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- https://med.libretexts.org/Bookshelves/Nursing/Nursing%3A_Mental_Health_and_Community_Concepts_(OpenRN)/10%3A_Personality_Disorders/10.06%3A_Learning_ActivitiesWhen one of her coworkers shares pictures of her new puppy, she pulls out her cell phone to show pictures of herself and tells the group how she had a romantic weekend with her handsome, rich boyfrien...When one of her coworkers shares pictures of her new puppy, she pulls out her cell phone to show pictures of herself and tells the group how she had a romantic weekend with her handsome, rich boyfriend. He often asks others, “Don’t you think I did a great job with that?” Although he does not have any close relationships with coworkers, he does collaborate with a few of them because they are able to help him accomplish his goals.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/05%3A_Safety/5.06%3A_Preventing_FallsCommonly used fall assessment tools used to identify patients at high risk for falls are the Morse Fall Scale and the Hendrich II Fall Risk Model. Assess patient pain levels using a pain-assessment sc...Commonly used fall assessment tools used to identify patients at high risk for falls are the Morse Fall Scale and the Hendrich II Fall Risk Model. Assess patient pain levels using a pain-assessment scale. (If staff other than a nurse is doing the rounding and the patient is in pain, contact the nurse immediately so the patient does not have to use the call light for pain medication.)
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/06%3A_Sensory_Impairments/6.04%3A_Putting_It_All_TogetherThe nurse performs a whisper test and discovers he is unable to report any of the six words whispered behind him. Assessment: The nurse performs a whisper test and discovers he is unable to report any...The nurse performs a whisper test and discovers he is unable to report any of the six words whispered behind him. Assessment: The nurse performs a whisper test and discovers he is unable to report any of the six words whispered behind him. She shares her assessment findings with the provider and requests a referral to an audiologist and then assists the patient in making the appointment. Appointment made with the audiologist and communicated place, date, and time to the patient and his daughter.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/07%3A_Oxygenation/7.02%3A_Oxygenation_Basic_ConceptsIn order for oxygenated blood to move from the alveoli in the lungs to the various organs and tissues of the body, the heart must adequately pump blood through the systemic arteries. In a state of hyp...In order for oxygenated blood to move from the alveoli in the lungs to the various organs and tissues of the body, the heart must adequately pump blood through the systemic arteries. In a state of hypercapnia, the accumulation of carbon dioxide in the blood causes the pH of the blood to drop, leading to a state of respiratory acidosis.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/16%3A_Grief_and_Loss/16.05%3A_Nursing_Care_During_the_Final_Hours_of_LifeThe American Nurses Association and the Palliative Care Nurses Association support the nurse in this dilemma that is often referred to as the Rule of Double Effect. After the family has said their goo...The American Nurses Association and the Palliative Care Nurses Association support the nurse in this dilemma that is often referred to as the Rule of Double Effect. After the family has said their goodbyes and left the room, it is the nurses responsibility to ensure identification tags are applied to the body and the patient is moved to the morgue.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Fundamentals_(OpenRN)/09%3A_Integumentary/9.06%3A_Applying_the_Nursing_ProcessIf a patient has a chronic wound or is experiencing delayed wound healing, it is important for the nurse to assess the impact of the wound on their quality of life. In addition to the interventions ou...If a patient has a chronic wound or is experiencing delayed wound healing, it is important for the nurse to assess the impact of the wound on their quality of life. In addition to the interventions outlined under the “Braden Scale” section to prevent and treat pressure injury, see the following box for a list interventions to prevent and treat impaired skin integrity.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)This Nursing Skills textbook is an open educational resource developed for entry-level undergraduate nursing students. It is aligned with the Wisconsin Technical College System (WTCS) statewide nursin...This Nursing Skills textbook is an open educational resource developed for entry-level undergraduate nursing students. It is aligned with the Wisconsin Technical College System (WTCS) statewide nursing curriculum for the Nursing Skills course (543-102) that describes techniques for obtaining a health history and performing a basic physical assessment using a body systems approach. It also includes evidence-based clinical skills with related mathematical calculations and conversions.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)/02%3A_Blood_Pressure/2.05%3A_Checklist_for_Manual_Blood_PressureNote: The two-step method includes the first step of inflating the cuff and palpating the radial pulse to estimate the systolic blood pressure before obtaining the blood pressure reading. Inflate the ...Note: The two-step method includes the first step of inflating the cuff and palpating the radial pulse to estimate the systolic blood pressure before obtaining the blood pressure reading. Inflate the cuff rapidly (while palpating the radial or brachial pulse) to the level at which pulsations are no longer felt and inflate the cuff 30 mmHg above the palpated pressure or the patient’s usual blood pressure.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)/02%3A_Blood_Pressure/2.03%3A_Blood_Pressure_AssessmentBefore taking a person’s blood pressure, it is important to determine if they have a history of elevated blood pressure or if they are taking any blood pressure medication. Before obtaining a blood pr...Before taking a person’s blood pressure, it is important to determine if they have a history of elevated blood pressure or if they are taking any blood pressure medication. Before obtaining a blood pressure reading, it is important to inspect and consider conditions that would prevent the use of a blood pressure cuff, such as a history of clots or presence of current clots, lymphedema, wounds, a fistula, or current IV access lines.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)/11%3A_Facilitation_of_Elimination/11.08%3A_Applying_the_Nursing_Process_to_CatheterizationIn addition to verifying the appropriateness of the insertion of an indwelling catheter according to CDC recommendations, it is also important to assess for any conditions that may interfere with the ...In addition to verifying the appropriateness of the insertion of an indwelling catheter according to CDC recommendations, it is also important to assess for any conditions that may interfere with the insertion of a urinary catheter when feasible.
- https://med.libretexts.org/Courses/University_of_South_Carolina_Upstate/Nursing_Skills_(OpenRN)/07%3A_Enteral_Tube_ManagementThumbnail: Enteral feeding tube. (CC BY-SA 4.0; Tenbergen via Wikimedia Commons)
