Lecture Notes: Nursing Questions and Concepts

Introduction

• Professor D's YouTube Channel
  • New video format involving solving nursing questions.
  • Audience: PN, VN, and RN students.
  • Purpose: Foundational questions crucial for more complex scenarios.

Documentation in Nursing

• Question on Nursing Documentation
  • Incorrect documentation: Failed to describe evidence of confusion/restlessness.
  • Importance of documenting observed facts for accuracy and objectivity.
  • Example: Unwitnessed patient fall documentation.
  • Legal implications: Documentation becomes part of client's permanent record.

Body Mass Index (BMI) for Children

• Calculating Percentiles
  • Method: Use age and BMI to determine percentile on a chart.
  • Example: 7-year-old with BMI of 15.5 is in the 50th percentile.
  • Healthy BMI Range: Between 5th to 85th percentile.

Anxiety and Its Effects

• Mild Anxiety
  • Positive effect: Motivation for growth.
  • Example scenarios: Test preparation, personal safety.

Patient Rights and Hospital Procedures

• Pregnant Client in Preterm Labor
  • Procedure if patient wants to leave: Notify RN, do not restrain.
  • AMA (Against Medical Advice) protocol.

Illicit Drug Overdose

• Cocaine Overdose Risks
  • Primary risk: Cardiac arrest due to dysrhythmias.
  • Test-taking tip: Similar answers may provide clues.

Nursing Assistant Supervision

• Unconscious Patient Oral Care
  • Correct positioning: Lateral with head turned to prevent aspiration.
  • Identifying incorrect actions to provide further instructions.

Additional BMI Example

• 10-year-old with 25th Percentile BMI
  • Conclusion: Child is at a healthy weight.

Communication with Blind Children

• Appropriate Techniques
  • Announce presence upon entering/leaving room.

Case Study: Mr. Martinez

• CKD and Hypertension Management
  • Key Labs: Elevated serum creatinine (2.5), BUN (35), potassium (4.8).
  • Indications of renal dysfunction and necessary monitoring.
  • Education: Importance of hydration for kidney function.

Electrolyte Imbalance

• Hyperkalemia Risks
  • Elevated potassium levels indicate risk for hyperkalemia.
  • Symptoms: Muscle weakness, dehydration as a potential contributor.
  • Patient Education: Signs of dehydration.

Conclusion

• Feedback Request
  • Professor D seeks feedback on new video format.
  • Encouragement for comments and suggestions on future content.
• Additional Resources
  • Official videos released weekly.
  • Available resources on Nexus Nursing platforms.