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

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Triage

Triage

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10 Triage NCLEX Questions

Question 1 of 10

The nurse in the trauma bay is concerned that a client is suffering from a stomach injury related to a gun shot wound. Which of the following signs and symptoms is the nurse observing?

Right upper quadrant spasms and guarding

A palpable abdominal mass

Pain in the epigastrium or upper left quadrant

Pain in the left shoulder

Question 2 of 10

A client is brought into the trauma bay after being stabbed in the abdomen with a 12 inch knife. The blade is still present in the client. The client is complaining of severe abdominal pain and is restless. After completing the initial survey, which of the following is the next thing the nurse should do?

Remove the knife

Intubate the client

Stabilize the knife

Insert a chest tube

Question 3 of 10

A nurse is performing triage on clients who are brought to the hospital after a nearby train accident. Which nursing assessments or actions occur during the primary triage survey? Select all that apply.

Checking pulses

Assessing neurological status

Positioning the client to ensure proper airway

Noting increased work of breathing

Observing for signs of rash or infection

Question 4 of 10

Four clients arrive to the emergency room triage with the following conditions. Which client should be seen first?

Vaginal bleeding on and off for a month

Leg abscess

Burning upon urination

Pelvic pain that started after gymnastics practice

Question 5 of 10

The nurse knows that common mechanisms of injury involved in penetrating trauma include all of the following except which of the following?

Stabbings

Impalements

Motor vehicle collisions

Gunshot wounds

Question 6 of 10

There has been a bombing at the convention center downtown. The nurse is working in the emergency department and has been notified that approximately 58 clients are on the way to the hospital facility. Which clients will be given the highest priority?

Clients requiring life support

All children under 2

Actively dying clients

Clients with life-threatening yet survivable injuries

Question 7 of 10

The triage nurse is working in the emergency department. Which of the following clients would the nurse classify as priority 2, or urgent? Select all that apply.

Wrist fracture

Chest pain

SBP 168/95

Facial weakness

Fever of 103.2

Question 8 of 10

A new nurse is learning how to triage and prioritize clients. The nurse has the following four clients waiting for a room and knows that the client with which of the following is the priority?

Injured hand from being slammed in a door

New onset left sided weakness

Sharp RLQ abdominal pain 6/10

Back and neck pain from an MVC

Question 9 of 10

After receiving report on four clients the emergency room nurse should see the client with which of the following diagnosis first?

Chronic back pain 8/10

Liver failure and now has petechiae

Ovarian cyst

Cellulitis that is now itchy

Question 10 of 10

Right at shift change, four clients arrive to the emergency room and the nurse is putting them on the board in order of priority. The client with which of the following should be the first priority?

Shortness of breath, tachypnea, and tachycardia with an SpO2 of 97%

Recent cardiac catheterization with a 2cm hematoma over the right femoral artery

Cerebral palsy with a new pressure ulcer on their right buttocks

Coffee ground emesis, hematochezia, cap refill 4 seconds, BP 90/50

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Outline

Overview

Triage
1. What is triage?
2. Situations for triage

Nursing Points

General

What is triage?
1. Categorization system that establishes severity
2. Method of Prioritization
ESI Emergency Triage Algorithm
1. ESI is the algorithm used by emergency rooms to triage
  1. Does the situation require a life-saving, immediate intervention?
  2. Is the situation high risk? Is the patient lethargic or confused? Is the patient in severe distress or pain?
  3. Is the patient’s vital signs in a dangerous range?
  4. How many additional resources are needed?
    1. If 1 or more additional resources are needed, it changes the algorithm.
2. See the link attached to this lesson for more information
Situations
1. Emergency Department
  1. Emergent
    1. Needs immediate treatment
    2. Right now
    3. Ex: Trauma, Stroke, MI, Head injuries
  2. Urgent
    1. Needs to be seen in 1-2 hours
    2. Ex: Fever, HTN, Fractures
  3. Non Urgent
    1. Can wait
    2. Stable Patients
    3. Ex: Sprains, minor injuries, cold/virus
2. Disasters
  1. Survivable Injuries
    1. Immediate threat of death
    2. Stable Patients
  2. Non Survivable Injuries
    1. Dead on arrival or actively dying with non-survivable injuries

Nursing Concepts

Prioritization
Clinical Judgment

Patient Education

Educate patients who are in the ER waiting room with stable illnesses or minor injuries that there are other patients that have life-threatening emergencies
1. Be compassionate
2. Be patient

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Transcript

All right. We’re gonna talk about Triage. Now this stuff is pretty cool. I really enjoy trauma and triage, and stuff like that, so we’re gonna talk about this and let you know what you need to know to understand how things are working in a hospital, but we’re gonna go pretty high level with this. There’s some associated links and stuff in here that you can use to help you understand it a little bit better.

But, what is triage? Triage really is nothing more than just a categorization system. It establishes the severity of an illness or injury. It’s really used in an emergency or disaster situations to determine which patients have injury, illness, and what degree of injury or illness they have and how we should then treat that. Now it’s really a method of prioritization for these types of situations.

Now let’s talk now about ESI, or the Emergency Severity Index. This is really an algorithm used by emergency rooms to triage patients. This is really used in day to day life inside the emergency room triage. What it does is it really helps us answer which patients needs to be addressed faster. Does the situation require a life saving immediate intervention? Is the situation a high risk situation? Is the patient lethargic or confused, or is the patient in severe pain or distress? Does the patient have vital signs that are in dangerous zones, so are they massively elevated or massively low, or are the patients signs just up a little bit, down a little bit, or are they normal?

And then how many resources are needed for the patient? The interesting thing here is the higher number equals better for this patient. Okay. If one or more resources are needed it starts to change the algorithm. Now there’s a link in this lesson that shows you how the ESI is calculated, so I’d encourage you to go check that out. Don’t spend too much time with it, but just know that, that’s there. It’s something that’s used to gauge the severity of different patients.

In the Emergency Department they might also say the patient has an emergent need, an urgent need, or non-urgent need. If a patient has an emergent need they need treatment right now. We can’t wait. We must take care of them now. They need immediate treatment. This would be things like trauma, stroke, MI, head injuries. For many of these injuries there’s specific time frames that certain things must be done, okay. For MI and for stroke there’s certain time frames where we must get CT, we must get a needle, we must get medications done within a certain time frame.

Then we have urgent needs. These are patients that need to be seen within one or two hours. The patient might have a fever that’s climbing. They might have hypertension that’s also climbing. They might have fractures. These are issues or situations that we need to address, but we have some time with this. It’s not completely emergent, it’s urgent.

Then we have non-urgent situations. These are stable patients, or patients with minor injuries. Your patient might have a sprain. They might have a minor injury. They might have a cold, or a virus. They’re not comfortable. They have something going on, but we don’t have to address something right now. We have more than a couple hours to deal with it.

Now in disaster situations patients are separated by the survivability of their injury. So, if the patient has a survivable injury we say that they’re in … but they’re in an immediate threat of death, they get this color code of red. It’s an emergent patient. It’s something we must deal with right now. They’re in immediate threat of death. We call them a Code Red. Now if the patient is stable but urgent, something that must be dealt with very soon, they’re a Code Yellow. If the patient is stable then they’re a Code Green. Now in disaster situations they use something a little bit different. They use this color coding system to help identify patients and what their needs are in these situations, so they’re really separated by survivability, whether the patient’s injuries are survivable or non-survivable.

Survivable injuries are separated out by either immediate threat of death, or stable. If the patient is in immediate threat of death then they have emergent needs, something we must deal with absolutely right now. They get a Code Red. If the patient is stable, but they have urgent needs they’re a Code Yellow. If the patient is stable and has no injuries going on, but they’re there and they might have minor needs then that patient is a Code Green.

Then we have our non-survivable injuries. The first one would be dead on arrival. We can’t do anything for this patient. This patient has passed. There’s nothing we can really do. Then you have your actively dying patients. These patients are going to die if nothing is done. Now, we still make all efforts that we can to make these patients comfortable via comfort care, things like morphine. We try to make these patients comfortable, but they are actively dying. Then we have our currently alive patients with non-survivable injuries. These patients are Code Black. Okay. We can’t really do anything for these patients. They’re either dead on arrival, actively dying, or currently alive with non-survivable injuries.

All right guys, so what are the nursing concepts you need to be aware with this? First, we would be prioritization. It’s so important that we understand how patients are triaged both in the emergency room, or in disaster situations. That’s the first nursing concept you would look at. Then clinical judgment. Our job as nurses is to understand what needs to be done now, what needs to be done soon, and what could be held off. These triaging strategies are used to help you know what patients must be seen now and which ones can be held off.
Let’s talk about some of the key points that we just covered here. First would be prioritization. Triage is really a method for categorizing the severity of injuries and focusing on the patients that need to be prioritized first versus later. It’s very situational. It’s used in Emergency Departments as well as in disaster situations. They have different ways of doing that in emergency rooms like the ESI, and then in disaster situations with the color coding. And then it’s done by severity. It’s either emergent, urgent, non-urgent. This is in emergency rooms and they use the ESI as well. And then in disaster settings it’s really done by the survivability of the injury, whether it’s survivable, non-survivable. They assign color codes to these patients.

All right, guys. That’s a quick overview of Triaging. That should help you understand what happens in a hospital, what happens in a disasters, a quick overview of that. Make sure you check out all the links and the different resources with this lesson to help you understand a little bit more. Now go out and be your best selves today. Happy Nursing.

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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

Urinalysis (UA)

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

Complications of Immobility

Prolapsed Umbilical Cord

Acute Otitis Media (AOM)

Placenta Previa

Abruptio Placentae (Placental abruption)

Urinary Elimination

Bowel Elimination

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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