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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.
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Full transcript