude in health care professions can even impression your precise job efficiency. From coping with stress of the job, to managing your interpersonal relationships with co-workers, having a constructive demeanor is advantageous on many ranges. We are usually extra productive and inclined to do our greatest when we now have a constructive perspective—even in direction of undesirable assignments. What employer doesn’t respect that?

And, when you’re self-employed, you understand how vital a constructive perspective is to the success of your small business. It’s key!

However let’s be truthful. Sustaining a positive and upbeat angle always is tough to do—and that’s wonderful—so long as bouts of misery or negativity aren’t your norm. If you end up feeling destructive as a rule, it’s time to investigate the state of affairs and discover a resolution.

Causes of Negative Attitude Towards Nursing Profession

➨ Your first step is to get to the foundation of what’s inflicting your unhappiness at work.
➨ Are you continually disagreeing with a co-worker, or vice versa?
➨ Do you might have job burn-out?
➨ Did a patient say one thing that bothered you and also you’re having a tough time shaking it?
➨ Are you coping with a personal challenge that has nothing to do along with your job?
➨ Attempt to isolate the causes of your poor temper and search methods to alter these instigators.
➨ Your expectation versus actuality.
You may uncover that health care is unquestionably the place you’re speculated to be, however you simply haven’t discovered the proper job match but. Greater than possible, whenever you started your education to change into a health care skilled, you knew precisely what you needed to do upon your commencement…or so that you thought. Hopefully you probably did your homework and investigated the specifics of the job atmosphere and the place that job would take you. For those who didn’t, you may discover your expectation was a bit grander than the fact turned out to be. 
Earlier than you settle for a place in a health care facility, it’s necessary to ensure that you clearly perceive the expectations and necessities of the job. Some variant out of your preliminary expectation is suitable, but it surely attainable that different variations might be more durable to accommodate. In these instances, you would find yourself with a strained working relationship together with your employer, a nasty angle, and the potential to have a unfavorable impact on the care you give to your sufferers. To beat the problem, you’ll have to talk together with your boss to resolve the problems. Solely you'll know what changes will assist ease your discontentment.

For those who’re on the other finish of the spectrum and have been working for years, job burn-out can simply be the perpetrator. It's worthwhile to be recharged! Set yourself a objective to realize. Take a unbroken schooling class or attend a seminar to boost your experience, or study one thing new. Search for methods to enhance upon a course of that would profit your crew and decide find out how to greatest implement these adjustments. Lastly, discuss along with your boss or Human Assets in regards to the chance for development or openings in one other division. Generally it solely takes a small change to get again on monitor and motivated.

Advantages of a positive attitude

No matter what allied health care career you're employed in, a positive attitude could make a big effect in your profession and your success. It could actually assist to:
➨ Enhance the chance of optimum and constant efficiency. While you carry out at your greatest, you’re in a position to obtain the last word purpose in health care serving to your patients discover therapeutic and keep a wholesome life-style.
➨ Scale back accidents or unintentional incidents. In the event you’re in a foul temper, there’s an excellent likelihood that you simply’re mentally distracted by what’s bothering you, and you could not even notice it. While you aren’t targeted, you’re extra possible to offer less-than-your-best care. This will invite errors, damage and even accusations that you must’ve not delivered the care the patient anticipated.
➨ Earn a superb repute and advance in your profession. People with good attitudes are higher capable of deal with job stress and are extra constructive in approaching tough conditions. These are basic traits employers search for when contemplating workers for promotions and developments. It’s additionally a surefire method to get a glowing reference when you determine to vary jobs.
➨ Finally you're answerable for your attitude, and may select to be an optimist or a pessimist. You need to resolve how you'll let the world round you affect your perspective. Hopefully, you’ll discover pleasure in what you achieve this that a positive perspective is the rule, not the exception. As a result of a constructive angle in health care actually does matter.
Question Of The Day: Psychotic Disorders
Q. A client with chronic undifferentiated schizophrenia is admitted to the psychiatric unit of a local hospital. During the next several days, the client is seen laughing, yelling, and talking to himself. This behavior is characteristic of:

A. delusion.
B. looseness of association.
C. illusion.
D. hallucination.

Correct Answer: D

Explanation: Auditory hallucination, in which one hears voices when no external stimuli exist, is common in schizophrenic clients. Such behaviors as laughing, yelling, and talking to oneself suggest such a hallucination. Delusions, also common in schizophrenia, are false beliefs or ideas that arise without external stimuli. Clients with schizophrenia may exhibit looseness of association, a pattern of thinking and communicating in which ideas aren't clearly linked to one another. Illusion is a less severe perceptual disturbance in which the client misinterprets actual external stimuli. Illusions are rarely associated with schizophrenia.

Monday 19 December 2016

In nursing college, there may be probably no more hated class assignment than the nursing care plan. They’re assigned to each kind of sophistication, for intensive care sufferers, in psychological health, and even for neighborhood care. Nursing college students keep up all night time making ready patient-specific care plans for the following day’s scientific, however, why is that this agony inducing instrument nonetheless used so universally?

Nursing care plan is the important topic of nursing studies

The Objective of the Written Care Plan

➨ Care plans a present route for individualized care of the shopper. A care plan flows from every affected person’s distinctive checklist of diagnoses and ought to be organized by the person’s particular wants.
➨ Continuity of care. The care plan is a method of speaking and organizing the actions of an always altering nursing workers. Because the affected person’s wants are attended to, the up to date plan is handed on to the nursing workers at shift change and through nursing rounds.
➨ Care plans assist train documentation. The care plan ought to particularly define which observations to make, what nursing actions to hold out, and what directions the consumer or members of the family require.
➨ They function information for assigning employees to look after the consumer. There could also be features of the affected person’s care that have to be assigned to workforce members with particular expertise.
➨ Care plans function information for reimbursement. Medicare and Medicaid initially set the plan in motion, and different third-party insurers adopted go well with. The medical report is utilized by the insurance coverage corporations to find out what they are going to pay for the hospital care obtained by the consumer. If nursing care is just not documented exactly within the care plan, there isn't proof the care was offered. Insurers won't pay for what just isn't documented.
➨ The aim of students creating care plans is to help them in pulling info from many alternative scientific disciplines as they are taught to assume critically and use the nursing course of to downside remedy. As a nursing pupil writes extra plans, the talents for pondering and processing info like knowledgeable nurse turn into extra successfully ingrained of their follow.
Care Plan Formats

The precise format for a nursing care plan varies barely from place to position. They're usually organized by 4 classes: nursing diagnoses or drawback listing; targets and consequence standards; nursing orders; and analysis.As outlined by the North American Nursing Analysis Group-Worldwide (NANDA-I), nursing diagnoses are scientific judgments about precise or particular potential person, household or group experiences or responses to well-being issues or life processes. A nursing prognosis is used to outline the fitting plan of look after the shop and drives interventions and affected person outcomes.

➨ Nursing diagnoses additionally present a normal nomenclature to be used in the Digital Medical Document (EMR), permitting for clear communication amongst care crew members and the gathering of information for steady enhancement in affected person care.
➨ Nursing diagnoses differ from medical diagnoses. A medical analysis — which refers to an illness course of — is made by a doctor and will probably be a situation that solely a health care provider can deal with. In distinction, a nursing analysis describes a shopper’s bodily, sociocultural, psychologic and nonsecular response to a sickness or potential well-being a drawback. For so long as an illness is current, the medical prognosis by no means modifications, however, a nursing analysis evolves because of the consumer’s responses change.
➨ The goal as established in a nursing care plan — when it comes to observable shopper responses — is what the nurse hopes to realize by implementing nursing orders. It's the desired end result or change within the consumer’s situation. The phrases purpose and end result are sometimes used interchangeably, however in some nursing literature, an objective is considered an extra normal assertion whereas the end result is extra particular. For instance, an objective could be that an affected person’s dietary standing will enhance general, whereas the result can be that the affected person will achieve 5 kilos by a sure date.
Nursing orders are directions for the precise actions that may carry out to assist the affected person to obtain the well-being cared objective. How detailed the order is dependent upon the well-being personnel who will perform the order. Nursing orders will all include:

The date

To assist college students study and apply their data, educators usually add yet another class to care plans. The rationale is the scientific motive for choosing a selected nursing motion. College students could also be required to quote supporting literature for his or her plan and rationale.
Care plans train nursing college students to assume critically, look after patients on an extra care, not as an illness or prognosis. They assist educate easy methods to prioritize care and interventions. They're a vital evil of nursing college, tried and true for instructing future nurses to not care, however, methods to present care that can enhance the consumer’s well-being standing.

An action verb like “monitor,” “instruct,” “palpate,” or one thing equally descriptive
A content material space that's the place and the what of the order, for instance, inserting a “spiral bandage on the left leg from ankle to simply under the knee.”

A time component will outline how lengthy or how usually the nursing motion will happen
The signature of the prescribing nurse, since orders are authorized paperwork.
Lastly, within the analysis, the consumer’s well-being care professionals will decide the progress in the direction of the objective achievement and the effectiveness of the nursing care plan. The analysis is extraordinarily vital as a result of it determines if the nursing interventions need to be terminated, continued or modified.

Saturday 17 December 2016

Question Of The Day: School-age Child
Q. A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse should immediately:

A. Put the client to bed.
B. Obtain the child's blood pressure.
C. Notify the physician.
D. Administer acetaminophen (Tylenol).

Correct Answer: B

Explanation: Hypertension occurs with acute glomerulonephritis. The symptoms of headache and blurred vision may indicate an elevated blood pressure. Hypertension in acute glomerulonephritis occurs due to the inability of the kidneys to remove fluid and sodium; the fluid is reabsorbed, causing fluid volume excess. The nurse must verify that these symptoms are due to hypertension. Calling the physician before confirming the cause of the symptoms would not assist the physician in his treatment. Putting the client to bed may help treat an elevated blood pressure, but first the nurse must establish that high blood pressure is the cause of the symptoms. Administering Tylenol for high blood pressure is not recommended.

Friday 16 December 2016

Question Of The Day: Preschooler
Q. After discussing asthma as a chronic condition, which of the following statements by the father of a child with asthma best reflects the family's positive adjustment to this aspect of the child's disease?

A. "We try to keep him happy at all costs; otherwise, he has an asthma attack."
B. "We keep our child away from other children to help cut down on infections."
C. "Although our child's disease is serious, we try not to let it be the focus of our family."
D. "I'm afraid that when my child gets older, he won't be able to care for himself like I do."

Correct Answer: C

Explanation: Positive adjustment to a chronic condition requires placing the child's illness in its proper perspective. Children with asthma need to be treated as normally as possible within the scope of the limitations imposed by the illness. They also need to learn how to manage exacerbations and then resume as normal a life as possible. Trying to keep the child happy at all costs is inappropriate and can lead to the child's never learning how to accept responsibility for behavior and get along with others. Although minimizing the child's risk for exposure to infections is important, the child needs to be with his or her peers to ensure appropriate growth and development. Children with a chronic illness need to be involved in their care so that they can learn to manage it. Some parents tend to overprotect their child with a chronic illness. This overprotectiveness may cause a child to have an exaggerated feeling of importance or later, as an adolescent, to rebel against the overprotectiveness and the parents.

Thursday 15 December 2016

Question Of The Day: Toddler
Q. A child with a poor nutritional status and weight loss is at risk for a negative nitrogen balance. To help diagnose this problem, the nurse anticipates that the physician will order which laboratory test?

A. Total iron-binding capacity
B. Hemoglobin (Hb)
C. Total protein
D. Sweat test

Correct Answer: C

Explanation: The nurse anticipates the physician will order a total protein test because negative nitrogen balance may result from inadequate protein intake. Measuring total iron-binding capacity and Hb levels would help detect iron deficiency anemia, not a negative nitrogen balance. The sweat test helps diagnose cystic fibrosis, not a negative nitrogen balance.

Wednesday 14 December 2016

Question Of The Day: Infant
Q. Which of the following should the nurse use to determine achievement of the expected outcome for an infant with severe diarrhea and a nursing diagnosis of Deficient fluid volume related to passage of profuse amounts of watery diarrhea?

A. Moist mucous membranes.
B. Passage of a soft, formed stool.
C. Absence of diarrhea for a 4-hour period.
D. Ability to tolerate intravenous fluids well.

Correct Answer: A

Explanation: The outcome of moist mucous membranes indicates adequate hydration and fluid balance, showing that the problem of fluid volume deficit has been corrected. Although a normal bowel movement, ability to tolerate intravenous fluids, and an increasing time interval between bowel movements are all positive signs, they do not specifically address the problem of deficient fluid volume.

Tuesday 13 December 2016

Question Of The Day: The Nursing Process
Q. A nurse is caring for a client with a diagnosis of Impaired gas exchange. Based upon this nursing diagnosis, which outcome is most appropriate?

A. The client maintains a reduced cough effort to lessen fatigue.
B. The client restricts fluid intake to prevent overhydration.
C. The client reduces daily activities to a minimum.
D. The client has normal breath sounds in all lung fields.

Correct Answer: D

Explanation: If the interventions are effective, the client's breath sounds should return to normal. The client should be able to cough effectively and should be encouraged to increase activity, as tolerated. Fluids should help thin secretions, so fluid intake should be encouraged.

Monday 12 December 2016

Question Of The Day: Basic Psychosocial Needs
Q. A worried mother confides in the nurse that she wants to change physicians because her infant is not getting better. The best response by the nurse is which of the following?

A. "This doctor has been on our staff for 20 years."
B. "I know you are worried, but the doctor has an excellent reputation."
C. "You always have an option to change. Tell me about your concerns."
D. "I take my own children to this doctor."

Correct Answer: C

Explanation: Asking the mother to talk about her concerns acknowledges the mother's rights and encourages open discussion. The other responses negate the parent's concerns.

Friday 9 December 2016

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.

Thursday 8 December 2016

Question Of The Day: Gastrointestinal Disorders
Q. A client who has a history of Crohn's disease is admitted to the hospital with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse should monitor the client for:

A. Hyperalbuminemia.
B. Thrombocytopenia.
C. Hypokalemia.
D. Hypercalcemia.

Correct Answer: C

Explanation: Hypokalemia is the most expected laboratory finding owing to the diarrhea. Hypoalbuminemia can also occur in Crohn's disease; however, the client's potassium level is of greater importance at this time because a low potassium level can cause cardiac arrest. Anemia is an expected development, but thrombocytopenia is not. Calcium levels are not affected.

Wednesday 7 December 2016

Question Of The Day: The Nursing Process
Q. When developing a care plan for a client with a do-not-resuscitate (DNR) order, a nurse should:

A. withhold food and fluids.
B. discontinue pain medications.
C. ensure access to spiritual care providers upon the client's request.
D. always make the DNR client the last in prioritization of clients.

Correct Answer: C

Explanation: Ensuring access to spiritual care, if requested by the client, is an appropriate nursing action. A nurse should continue to administer appropriate doses of pain medication as needed to promote the client's comfort. A health care provider may not withhold food and fluids unless the client has a living will that specifies this action. A DNR order does not mean that the client does not require nursing care.

Tuesday 6 December 2016

Question Of The Day: Gastrointestinal Disorders
Q. Which of the following laboratory findings are expected when a client has diverticulitis?

A. Elevated red blood cell count.
B. Decreased platelet count.
C. Elevated white blood cell count.
D. Elevated serum blood urea nitrogen concentration.

Correct Answer: C

Explanation: Because of the inflammatory nature of diverticulitis, the nurse would anticipate an elevated white blood cell count. The remaining laboratory findings are not associated with diverticulitis. Elevated red blood cell counts occur in clients with polycythemia vera or fluid volume deficit. Decreased platelet counts can occur as a result of aplastic anemias or malignant blood disorders, as an adverse effect of some drugs, and as a result of some heritable conditions. Elevated serum blood urea nitrogen concentration is usually associated with renal conditions.
The protection of nurses from workplace-induced injuries and diseases is common in the nursing profession, nurses get infections in addition to the patients they serve. The presence of wholesome and well-rested nurses is vital to offering monitoring, empathic affected person care, and vigorous advocacy. Many office stressors that may produce illnesses and accidents are current in nursing work environments. These stressors include factors associated with the rapid work context, traits of the organization and modifications which might be occurring exteriorly to the group however all through the health care business.

personal safety of nurse

Nurses expertise important bodily and psychological calls for throughout their day, in addition to a piece security local weather that may be opposed. Pressures inside organizations to downsize, use nurses employed underneath various preparations (pool and touring workers), and the turnaround time for affected person care (early discharge, larger affected person hundreds) are examples of things which are decided at an organizational degree. The exterior context inside which nurses observe contains lean managed care contracts, growing used of advanced technological improvements, an older nurse workforce, and growing numbers of very sick aged sufferers (aging inhabitants). Elements at every of those ranges can produce threats to nurses’ security whereas on the job.

The hazards of nursing work can impair health care each acutely and in the long run. These health care outcomes embody musculoskeletal accidents/problems, different accidents, infections, modifications in psychological health care, and in the long run, cardiovascular, metabolic, and neoplastic illnesses.

These stressors embrace features of the best way work is organized in nursing (e.g., shift work, lengthy hours, and additional time) and psychological job calls for, comparable to work tempo. As well as, elements of direct care work that affect nurse security will probably be mentioned, together with the influence of bodily job calls for reminiscent of affected person lifting and awkward postures, protecting units to stop needle sticks, chemical occupational exposures, and a potential for violence. The place potential, interventions which have demonstrated effectiveness to scale back the danger of sickness and harm will likely be introduced, in addition to gaps in data that may spur new traces of analysis inquiry.

Healthcare expertise evolving, however, nurses stay burdened by legacy bodily challenges, in line with the latest survey.60 % of nurses fear their jobs are negatively impacting their total well-being, and 12 % of nurses have been injured on the job before now 12 months. These are of some of the statistics revealed at the moment in Ergotron’s first survey, exploring challenges nurses face on the job.

“Nurses play an important function within the supply of affected person care, and their insights assist us higher perceive the state of nursing at this time and what may be accomplished to enhance scientific affected person care and confidence transferring ahead,” mentioned Steve Reinecke, MT (CLS) CPHIMS, AVP of Healthcare at Ergotron. Whereas U.S. healthcare continues its radical digital transformation, with nurses typically on the forefront particularly relating to using digital health care data (EHRs), little else has modified on the bodily facet of day-to-day, real-time nursing care.
Nurse injuries have been properly documented, however, what is usually not addressed is how their accidents and bodily discomfort immediately impacts affected person care. The findings present:

They're much less pleasant or partaking with their sufferers (22 p.c)

They've to change or restrict their exercise/motion on the job (22 %)

They wanted extra help from different workers (14 %)
Nurses report seeing some great benefits of EHRs within the survey, and nearly all of them really feel snug utilizing know-how. Nevertheless, the most important problem is creating an atmosphere that caters to the wants of the nurse. When requested what they might change:
54 p.c stated they might improve nursing workers to alleviate workloads

28 % would instate a devoted ergonomics workforce to assist guarantee tools is ergonomically supportive to the workers

28 p.c would re-design the bodily house inside affected person rooms and on flooring to higher align with scientific workflow and affected person wants

25 % would replace the furnishings on the nursing station

24 % would replace medical tools and furnishings within the affected person room

22 p.c would implement extra point-of-care options all through the ground with sit-to-stand performance.

These findings challenge healthcare organizations to implement options to guard the wellbeing of nursing sources whereas creating the sort of surroundings that brings the affected person and caregiver collectively for elevated interplay, satisfaction, safety, and efficiency.

Monday 5 December 2016

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.

Saturday 3 December 2016

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.

Friday 2 December 2016

Question Of The Day: The Nursing Process
Q.  A nurse is developing a nursing diagnosis for a client. Which information should she include?

A. Actions to achieve goals
B. Expected outcomes
C. Factors influencing the client's problem
D. Nursing history

Correct Answer:  C

Explanation:  A nursing diagnosis is a written statement describing a client's actual or potential health problem. It includes a specified diagnostic label, factors that influence the client's problem, and any signs or symptoms that help define the diagnostic label. Actions to achieve goals are nursing interventions. Expected outcomes are measurable behavioral goals that the nurse develops during the evaluation step of the nursing process. The nurse obtains a nursing history during the assessment step of the nursing process.
We are all responsible for delaying in exam preparations, right? Properly, you'll be able to research for the NCLEX-RN in a single week however I wouldn’t suggest it as a procedure for success.  With the intention to take the NCLEX-RN, the applying course of and test scheduling can take a few weeks to some months depending on what state you might be in.  You've loads of time from the once you apply to whenever you truly take the test to set up a preparation schedule that can suit your wants. However, let’s simply say that you must've to delay finding out and now your check is every week away. Hope for your best. Listed here are some ways for NCLEX-RN preparation…FAST!

how to prepare for NCLEX-RN exam

1. When should I begin studying?

The typical USA nursing scholar begins finding out 2-3 months previous to the NCLEX, with a lot of the effort being spent a month or so previous to the check. There are some college students who solely examine for 1-3 weeks and nonetheless go. However, this places you at an enormous threat for failing. We don't advocate this strategy however we all know just a few college students who've made it work. Worldwide college students taking the NCLEX often start learning 5-6 months previous to their examination however there may be vast variability relying on your background.

2. What's the finest methodology for studying?

Everybody prepares a bit completely different however there are some key issues to recollect when finding out for the NCLEX: - When finding out for the NCLEX, don't reread all of your nursing college notes. You don’t want that a lot of info to go, the NCLEX is common information. Simply obtain an app like NCLEX Mastery to observe NCLEX model questions. - Deal with key topics that you simply wrestle with. If you're glorious at medical/surgical nursing, however, don't have any expertise with labor and supply, then give attention to labor and supply. This can be extra painful. However, it's going to repay in the long run. - It's a lot simpler to check a small quantity every day for a pair months than to try to cram proper earlier than. Not solely is it much less aggravating, however, for a similar quantity of labor you'll have way more long run retention and check efficiency. Discover a research software you'll be able to use conveniently. - Different format questions are showing extra often within the check plan, particularly “choose all that apply” kind questions. Be sure you observe these, as they are typically harder than regular NCLEX questions.

3. Do I need to master every part to cross? What's the go/fail percent? How tough is the test?

The NCLEX is a troublesome examination with tens of hundreds of doable questions that could be requested. It isn't life like or good to attempt to study everything. As an alternative, do follow questions or use an up-to-date examine support that focuses on excessive yield subjects? Most questions are detailed and particular, not common or broad concepts/ideas.

The check is tougher than most anticipate so don't take it evenly or assume that passing can be straightforward. As talked about earlier than the questions are very particular and detailed. A big chunk of candidates strolls out feeling like they failed. However, a majority move the take a look at (90.35%).

4. What's the test structure like? How a lot of time do I've for the test and are there breaks?

The NCLEX is a variable size computerized adaptive take a look at, having wherever from 75 to 265. 15% of the questions are pretest objects that aren't scored. Loads of the questions ask the scholar to use data from some disciplines. Practice with online sample questions, together with a brief tutorial, two elective breaks, and any unscheduled breaks chances are you'll take. The ending is usually not an issue until you get greater than 200 questions.

5. When and the way do I register for boards? Can I reschedule?

Click on this hyperlink to view the candidate bulletin, it would give you all the knowledge you want:

6. What are the test requirement and what am I allowed/not allowed to convey for the NCLEX?

The amenities are extremely strict and prohibit all private objects resembling cell telephones, luggage, purses, coats, hats, gum, drink, watches, and many others. See the candidate bulletin hyperlink above for extra info.

7. How early ought to I arrive on the take a look at the facility?

The very best thought is to get there 30-40 minutes early so you may get settled in and really feel as comfy as doable earlier than the take a look at. There's typically a big line of individuals on the facility.

8. How do I get into peak situation on taking a look at day?

We suggest making ready to your examination like runners put together for a marathon with correct vitamin, sleep, and coaching to simulate the situations you might be about to place your physique via.

➠ Eat nutritious meals - advanced carbohydrates, greens and protein optimize power ranges for the lengthy day of focus.

➠ Have a small quantity of caffeine - Scientific research persistently present that reasonable consumption caffeine improves efficiency, however, extreme consumption has a destructive impact.

➠ Keep away from sugary meals - Refined sugars are related to a spike in vitality, adopted by a pointy decline in cognitive capability.

➠ Apply concentrating for a prolonged time period - It's sensible to extend your research length within the days previous to the take a look at in an effort to deal with the fatigue positioned in your mind by concentrating for therefore lengthy.

➠ Train the morning of the check - Train improves blood stream to the mind thus optimizing your capabilities on check day.

9. How I get my results, what happen if I fail?

Assessments are scored in batches so you may anticipate attending a variable period of time after you are taking your examination to see your result. Sometimes, you possibly can anticipate attending about one month. You can even get your “unofficial” result after 48 enterprise hours by the fast result service out there on the NCLEX Candidate web site at

Thursday 1 December 2016

Question Of The Day: Antepartum Period
Q. The nurse has discussed sexuality issues during the prenatal period with a primigravida who is at 32 weeks' gestation. She has had one episode of preterm labor. The nurse determines that the client understands the instructions when she says:

A. "I can resume sexual intercourse when the bleeding stops."
B. "I should not get sexually aroused or have any nipple stimulation."
C. "I can resume sexual intercourse in 1 to 2 weeks."
D. "I should not have sexual intercourse until my next prenatal visit."

Correct Answer: B

Explanation: This client has already had one episode of preterm labor at 32 weeks' gestation. Sexual intercourse, arousal, and nipple stimulation may result in the release of oxytocin which can contribute to continued preterm labor and early delivery. The client should be advised to refrain from these activities until closer to term, which is 6 to 8 weeks later. Telling the client that intercourse is acceptable after the bleeding stops is incorrect and may lead to early delivery of a preterm neonate. The client should not have intercourse for at least 6 weeks because of the danger of inducing labor. There is no indication when the client's next prenatal visit is scheduled.



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