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

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Addisons Disease

Addisons Disease

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10 Addisons Disease NCLEX Questions

Question 1 of 10

The nurse is caring for a client who is starting a long-term regimen of glucocorticoids for adrenal insufficiency. Which of the following teaching points is appropriate for the nurse to include when educating the client on this medication? Select all that apply.

Glucocorticoids should be used carefully if diabetes mellitus is present

Glucocorticoids mask the signs of infection

Hyperglycemia is a side effect of glucocorticoids

Glucocorticoids decrease the risk of osteoporosis

The client should monitor for weight gain and edema

Question 2 of 10

The nurse is caring for a client with Addison disease. Which of the following manifestations of this condition should the nurse expect? Select all that apply.

Chronic fatigue

Muscle weakness

Weight gain

Hypertension

Abdominal bloating

Question 3 of 10

The client needs replacement of the hormones necessary for the regulation of fluid and electrolyte balance within the body. Which hormones will the nurse expect to replace? Select all that apply.

Antidiuretic hormone (ADH)

Angiotensin

Renin

Cortisol

Aldosterone

Question 4 of 10

What structure is circled in yellow in this image?

Pituitary gland

Adrenal gland

Pancreas

Pons

Question 5 of 10

The nurse walks into a client’s room and notices that their skin is a dark bronze color. The nurse knows this could indicate which of the following diseases?

Alcoholism

Huntington's disease

Bell's palsy

Addison's disease

Question 6 of 10

A provider has prescribed hormone replacement therapy for a client who has Addison’s disease. The nurse who is caring for this client understands the difference between Addison’s disease and Cushing’s syndrome as which of the following?

Addison's causes signs of masculinity in women while Cushing's causes atrophy of skin, tissues, and hair

Addison's requires treatment with lifetime hormone replacement therapy while Cushing's does not

Addison's is caused by hyperplasia of the adrenal gland while Cushing's is caused by pituitary enlargement

Addison's occurs as the result of decreased secretions of hormones while Cushing's occurs as a result of increased secretion

Question 7 of 10

A nurse reads in a client’s H&P that the client is deficient in a hormone that stimulates the adrenal cortex. What is an appropriate term for this hormone?

corticosteroid hormone

adrenal cortectomy

adrenotropin

adrenocorticotropic hormone

Question 8 of 10

A nurse is caring for a client who has been diagnosed with Addison’s disease. The nurse is teaching about symptoms of Addisonian crisis in order to best manage and prevent it before it occurs. What symptoms should the client look for that the nurse should include as part of teaching? Select all that apply.

High blood pressure

Generalized weakness

Sudden pain in the lower back or abdomen

Severe headache

Dehydration

Question 9 of 10

A client is experiencing an adrenal crisis due to Addison’s Disease. Which of the following would NOT be a priority nursing intervention for this client?

Monitor for hypocalcemia

Monitor for hyponatremia

Monitor for fluid volume deficit

Monitor for hypoglycemia

Question 10 of 10

A client is newly diagnosed with Addison’s disease. The nurse understands that this condition includes a decrease of which of the following hormones? Select all that apply.

Testosterone

Androgen

Glucocorticoids

Mineralcorticoids

Insulin

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Included In This Lesson

ADPIE Related Lessons

Additional Lessons

Study Tools For Addisons Disease

Addisons Assessment (Mnemonic)

Adrenal Gland Hormones (Mnemonic)

Addisons Pathochart (Cheatsheet)

Endocrine System Study Chart (Cheatsheet)

Addison’s vs. Cushing’s (Cheatsheet)

Addison’s Disease Tan and Weight Loss (Image)

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Outline

Pathophysiology:

Addison’s occurs because there is an elevated level of serum ACTH and inadequate amounts of corticosteroids.

Overview

Hyposecretion of adrenal cortex hormones
Decreased levels of glucocorticoids and mineralocorticoids leads to
1. Electrolyte imbalances
2. Decreased vascular volume
Fatal if untreated

Nursing Points

General

Adrenal Cortex
1. Glucocorticoids
  1. Cortisol
  2. Glucose & Fat Metabolism
  3. Anti-inflammatory
2. Mineralocorticoids
  1. Aldosterone
  2. Regulate fluid and electrolytes
3. Sex hormones (Androgens)
  1. Testosterone, Estrogen
  2. Control physical features
  3. Control hair distribution
Adrenal Medulla
1. Epinephrine (Adrenaline)
2. Norepinephrine (Noradrenaline)
3. Fight or Flight Response

Assessment

Cardiovascular
1. Hypotension
2. Tachycardia
Metabolic
1. Weight loss
Integumentary
1. Hyperpigmentation (bronzing)
Electrolytes
1. Hyperkalemia
2. Hypercalcemia
3. Hyponatremia
4. Hypoglycemia
Addisonian Crisis
1. Acute exacerbation
2. Severe electrolyte disturbance

Therapeutic Management of Addisons Disease

Replace adrenal hormones
1. Corticosteroids
  1. Hydrocortisone
  2. Prednisone
Addisonian Crisis
1. Monitor electrolytes and cardiovascular status closely
2. Administer adrenal hormones as ordered
3. Administer electrolyte replacement as needed

Nursing Concepts

Fluid & Electrolytes
1. Monitor Vital Signs
2. Monitor electrolytes (potassium, sodium, calcium)
3. Replace electrolytes as needed
Hormone Regulation
1. Administer replacement adrenal hormones as needed
2. Lifelong medication therapy needed
Glucose Metabolism
1. Monitor glucose levels
2. Treat low blood sugar

Patient Education

Increase salt and water intake if exercising
S/s of Addisonian Crisis
May require increased medication dosing if ill, notify provider

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ADPIE Related Lessons

Related Nursing Process (ADPIE) Lessons for Addisons Disease

General Assessment (Physical assessment)

Head to Toe Nursing Assessment (Physical Exam)

Adult Vital Signs (VS)

Diagnose Lessons

Cortisol Lab Vales

Diagnose Lessons

Glucose Lab Values

Diagnose Lessons

Blood Glucose Monitoring

Implement Lessons

Corticosteroids

Implement Lessons

Cortisone (Cortone) Nursing Considerations

Implement Lessons

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Implement Lessons

Sodium-Na (Hypernatremia, Hyponatremia)

Implement Lessons

Potassium-K (Hyperkalemia, Hypokalemia)

Supplemental Lessons

Addisons Assessment Nursing Mnemonic (STEROID)

Supplemental Lessons

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

Supplemental Lessons

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Transcript

In this lesson we’re going to talk about Addison’s Disease. You’ll see that this is the opposite of Cushing’s Syndrome which we’ll talk about in the next lesson. Addison disease and cushing syndrome involve the adrenal glands.

Let’s quickly review the A&P of the adrenal glands. If you can understand what they do, it’s easier to understand what happens when something goes wrong. The adrenal glands sit on top of the kidneys. They have two parts – the outer portion is called the adrenal cortex, the inner portion is the adrenal medulla.

The adrenal cortex is responsible for secreting hormones such as glucocorticoids, mineralocorticoids, and androgens.

Function of the Adrenal Glands

Glucocorticoids help manage glucose and fat metabolism and have anti-inflammatory properties – they suppress immune response.
Mineralocorticoids like aldosterone help with fluid & electrolyte balance.
And androgens are sex hormones like testosterone and estrogen.

The adrenal medulla secretes epinephrine or adrenaline and norepinephrine, or noradrenaline. These hormones are responsible for the fight or flight response in the sympathetic nervous system.

In Addison’s Disease, we see a hyposecretion of hormones, specifically the ones from the adrenal cortex, the outside of the adrenal glands. So that’s decreased glucocorticoids like cortisol, decreased mineralocorticoids like aldosterone, and decreased androgen hormones. Start thinking about what this will look like in your patient.

Cortisol is responsible for storing fat and it increases glucose levels, so what happens if we don’t have that?
Aldosterone is responsible for retaining sodium and water, what happens if we don’t have that?

Those effects are going to be seen throughout the body. In the cardiovascular system, we’re going to see hypotension – why? Because there’s not enough aldosterone holding onto fluids – so our intravascular volume goes down. Remember from the hemodynamics lesson that when the blood pressure goes down, the heart rate increases to try to compensate, right? So we see tachycardia as well. Remember that cortisol is responsible for storing fats, so without enough cortisol, we see weight loss.

Patients with Addison’s disease also have this hyperpigmentation or bronzing of the skin. We may even say they have a persistent tan. Sometimes these initial symptoms are ignored – they’ve got tan, they’re losing weight – they won’t recognize that as a bad thing – but then they’ll start to get tired and fatigued from the low blood pressure and that’s when they’ll start to seek help.

Then, since we know that our mineralocorticoids are affected, we’re going to see electrolyte abnormalities. Remember that aldosterone is responsible for retaining sodium and water….so if we don’t have enough, we see sodium levels drop. And any time the kidneys are excreting sodium, they are retaining potassium, so we’re gonna start to see hyperkalemia. Both of these conditions are dangerous for patients because of their effects on the cardiovascular and neurological systems. We’ll also see hypercalcemia – because normally glucocorticoids help bones absorb calcium – and hypoglycemia because the glucocorticoids aren’t present to increase glucose levels. These patients could get quite hypoglycemic, so we need to monitor their sugars closely and treat low blood sugars.

Patients with Addison’s Disease can also have what’s called Addisonian Crisis. This is essentially an acute exacerbation of their disease. We see extreme symptoms, severe hypoglycemia, severe electrolyte abnormalities, and ultimately we can see cardiovascular collapse because of the lack of those hormones. This is a medical emergency, they need to be on a cardiac monitor and likely in an ICU until their condition is under control.

Addison’s Disease Treatment

Now….what kinds of things would we do for them? Well – we know this is a lack of secretion of hormones, right?

So the #1 treatment is to replace those hormones!

Primarily we will give these patients corticosteroids like Prednisone. They may also get mineralocorticoids like Fludrocortisone to help replace the functions of aldosterone. We will also replace their electrolytes as needed, usually this looks like encouraging them to increase their salt and water intake, especially before exercise. These patients will need to be on these medications for the rest of their lives. It can be a big adjustment, but they’ll feel so much better afterwards. This image is the same lady from the previous slide, except after treatment. You can see her cheeks have filled out, she no longer has the hyperpigmentation of her skin, and she just overall looks healthier. She will stay on these medications for the rest of her life.

When we have these patients in the hospital, especially those in Addisonian crisis, we want to monitor their vital signs and EKG closely, monitor their electrolytes, and monitor their blood sugar. We need to make sure we have a plan for treating their blood sugar levels. We’ll talk more about this in the Diabetes lesson, but the general rule when treating a low blood sugar is the 15-15 rule. Give 15g of sugar (Usually juice works great) and re-check in 15 minutes. If they have a decreased LOC and can’t take anything by mouth, we’ll usually give ½ amp or an amp of D50 IV or we could even give glucagon IM to get their sugars up.

Our priority concepts for a patient with Addison’s Disease are going to be Fluid & Electrolytes, Hormone Regulation, and Glucose Metabolism. Make sure you check out the care plan attached to this lesson to see more detailed nursing interventions and rationales.

So let’s do a quick recap. Addison’s disease is hyposecretion of hormones from the adrenal cortex – so decreased glucocorticoids, decreased mineralocorticoids, and decreased androgens. The androgen effects don’t play as much of a role in Addison’s as they do in Cushing’s as you’ll see. We see alterations in their fluid and electrolytes. A decreased vascular volume causes hypotension, they are excreting sodium and retaining potassium, and will have a high calcium and low blood sugar levels. Left untreated, patients can experience cardiac arrhythmias and lead into an acute exacerbation called Addisonian crisis. That leads to severe electrolyte abnormalities and potentially cardiovascular collapse and is an emergent situation. So make sure you advocate to get your patient to a higher level of care if needed.

So those are the basics of Addison’s Disease. Make sure you check out all the resources attached to this lesson to learn more. Now, go out and be your best selves today. And, as always, happy nursing!

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

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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

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Addisons Disease

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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)

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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)

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AVPU Mnemonic (The AVPU Scale)

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

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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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