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.