Professor D's Nursing Lecture Highlights

Oct 18, 2024

Professor D's Lecture Video

Introduction

  • Professor D is trying a new format by addressing questions online.
  • Audience: Primarily PN or VN students; RN students may also benefit.
  • Requests feedback in the comments to know if this format is appreciated.

Question 1: Mental Health Unit Documentation

  • Scenario: Nurse manager reviewing a chart entry.
  • Problem: Entry reads "I feel unloved, appears confused and restless."
  • Key Points:
    • Documentation must be factual and objective.
    • Nurse should document observable behaviors, not subjective interpretations.
    • Example: Document observed behaviors rather than conclusions like "feeling unloved."
  • Correct Answer Explanation:
    • Accurate documentation is crucial for legal and medical records.

Question 2: BMI Calculation for a Child

  • Scenario: Calculating BMI for a 7-year-old boy.
  • Goal: Determine the percentile.
  • Advice:
    • Start with the child's age on the chart, then trace to the corresponding BMI line.
    • Ensure the BMI falls between the 5th and 85th percentile for a healthy weight.
  • Outcome: Correct percentile was the 50th.

Question 3: Anxiety Levels

  • Scenario: Client experiencing mild anxiety.
  • Key Concept:
    • Mild anxiety can be beneficial, acting as motivation for growth.
    • Example: Test preparation or responding to potential danger.

Question 4: Pregnant Client in Preterm Labor

  • Scenario: Client wants to leave hospital immediately.
  • Correct Action: Notify the RN.
  • Reasoning:
    • Client cannot be held against their will.
    • RN can manage discharge against medical advice (AMA) procedures.

Question 5: Cocaine Overdose

  • Scenario: Risk assessment for suspected cocaine overdose.
  • Correct Answer: Risk for cardiac arrest due to cardiac dysrhythmias.
  • Test-Taking Tip:
    • Look for similar words when unsure of the answer.

Question 6: Oral Care for Unconscious Client

  • Scenario: Ensuring proper care by a nursing assistant.
  • Correct Action: Client should be in the lateral position.
  • Key Point:
    • Unconscious clients cannot sit upright; lateral positioning prevents aspiration.

Question 7: BMI Documentation for a 10-Year-Old Girl

  • Scenario: Determining weight category based on BMI.
  • Key Point:
    • 25th percentile indicates a healthy weight.
    • Healthy BMI is between 5th and 85th percentile.

Question 8: Communication with a Blind Child

  • Scenario: Appropriately communicating with a blind 10-year-old.
  • Correct Technique: Announce presence when entering/leaving.

NGN Question: Mr. Martinez's Case

  • Background: 58-year-old male with CKD and hypertension.
  • Lab Analysis: Elevated creatinine and BUN suggest renal dysfunction.
  • Monitoring Tips:
    • Importance of hydration to prevent kidney issues.

Final Notes

  • Emphasis on understanding fluid and electrolyte balance for nursing students.
  • Professor D encourages feedback to continue or adjust the new video format.
  • Regular content is available every Sunday at 1 p.m. EST.
  • Additional resources can be found on Nexus Nursing's website and social media.