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Study Plan for Test Taking for the NCLEX® designed for Bolivar Technical College

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Advance Directives

Advance Directives

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10 Advance Directives NCLEX Questions

Question 1 of 10

A client is having a yearly well visit and asks the nurse, “If I appoint a power of attorney do I lose my right to make medical decisions?” Which of the following responses is best?

"Once you gain a POA you will no longer need to make medical decision for yourself"

"No, of course not. A POA can only make medical decisions after you say it is ok"

"No, you are able to make your own decisions. A POA is put in place in the event that you are unable to make your own decisions"

"Yes, a POA is someone who makes medical decisions for you"

Question 2 of 10

A nurse is admitting a client to the long-term care facility. During the admission process, the nurse asks the client if they have an advance directive and the client says no. How should the nurse respond?

Explain that the facility cannot care for the client unless there is an advance directive present

Tell the client to make an appointment with an attorney to draw up paperwork

Give information about advance directives so the client can make an informed decision

Inform the rest of the nursing staff that the client does not have an advance directive

Question 3 of 10

A 58-year-old client is in the hospital to have surgery and the family asks about advance directives. The client lives at home with his parents and has a mild cognitive disability. Which of the following elements would the nurse consider when assessing competence for this client to decide about an advance directive? Select all that apply.

The client can be said to make the decision if he can balance his checkbook

The provider or nurse could perform a Mini-Mental Status Exam to assess cognitive abilities

The nurse should talk with the family about having a healthcare proxy designated for the client because of his condition

The provider should include the client in decision making along with his parents or legal guardians as much as possible

The nurse should assume that any adult client who lives at home cannot make the decision

Question 4 of 10

Which best describes a psychiatric advance directive?

A psychiatric client makes a decision about who will recover his or her financial information if mandatory treatment is required

A person with a mental illness gives instructions about what treatment he or she wants if a crisis is experienced

A person with a mental illness chooses the provider who will write prescriptions for medications

A psychiatric client agrees that he or she does not want resuscitation if hospitalized

Question 5 of 10

Which of the following is a role of the registered nurse when working with older adults regarding advance directives? Select all that apply.

Explaining the purpose of advance directives to the client

Offering to be a decision maker if the client has no family present

Helping the adult complete the advance directive documents

Writing the order for the advance directive in the client's chart

Discussing the client's wishes related to treatment options

Question 6 of 10

The nurse is working with a client who has decided to be designated as a DNR (do not resuscitate). Which of the following actions should the nurse ensure are complete in order for the DNR to be appropriately implemented? Select all that apply.

A DNR order is placed in the chart

Appropriate labeling has been applied (wrist band, electronic and paper chart, and any additional facility-specific labels)

Life support has been withdrawn

The client has a pending transfer to the hospice unit

The client's healthcare power of attorney has been informed of the DNR decision

Question 7 of 10

A nurse is filling out paperwork with a client who is being admitted to the hospital. The nurse asks the client if he has an advance directive. Which response from the client indicates understanding of a power of attorney document?

I do not want to be put on a breathing machine

My son is in charge of my healthcare decisions

I have paperwork that says I do not want CPR

My paperwork says I want all measures taken to keep me alive

Question 8 of 10

The nurse is caring for a 70-year-old client diagnosed with pneumonia. The treatment plan includes antibiotics, breathing treatments, and incentive spirometer use. The client is alert and oriented to person, place, time, and situation. They are on 2L nasal cannula without any signs or symptoms of distress. The client states, “I do not want to have any antibiotics, I just want this to run its course.” The nurse knows this client has a durable power of attorney. Which of the following should the nurse do?

Coerce this client into agreeing to treatment, and if the client still refuses, stop all treatments

Continue treatment because as client advocate, the nurse knows that the client will decline if not treated

Continue treatment because the client has a power of attorney who makes medical decisions for the client

Stop all treatments, notify the provider, and initiate a meeting between the client, family and the health care team

Question 9 of 10

A client is being admitted to the hospital for surgery. Which best describes an example of an assessment parameter used by the nurse to determine if the client has an advance directive?

Asking whether the client makes personal healthcare decisions or if someone else makes them

Asking the client if he has decided if he can make decisions for himself

Checking with the clients spouse to see if paperwork was brought from home

Telling the client that the staff will perform CPR if needed unless the client has paperwork that says otherwise

Question 10 of 10

A client is admitted to the hospital for surgery and the nurse discovers that the client has a living will. In addition to placing a copy of the document on the client’s chart, what would be a priority action for the nurse?

Inform the client that the living will must be suspended during surgery

Notify the surgeon on the case that the client has a living will

Contact the pharmacy about withholding medications in case of client compromise

Direct the family to their spiritual advisor to further discuss the living will

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Outline

Overview

Advance Directives
1. Living Will
2. Medical Power of Attorney

Nursing Points

General

Patient Wishes & Advocacy
1. Patient Wishes
2. Patient Advocacy
Living Will
1. Legal Document
2. Written out for instances for which a patient cannot communicate their decisions
3. Often DNR/Partial DNR/Full Code Wishes
  1. Full Code
    1. Chemicals/Drugs
    2. Compressions
    3. Shocks
    4. Intubation
  2. DNR – Do Not Resuscitate
    1. None of the Above
  3. Partial DNR
    1. One or more, but NOT all of the above
4. State Dependent on executing them
Medical Power of Attorney
1. Legal Document
2. Different than Durable Power of Attorney (DPOA)
3. Designates a particular person or persons to make medical decisions for the patient
4. In the absence of a MPOA, state laws dictate who makes medical decisions
  1. Example – TX – Spouse, Adult Children, Living Parents, Nearest Living Adult Relative, then providers
Who needs a Living Will and who needs a Medical Power of Attorney
1. Living Wills and Plans of Care
  1. Needed prior to injury, illness, hospitalization and/or treatment
  2. Example: Healthy individuals or those with chronic illness who may expect to receive treatment in the future
2. Medical Power of Attorney
  1. Needed by those who may, at some point, be unable to voice their own decisions regarding medical care.
  2. Example: Patients with dementia or cancer.

Nursing Concepts

Health Policy
Ethical & Legal Practice
End of Life

Patient Education

Patients should be educated on advance directives
Patients should be educated on Power of Attorneys and Living Wills
Chaplain can assist with obtaining an advanced directive in the hospital

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Transcript

In this lesson, we’ll be taking a look at advanced directives and ways we can follow our patient’s wishes regarding medical decisions.

This is a heavy subject and not everyone likes talking about things associated with end of life. But it’s really important, and more important for you as the nurse to realize.
There are lots of points that I’ll make throughout this lesson, but a big takeaway from this is that advanced directives are about the PATIENT and what they want regarding their care when they can’t tell you. Patients can often have conversations with family members about their wishes, but sometimes that information doesn’t get to the right people. Let’s say for example, you have a young married couple who knows exactly what each other want in terms of ICU care, but they get in a terrible accident. Because they didn’t tell OTHER family members, no one knows what medical decisions to make. This complicates the situation for everyone.
So how can you honor your patient’s wishes? First off, start by advocating for them. Talk to your patients and find out what they want, and if they’ve taken the steps to get their wishes written up in legal documentation. If so, then great, you’re now one step of the game. But if not, and hopefully by the end of this lesson, you can steer your patients in the right direction so that they can make sure that their family members know what they want.

What are living wills? Well living wills are legal documents put together by patients that discuss their wishes for care. They can be complex or simple, but the goal of the living will is to guide a medical team or family members in what care a patient would want if they couldn’t speak for themselves. It’s a way to give a voice to a patient, in their own words, before anything happens. For example, if a patient doesn’t wish to be on a ventilator, or to be intubated, then those things can be outlined in a living will. And sometimes they can outline what they want in respect to what is known as a “code status.” Code statuses are essentially a policy by a hospital which directs all healthcare workers in what life-saving measures to use in the event of an emergency like cardiac or respiratory arrest When we talk about Full Code statuses (or a “full code”), it simply means that the patient agrees to have all life saving measures done. This includes defibrillation, chest compressions, artificial breathing, administration of emergency drugs, and breathing tubes with machines like a ventilator.
A DNR code status is a Do-Not-Resuscitate order. It’s virtually the opposite of a full-code status. This means that the patient is refusing to be shocked, compressions, breathing tubes, drugs and any life-saving measures. One important thing to remember is that this requires an order by a doctor, AND discussion between the doctor and the patient or the family. Doctors can often refer to living wills for code statuses, and can use those to enact those orders.
Now one caveat to code statuses is that there is one more type of code status, known as a Partial DNR. This means a patient is refusing only PARTICULAR aspects of life saving measures, but not others. For instance, they could be a partial DNR with no chemicals or compressions, but will accept intubation. This means that the patient doesn’t want CPR, but will accept a breathing tube. There are multiple combinations of these partial DNR orders, so pay VERY close attention to them when you see them.

Now a medical power of attorney is another legal document that helps medical providers to make decisions about medical care.
A power of attorney is a legal document that assigns a particular person the right to make legal decisions about another person. There are two different types of power of attorney, a medical power of attorney and a durable power of attorney.
For the medical power of attorney, what happens is that a patient picks someone and grants them the ability to make medical decisions about their care and their care only.
This is different than a durable power of attorney. A durable power of attorney gives someone the authority to make decisions for someone else, and it excludes medical decisions. So an example of this would be like paying bills, withdrawing money from a bank account, and other court or legal issues.
The important point here though is that a medical power of attorney helps to give a patient a voice by using someone they trust. And that person then makes decisions regarding their medical care for them. So who makes medical decisions when there’s no advanced directive? There’s usually a list of people, and an order in which they’re picked, to be that patient’s decision maker. It varies by state and country, so be sure to check your state jurisdiction for those.

So who needs what? Who needs a living will and who needs a medical power of attorney?In short, a patient needs a living will PRIOR to any injury or illness. They can be healthy individuals or patients with chronic conditions. The patients that need a medical power of attorney are those who know that, maybe inevitably, in the future they may not be able to make their own medical decisions. So it’s important for them to assign someone to make those decisions for them. Examples of this are patients with dementia or even cancer. Let’s take a look at some nursing concepts for advanced directives. Advanced directives are a direct reflection of ethical and legal practice. They’re also a product of health policy, seeing as these situations can be complicated. That being said, follow up with your government to find out what laws apply where you live. And lastly, end of life, while not always an easy subject to talk about goes hand in hand with advanced directives. It’s always best to know your patient’s wishes

Now let’s recap.

When we look at our patient’s we need to know what they want in terms of their care. Advanced directives are a way to give them that opportunity.

Living wills are outlines PRIOR to treatment.

And a medical power of attorney picks someone to make decisions for a patient, so usually someone they trust. And who needs what?

A Living will plans for future events and a medical power of attorney picks someone to help with making decisions when the patient can’t.
And finally, know your patient’s code status regarding emergencies. Know the difference between a full code and a DNR status, and what you need to do to make sure you follow your patient’s wishes.

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Study Plan for Test Taking for the NCLEX® designed for Bolivar Technical College

Concepts Covered:

Study Plan Lessons

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

12 Points to Answering Pharmacology Questions

ABGs Nursing Normal Lab Values

Care of the Pediatric Patient

Menstrual Cycle

Time Management

54 Common Medication Prefixes and Suffixes

ABG (Arterial Blood Gas) Interpretation-The Basics

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Addisons Disease

Advance Directives

Computed Tomography (CT)

Family Planning & Contraception

Informed Consent

Vitals (VS) and Assessment

Alveoli & Atelectasis

Nursing Care and Pathophysiology for Cushings Syndrome

Macular Degeneration

Magnetic Resonance Imaging (MRI)

Preoperative (Preop)Assessment

Pressure Ulcers/Pressure injuries (Braden scale)

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)

Essential NCLEX Meds by Class

Nursing Care and Pathophysiology of Glomerulonephritis

Growth & Development – Infants

Nursing Care and Pathophysiology for Herpes Zoster – Shingles

Isotonic Solutions (IV solutions)

Nursing Care and Pathophysiology of Osteoarthritis (OA)

Nursing Care and Pathophysiology for Pancreatitis

Preoperative (Preop) Education

6 Rights of Medication Administration

Cerebral Angiography

Growth & Development – Toddlers

Health Promotion & Disease Prevention

Hypotonic Solutions (IV solutions)

Nursing Care and Pathophysiology of Osteoporosis

Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)

Preoperative (Preop) Nursing Priorities

Respiratory Acidosis (interpretation and nursing interventions)

Thrombocytopenia

Blood Transfusions (Administration)

Cardiovascular Angiography

Growth & Development – Preschoolers

Nursing Care and Pathophysiology for Hyperthyroidism

Hypertonic Solutions (IV solutions)

Integumentary (Skin) Important Points

Preload and Afterload

Respiratory Alkalosis

Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)

Echocardiogram (Cardiac Echo)

Growth & Development – School Age- Adolescent

Nursing Care and Pathophysiology for Hypothyroidism

Legal Considerations

Metabolic Acidosis (interpretation and nursing diagnosis)

Performing Cardiac (Heart) Monitoring

Metabolic Alkalosis

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

Base Excess & Deficit

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Brief CPR (Cardiopulmonary Resuscitation) Overview

Critical Thinking

Gestation & Nägele’s Rule: Estimating Due Dates

Potassium-K (Hyperkalemia, Hypokalemia)

Nursing Care and Pathophysiology of Angina

Nursing Care and Pathophysiology for Appendicitis

Nursing Care and Pathophysiology for Asthma

Bloom’s Taxonomy

Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Environmental Health

Fire and Electrical Safety

General Anesthesia

Generalized Anxiety Disorder

Gravidity and Parity (G&Ps, GTPAL)

Levels of Consciousness (LOC)

Sodium-Na (Hypernatremia, Hyponatremia)

Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)

Diabetes Management

Dialysis & Other Renal Points

Local Anesthesia

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Oral Medications

Pediculosis Capitis

Post-Traumatic Stress Disorder (PTSD)

Routine Neuro Assessments

What is the NCLEX?

Adjunct Neuro Assessments

Anatomy of an NCLEX Question

Chloride-Cl (Hyperchloremia, Hypochloremia)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Fundal Height Assessment for Nurses

Injectable Medications

Moderate Sedation

Oncology Important Points

Technology & Informatics

Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)

Fall and Injury Prevention

Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)

Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

IV Infusions (Solutions)

Malignant Hyperthermia

Maternal Risk Factors

Complex Calculations (Dosage Calculations/Med Math)

Intracranial Pressure ICP

Mood Disorders (Bipolar)

Nursing Care and Pathophysiology for Ulcerative Colitis(UC)

Cerebral Perfusion Pressure CPP

Nursing Care and Pathophysiology for Crohn’s Disease

Isolation Precaution Types (PPE)

Paranoid Disorders

Personality Disorders

Cognitive Impairment Disorders

Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)

Alcohol Withdrawal (Addiction)

Suicidal Behavior

Normal Sinus Rhythm

Physiological Changes

Post-Anesthesia Recovery

Red Blood Cell (RBC) Lab Values

Sickle Cell Anemia

Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)

Nursing Care and Pathophysiology for Cholecystitis

Discomforts of Pregnancy

Nursing Care and Pathophysiology for Heart Failure (CHF)

Hemoglobin (Hbg) Lab Values

Nursing Care and Pathophysiology for Influenza (Flu)

Nursing Care and Pathophysiology for Multiple Sclerosis (MS)

Postoperative (Postop) Complications

Sinus Bradycardia

Nursing Care and Pathophysiology for Anaphylaxis

Antepartum Testing

Hematocrit (Hct) Lab Values

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Sinus Tachycardia

Nursing Care and Pathophysiology for Tuberculosis (TB)

Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)

Discharge (DC) Teaching After Surgery

Nutrition in Pregnancy

Nursing Care and Pathophysiology of Pneumonia

White Blood Cell (WBC) Lab Values

Atrial Fibrillation (A Fib)

Communicable Diseases

Platelets (PLT) Lab Values

Coagulation Studies (PT, PTT, INR)

Disasters & Bioterrorism

Nursing Process

Acute vs Chronic

Miscellaneous Nerve Disorders

Premature Ventricular Contraction (PVC)

What do you want me to know?

Duplicate Facts

Ventricular Tachycardia (V-tach)

Repeating Words

Ventricular Fibrillation (V Fib)

Denying Feelings

NCLEX® Question Traps

Albumin Lab Values

Maslow’s Hierarchy of Needs in Nursing

Outline Question Method (Note taking)

Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)

Benzodiazepines

Cholesterol (Chol) Lab Values

Drawing Pictures

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Nursing Care and Pathophysiology of Hypertension (HTN)

Ammonia (NH3) Lab Values

Artificial Airways

Nursing Care and Pathophysiology for Endometriosis

Nursing Care and Pathophysiology for Ischemic Stroke (CVA)

Airway Suctioning

Chorioamnionitis

Nursing Care and Pathophysiology for Menopause

Stroke Assessment (CVA)

Nursing Care and Pathophysiology for Cardiomyopathy

Gestational Diabetes (GDM)

Stroke Therapeutic Management (CVA)

Disseminated Intravascular Coagulation (DIC)

Stroke Nursing Care (CVA)

Ectopic Pregnancy

Nursing Care and Pathophysiology for Thrombophlebitis (clot)

Hydatidiform Mole (Molar pregnancy)

Gestational HTN (Hypertension)

Infections in Pregnancy

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Blood Urea Nitrogen (BUN) Lab Values

Overview of the Nursing Process

Creatinine (Cr) Lab Values

Fetal Development

Nursing Care and Pathophysiology for Hypovolemic Shock

Seizure Causes (Epilepsy, Generalized)

Nursing Care and Pathophysiology for Cardiogenic Shock

Fetal Environment

Seizure Assessment

Chest Tube Management

Nursing Care and Pathophysiology for Distributive Shock

Fetal Circulation

Seizure Therapeutic Management

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Nursing Care and Pathophysiology for Seizure

Glucose Lab Values

Process of Labor

Pediatric Gastrointestinal Dysfunction – Diarrhea

Hemoglobin A1c (HbA1C)

Mechanisms of Labor

Therapeutic Communication

Defense Mechanisms

Leopold Maneuvers

Fetal Heart Monitoring (FHM)

Nursing Care and Pathophysiology for Meningitis

Intussusception

Constipation and Encopresis (Incontinence)

Patient Positioning

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Prolapsed Umbilical Cord

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Placenta Previa

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Urinary Elimination

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Precipitous Labor

Pain and Nonpharmacological Comfort Measures

Overview of Developmental Theories

Postpartum Physiological Maternal Changes

Bronchiolitis and Respiratory Syncytial Virus (RSV)

Postpartum Discomforts

Cystic Fibrosis (CF)

Congenital Heart Defects (CHD)

Intake and Output (I&O)

Defects of Increased Pulmonary Blood Flow

Blood Glucose Monitoring

Postpartum Hemorrhage (PPH)

Defects of Decreased Pulmonary Blood Flow

Obstructive Heart (Cardiac) Defects

Mixed (Cardiac) Heart Defects

Specialty Diets (Nutrition)

Enteral & Parenteral Nutrition (Diet, TPN)

Histamine 1 Receptor Blockers

Initial Care of the Newborn (APGAR)

Nephrotic Syndrome

Newborn Physical Exam

Body System Assessments

Histamine 2 Receptor Blockers

Newborn Reflexes

Cerebral Palsy (CP)

Renin Angiotensin Aldosterone System

Head to Toe Nursing Assessment (Physical Exam)

Meconium Aspiration

Transient Tachypnea of Newborn

Hyperbilirubinemia (Jaundice)

Spina Bifida – Neural Tube Defect (NTD)

ACE (angiotensin-converting enzyme) Inhibitors

Autism Spectrum Disorders

Attention Deficit Hyperactivity Disorder (ADHD)

Newborn of HIV+ Mother

Angiotensin Receptor Blockers

Calcium Channel Blockers

Cardiac Glycosides

Metronidazole (Flagyl) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Anti-Infective – Penicillins and Cephalosporins

Atypical Antipsychotics

Rubeola – Measles

Varicella – Chickenpox

Pertussis – Whooping Cough

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Parasympathomimetics (Cholinergics) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Corticosteroids

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)

Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)

Addisons Assessment Nursing Mnemonic (STEROID)

ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)

Adrenal Gland Hormones Nursing Mnemonic (The 3 S’s)

Airborne Precaution Diseases Nursing Mnemonic (MTV)

Alcoholism – Outcomes Nursing Mnemonic (BAD)

Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)

Altered Mental Status Nursing Mnemonic (AEIOU TIPS)

Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)

Nursing Care and Pathophysiology for Anemia

Anion Gap Acidosis 1 Nursing Mnemonic (KULT)

Anion Gap Acidosis 2 Nursing Mnemonic (MUDPILES)

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)

Aortic Aneurysm – Management Nursing Mnemonic (CRAM)

Aortic Aneurysm – Thoracic signs Nursing Mnemonic (PEE BADS)

Aortic Stenosis Symptoms Nursing Mnemonic (SAD)

Appendicitis – Assessment Nursing Mnemonic (PAINS)

ARDS causes Nursing Mnemonic (GUT PASS)

Arterial Blood Gases Nursing Mnemonic (ROME)

Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)

Assessment of a Burn Nursing Mnemonic (SCALD)

Assessment of Guillain-Barre Syndrome Nursing Mnemonic (GBS=PAID)

Asthma management Nursing Mnemonic (ASTHMA)

At Risk for Gout Nursing Mnemonic (MALE)

AVPU Mnemonic (The AVPU Scale)

Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)

Benzodiazepines Nursing Mnemonic (Donuts and TLC)

Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)

Bleeding Complications (Minor) Nursing Mnemonic (BEEP)

Bleeding Precautions Nursing Mnemonic (RANDI)

Blood Type O Nursing Mnemonic (Universally Odd)

BPH Symptoms Nursing Mnemonic (FUN WISE)

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

Cancer – Early Warning Signs Nursing Mnemonic (CAUTION UP)

Cancer – Nursing Priorities Nursing Mnemonic (CANCER)

Canes Nursing Mnemonic (COAL)

Cardiac Valves Blood Flow Nursing Mnemonic (Toilet Paper my Ass)

Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)

Causes of Anaphylaxis Nursing Mnemonic (Many Boys Love Food)

Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)

Causes of Dyspnea Nursing Mnemonic (The 6 P’s)

Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)

Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)

Causes of Renal Calculi Nursing Mnemonic (Patients Complain of Pain and Difficulty Urinating)

Chest Tube Assessment Nursing Mnemonic (Two AA’s)

CHF Treatment Nursing Mnemonic (UNLOAD FAST)

Child Abuse/Neglect – Warning Signs Nursing Mnemonic (CHILD ABUSE)

CHO, CHO, CHON Nursing Mnemonic (CHO, CHO, CHON)

Cholinergic Crisis – Signs and Symptoms Nursing Mnemonic (SLUDGE)

Circulatory Checks (5 P’s) Nursing Mnemonic (The 5 P’s)

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

Cleft Lip Repair – Post Op Care Nursing Mnemonic (CLEFT LIP)

Common Pathogens for UTI Nursing Mnemonic (KEEPS)

Common Signs of Parkinson’s Nursing Mnemonic (SMART)

Community Health Tool Nursing Mnemonic (MAP-IT)

Complications of Spinal Cord Injuries Nursing Mnemonic (ABCDEFG)

Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)

Nursing Care and Pathophysiology for Heart Failure (CHF)

COPD management Nursing Mnemonic (COPD)

Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)

Coronary Arteries – Location Nursing Mnemonic (I have a RIGHT to CAMP if you LEFT off the AC)

Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)

Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)

Cranial Nerve Mnemonic 03 Nursing Mnemonic (On Old Obando Tower Top A Filipino Army Guards Villages And Huts)

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

Cushings Assessment Nursing Mnemonic (STRESSED)

Cyanotic Defects Nursing Mnemonic (The 4 T’s)

Decrease ICP Nursing Mnemonic (Craniums Excite Me)

Dementia Nursing Mnemonic (DEMENTIA)

Depression Assessment Nursing Mnemonic (SIGNS)

Diabetes Insipidus Nursing Mnemonic (DDD)

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)

Diarrhea – Treatment Nursing Mnemonic (BRAT)

Dissociative Disorders

Diverticulitis Complications Nursing Mnemonic (Please Fix His Abscess SOon)

DKA Treatment Nursing Mnemonic (KING UFC)

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)

Drugs that Cause SJS Nursing Mnemonic (I C NASA)

Electrolytes – Location in Body Nursing Mnemonic (PISO)

Emergency Drugs Nursing Mnemonic (LEAN)

Environmental Health Assessment Nursing Mnemonic (I PREPARE)

Epiglottitis – Signs and Symptoms Nursing Mnemonic (AIR RAID)

Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)

Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)

Exercise Guidelines Nursing Mnemonic (FIT)

Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)

Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)

Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)

Fire Safety 1 Nursing Mnemonic (PASS)

Fire Safety 2 Nursing Mnemonic (RACE)

Flu Symptoms Nursing Mnemonic (FACTS)

GERD causes Nursing Mnemonic (Reflux Is Probably Mean)

Global Symptoms for Brain Tumors Nursing Mnemonic (HAS)

Gluten Free Diet Nursing Mnemonic (BROW)

Heart Failure – Right Sided Nursing Mnemonic (HEAD)

Heart Failure-Left-Sided Nursing Mnemonic (CHOP)

Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)

Heart Sounds Nursing Mnemonic (APE To Man – All People Enjoy Time Magazine)

HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)

Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)

Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)

Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)

High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)

High Risk Behavior Nursing Mnemonic (HEADSS)

Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)

Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)

Hyperkalemia – Causes Nursing Mnemonic (MACHINE)

Hyperkalemia – Management Nursing Mnemonic (AIRED)

Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)

Hypernatremia – Causes Nursing Mnemonic (MODEL)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)

Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)

Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)

Hypertension – Nursing care Nursing Mnemonic (DIURETIC)

Hypertension- Complications Nursing Mnemonic (The 4 C’s)

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)

Hypoglycemia symptoms Nursing Mnemonic (DIRE)

Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)

Hyponatremia- Definition, Signs and Symptoms Nursing Mnemonic (SALT LOSS)

Hypoxia – Signs and Symptoms (in Pediatrics) Nursing Mnemonic (FINES)

Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)

IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)

Increase MAP Nursing Mnemonic (VAK)

Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)

Insulin Mnemonic (Ready, Set, Inject, Love)

Interventions for Aphasia Nursing Mnemonic (PROP)

Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)

Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)

Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)

Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)

Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)

Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)

Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)

Management of Glomerulonephritis Nursing Mnemonic (Please Help Deliver Diuretics)

Management of Lyme Disease Nursing Mnemonic (BAR)

Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)

Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)

MAO Inhibitors Nursing Mnemonic (TIPS)

Medication Classess for IBD Nursing Mnemonic (Sometimes I Can’t Answer)

Medications for Pancreatitis Nursing Mnemonic (Please Make Tummy Better)

Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)

Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)

Mnemonic for Organ Systems (MR DICE RUNS)

Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)

Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)

Nursing Care and Pathophysiology of Myocardial Infarction (MI)

Myocardial Infarction Nursing Mnemonic (MONATAS)

OB Non-Stress Test Results Nursing Mnemonic (NNN)

OLD CARTS Mnemonic (OLD CARTS)

Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)

Pain Assessment Questions Nursing Mnemonic (OPQRST)

Nursing Care and Pathophysiology for Parkinsons

Pediatric Gastrointestinal Dysfunction – Diarrhea

Pharmacokinetics Nursing Mnemonic (ADME)

Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)

Pneumonia Risk Factors Nursing Mnemonic (VENTS)

Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)

Possible Infections During Pregnancy Nursing Mnemonic (TORCH)

Post-Partum Assessment Nursing Mnemonic (BUBBLE)

Postpartum Hemorrhage (PPH)

Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate

Pregnancy Outcomes Nursing Mnemonic (GTPAL)

Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)

Process of Labor – Mom Nursing Mnemonic (4 P’s)

Process of Labor – Baby Nursing Mnemonic (ALPPPS)

Promotion and Evaluation of Normal Elimination Nursing Mnemonic (POOPER SCOOP)

Prostate Nursing Mnemonic (FUN)

Proton Pump Inhibitors

Pulmonary edema treatment Nursing Mnemonic (MAD DOG)

Pupil Reactions Nursing Mnemonic (PERRLA)

Reactivation of Herpes Zoster Nursing Mnemonic (FICA)

Reasons for a Bronchoscopy Nursing Mnemonic (Please Assess His Weird Bronchoscopy Results)

Reasons for Chest Tube Nursing Mnemonic (Don’t Ever Fail)

Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)

Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)

Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)

Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)

Safety Check Nursing Mnemonic (MADLE)

SBAR Communication Nursing Mnemonic (SBAR)

Scleroderma Symptoms Nursing Mnemonic (CREST)

Seizure Causes Nursing Mnemonic (VITAMIN)

Seizure Documentation Nursing Mnemonic (TDOC)

Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)

Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)

Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)

Signs of Osteoarthritis Nursing Mnemonic (OSTEO)

Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)

SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)

Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)

Stages of Hepatitis Nursing Mnemonic (PIP)

Steps in the Nursing Process 1 Nursing Mnemonic (ADPIE)

Steps in the Nursing Process 2 Nursing Mnemonic (AAPIE)

Steps In The Nursing Process 3 Nursing Mnemonic (SOAPIE)

Steroids – Side Effects Nursing Mnemonic (6 S’s)

Stoke Assessments Nursing Mnemonic (FAST)

Symptoms of Hyperthyroidism Nursing Mnemonic (SWEATING)

Symptoms of Hypothyroidism Nursing Mnemonic (MOM’S SO TIRED)

Symptoms of Nephrotic Syndrome Nursing Mnemonic (NAPHROTIC)

Symptoms of Wernicke’s Encephalopathy Nursing Mnemonic (COAT)

TB Drugs Nursing Mnemonic (RIPE)

Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)

Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)

Traction – Nursing Care Nursing Mnemonic (TRACTION)

Transient Incontinence – Common Causes Nursing Mnemonic (P-DIAPERS)

Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)

Trauma – Complications Nursing Mnemonic (TRAUMATIC)

Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)

Treatment of Sickle Cell Nursing Mnemonic (HOP to the hospital)

Triage Nursing Mnemonic (START)

Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)

Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)

Types of Hemorrhoids Nursing Mnemonic (Pie)

Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)

Umbilical Cord Vasculature Nursing Mnemonic (2A1V)

Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)

Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)

Vasospasm Therapy Nursing Mnemonic (Triple H Therapy)

VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)

Vitamins – Fat Soluble Nursing Mnemonic (All Dogs Eat Kibble)

Vitamins – Water Soluble Nursing Mnemonic (Birth Control)

Walkers Nursing Mnemonic (Wandering Wilma Always Late)

Who Needs Dialysis Nursing Mnemonic (AEIOU)

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