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Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

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Outline

Objective for Congestive Heart Failure (CHF)

 

What is Congestive Heart Failure?

 

Imagine your heart is like a pump in a garden watering system. In Congestive Heart Failure, this pump isn’t working as well as it should. It doesn’t mean the heart has stopped working, but it’s struggling to pump blood efficiently. This is like a garden pump that’s weak and can’t push water through the system effectively.

 

Why the Heart Struggles:

 

The heart might be too weak or stiff. When it’s weak, it can’t pump blood out well (like a pump that’s lost power). When it’s stiff, it can’t fill up with enough blood (like a pump that can’t draw enough water).

 

Effects on the Body:

 

Because the heart can’t pump properly, blood can back up in other parts of the body. Imagine a watering system where water starts pooling in the wrong places because it’s not being pumped out correctly.

This can lead to swelling in the legs and fluid in the lungs, making it hard to breathe.

 

Upon completion of this care plan, nursing students will be able to:

  • Understand the pathophysiology of Congestive Heart Failure (CHF), including the impaired pumping function of the heart and the resulting hemodynamic changes.
  • Conduct a comprehensive nursing assessment, integrating signs and symptoms of CHF, risk factors, and potential complications.
  • Formulate and prioritize nursing diagnoses, addressing both physiological and psychosocial aspects of CHF management.
  • Develop evidence-based nursing interventions, focusing on optimizing cardiac function, promoting fluid balance, and preventing exacerbations.
  • Educate patients on self-management strategies, including medication adherence, dietary considerations, and symptom monitoring to improve quality of life and reduce hospital readmissions.

Pathophysiology for Congestive Heart Failure (CHF)

 

  • Left-Sided Heart Failure:
    • Cause: Typically arises from conditions such as coronary artery disease, hypertension, or myocardial infarction.
    • Pathophysiology:
      • Systolic Dysfunction: The left ventricle fails to contract forcefully during systole, reducing the amount of blood ejected into the systemic circulation.
      • Diastolic Dysfunction: The left ventricle fails to relax adequately during diastole, impairing its ability to fill with blood.
    • Consequences: Decreased cardiac output leads to inadequate oxygen delivery to systemic tissues, resulting in fatigue, dyspnea, and impaired exercise tolerance.
  • Right-Sided Heart Failure:
    • Cause: Often secondary to left-sided heart failure, chronic lung diseases (such as COPD), or conditions affecting the right ventricle directly.
    • Pathophysiology:
      • Impaired Right Ventricular Function: Inability of the right ventricle to effectively pump blood into the pulmonary circulation.
    • Consequences: Backflow of blood into the systemic venous circulation, leading to systemic congestion, peripheral edema, and hepatomegaly.
  • Compensatory Mechanisms:
    • Neurohormonal Activation: The body activates compensatory mechanisms such as the renin-angiotensin-aldosterone system (RAAS) and sympathetic nervous system to maintain cardiac output.
    • Vasoconstriction and Fluid Retention: These mechanisms, while initially adaptive, contribute to increased afterload, myocardial workload, and fluid retention, eventually exacerbating heart failure.
  • Chronic Inflammation and Remodeling:
    • Inflammatory Response: Chronic inflammation and cellular damage contribute to structural changes in the myocardium, leading to cardiac remodeling.
    • Fibrosis and Hypertrophy: Fibrous tissue replaces damaged myocardial cells, contributing to hypertrophy and impaired contractility.

Etiology for Congestive Heart Failure (CHF)

 

  • Coronary Artery Disease (CAD):
    • Atherosclerosis and myocardial infarction contribute to impaired cardiac function.
  • Hypertension:
    • Persistent high blood pressure leads to increased afterload, causing hypertrophy and eventual heart failure.
  • Cardiomyopathy:
    • Structural changes in the heart, such as dilated or hypertrophic cardiomyopathy, can result in impaired ventricular function.
  • Chronic Lung Diseases:
    • Conditions like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, affecting the right side of the heart.
  • Valvular Heart Disease:
    • Malfunctioning heart valves, such as aortic or mitral valve issues, can impact cardiac output and contribute to heart failure.

Desired Outcome for Congestive Heart Failure (CHF)

 

  • Optimized Cardiac Function:
    1. Short-term goal: Improve cardiac output and reduce symptoms of heart failure.
  • Fluid Balance Maintenance:
    1. Short-Term Goal: Achieve and maintain euvolemia and prevent fluid overload.
  • Symptom Relief:
    1. Short-Term Goal: Alleviate symptoms such as dyspnea, fatigue, and edema.
  • Medication Adherence:
    1. Intermediate-Term Goal: Ensure consistent adherence to prescribed medications.
    2. Interventions: Provide patient education on the purpose and potential side effects of medications. Develop a medication schedule and address barriers to adherence.
  • Lifestyle Modification:
    1. Intermediate-Term Goal: Encourage and support lifestyle changes to improve heart health.
    2. Interventions: Collaborate with a dietitian to develop a heart-healthy diet plan, encourage regular physical activity within the patient’s capabilities, and promote smoking cessation if applicable.

 

Congestive Heart Failure (CHF) Nursing Care Plan

 

Subjective Data:

  • Difficulty in Breathing
  • Heart palpitations or feeling like the heart is racing.
  • Weakness
  • Fatigue
  • Reports significant weight gain or loss

Objective Data:

  • Peripheral edema
  • JVD
  • Crackles in the lung bases
  • Coughing
  • Pink, frothy sputum
  • SOB with exertion
  • ↓ SpO2
  • Tachycardia
  • Possible Atrial Fibrillation on ECG
  • ↓ LOC
  • Signs of decreased perfusion
    • ↓ pulses
    • Cool, clammy skin
    • Diaphoretic
    • Slow cap refill
    • Possible cyanosis or dusky skin

Nursing Assessment for Nursing Care Plan for Congestive Heart Failure (CHF)

  • Health History:
    • Current Symptoms: Document the presence and severity of symptoms such as dyspnea, fatigue, orthopnea, paroxysmal nocturnal dyspnea, and peripheral edema.
    • Medical History: Obtain information on prior cardiac events, hypertension, diabetes, and any other chronic conditions affecting cardiac function.
    • Medication History: Review the patient’s current medications, noting compliance, and potential side effects.
  • Physical Examination:
    • Vital Signs: Monitor blood pressure, heart rate, respiratory rate, and temperature. Note any signs of tachycardia, hypertension, or hypotension.
    • Cardiovascular Examination: Assess for abnormal heart sounds (e.g., S3 gallop), jugular venous distension, and peripheral edema.
    • Respiratory Examination: Auscultate lung sounds for crackles or wheezing, and assess respiratory effort.
  • Fluid Balance Assessment:
    • Daily Weights: Implement a daily weight monitoring system to detect fluid retention.
    • Edema Assessment: Evaluate for peripheral edema, noting location, pitting, and degree.
  • Nutritional Assessment:
    • Dietary Habits: Assess the patient’s dietary habits, particularly sodium and fluid intake. Collaborate with a dietitian to develop a heart-healthy diet plan.
    • Weight Changes: Monitor for unintended weight gain or loss.
  • Medication Adherence:
    • Review Medications: Verify the patient’s understanding and adherence to prescribed medications.
    • Side Effects: Assess for any medication side effects, especially those related to diuretics or changes in blood pressure.
  • Psychosocial Assessment:
    • Emotional Well-being: Evaluate the patient’s emotional state, addressing potential anxiety or depression related to the chronic nature of CHF.
    • Support System: Identify available support from family and friends.

Nursing Interventions and Rationales Nursing Care Plan for Congestive Heart Failure

 

  • Monitor heart rhythm with telemetry; obtain a 12 lead ECG
  • Patients with CHF will have a low voltage ECG after peripheral edema is resolved the ECG gains voltage again and becomes more of a normal-looking ECG.
  • Patients may also have Atrial Fibrillation – a condition in which the atria quiver instead of contracting – which can lead to the development of heart failure.
  • May also see signs of current or previous ischemia or infarction.
  • Restrict sodium intake

  Water follows salt! The patient has too much fluid on board and needs to get rid of it, restricting the sodium helps with this. This means educating the patient on dietary changes that need to happen and be adhered to.

  • 300-600 mg of salt per serving.
  • Avoid processed foods or lunch meats
  • Do not add salt to meals

Caution with a salt substitute in renal insufficiency – it is made with potassium chloride and can raise the patient’s K+!

  • Monitor BNPNormal range: <100 pg/mL
  Brain natriuretic peptide (BNP): is a hormone made by the heart. When the heart is stressed or working hard to pump blood, it releases BNP.
  • Assess respiratory function:
    • Listen to breath sounds
    • Monitor O2 saturation
    • Apply O2 as needed
  Fluid can back up into the lungs and cause shortness of breath, especially upon exertion. Be careful about laying these patients flat as you can put them in respiratory distress. Place the patient on O2 as needed to help them keep their O2 levels adequate – usually above 92% or as ordered by the provider.
  • Administer diuretics:
      • Furosemide (Lasix) – loop diuretic (potassium wasting) 
      • Bumetanide (Bumex) – loop diuretic  (potassium wasting)
      • Hydrochlorothiazide (Microzide) – thiazide diuretic 
      • Spironolactone (Aldactone) – potassium sparing

Diuretics work on different parts of the nephrons. The goal of diuretics is to help the kidneys rid the body of salt (notice I didn’t say sodium (Na+)?) and fluids. It is important to note for every Na+ molecule there is a compound of one water (H20) that follows it. Psssst: potassium is a salt, too… There are three kinds of diuretics: Loop, Thiazide, and potassium-sparing.

  • Loop: works on the loop of Henle and excretes Na+, K+, and Ca-. Water follows. (Yikes! Watch your patient’s electrolytes!)
  • Thiazide: Works on the distal convoluted tubule and blocks the Na+/Cl- symporter (which reabsorbs…you guessed it Na+ and Cl-). This symporter is responsible for about 5% of Na+ reabsorption. So monitor your patient’s sodium and chloride. Oh, and your K+…Why? Because K+, Cl-, and Na+ have direct relationships!
  • Potassium-Sparing: Works on the Na+/K+ pumps in the collecting ducts of the kidney by blocking the effects of aldosterone at that site. Aldosterone has the collecting ducts reabsorbing Na+ and thus water, and for every Na+ absorbed, one molecule of K+ is excreted. So this diuretic does the opposite of that, saves a K+, and excretes a Na+ and H20.

The most commonly used diuretics in congestive heart failure are loop and sometimes thiazides are used with loop diuretics:

  • Furosemide: Loop
  • Bumetanide: Loop
  • Hydrochlorothiazide: Thiazide
  • Strict intake and output (I&O’s)

  These patients should only have around 8 cups of fluid or just slightly under 2 liters of fluid per day. This can change per patient and per doctor’s recommendation, so make sure to get a goal from the physician. Strict I&O means measuring every drop that goes in or out of that patient.

  • Teach the patient to drink one cup at a time and to report how many they’ve had
  • Put a hat in the toilet if the patient has bathroom privileges
  • Record foley catheter output, if the patient has one.
  • Be familiar with common beverage options and their volumes (juice, milk, coffee cup, etc.)
  • Monitor swelling/edema

  Edema is caused by volume overload due to congestion within the system. Worsening edema can indicate worsening heart failure. Edema is measured by pressing over a bony prominence, usually the top of the foot or the tibia, and is charted by a number and whether the skin bounces back or stays pitted (called pitting edema).

  • Non-pitting – doesn’t stay pitted
  • +1: mild indent, 2mm
  • +2: Moderate indent, 4mm
  • +3: Deep indent, 6mm
  • +4: Very deep indent, 8mm
  • Daily Weights
  Daily weights should be done at the same time of the day, same clothes (or none), same scale. A weight gain of 1 kg is equivalent to 1 L of fluid – notify HCP for a gain of 2 lbs in a day or 5 lbs in a week.

Evaluation of Congestive Heart Failure (CHF) Nursing Care Plan

 

  • Cardiac Function:
    • Expected Outcome: Improved cardiac function and reduced symptoms.
    • Evaluation Criteria: Compare current cardiac assessments (e.g., ejection fraction, heart sounds) with baseline measurements. Note any improvement in symptoms such as dyspnea or edema.
  • Fluid Balance:
    • Expected Outcome: Maintained euvolemia and prevention of fluid overload.
    • Evaluation Criteria: Review daily weight monitoring records and assess for signs of edema. Ensure the absence of sudden weight gain or worsening edema.
  • Symptom Relief:
    • Expected Outcome: Alleviation of symptoms such as dyspnea and fatigue.
    • Evaluation Criteria: Interview the patient to assess changes in symptomatology. Document any improvement or resolution of symptoms compared to the initial assessment.
  • Medication Adherence:
    • Expected Outcome: Consistent adherence to prescribed medications.
    • Evaluation Criteria: Verify medication records and assess the patient’s understanding of the purpose and potential side effects of each medication. Address any concerns or barriers to adherence.
  • Lifestyle Modification:
    • Expected Outcome: Positive lifestyle changes, including adherence to a heart-healthy diet and regular physical activity.
    • Evaluation Criteria: Collaborate with the patient to assess dietary habits and physical activity. Monitor changes in lifestyle choices and provide positive reinforcement.

References

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Example Nursing Diagnosis For Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)

  1. Impaired Gas Exchange: CHF often leads to inadequate oxygen exchange, resulting in symptoms like dyspnea and hypoxia. This diagnosis addresses the respiratory component.
  2. Excess Fluid Volume: CHF patients frequently experience fluid retention, leading to edema and increased cardiac workload. This diagnosis focuses on fluid management.
  3. Activity Intolerance: Due to reduced cardiac output, CHF patients may have limited tolerance for physical activity. This diagnosis helps plan appropriate activity levels.

Transcript

Today, I’m going to show how to run a nursing care plan on congestive heart failure. I know that these are hard to put together and they’re overwhelming, but stay tuned. I’ll make it super easy for you. 

 

So, of course, we are going to focus on how we write this care plan, but while doing so, you’re going to learn how to care for CHF patients, as well as how to educate them, which is super important. So, they know how to take care of themselves going home. Alright, so the cool thing about care planning is that it’s so individualized to one specific patient. We can make it as specific as we need to. 

 

First, we start off with this subjective data. These are things that are coming from the subject or the patient, so let’s say that this gentleman comes in and he tells us that he can only get to sleep nowadays in a recliner, or maybe in a bed with like three or four pillows behind him, that is not normal. That tells us that he’s having a really hard time breathing and that’s known as orthopnea. That’s something that can be seen in CHF. Next step, he tells us that he’s really short of breath, even when he’s not doing anything super strenuous or hard. He’s finding that he is having a really hard time keeping up with his oxygen demands. That’s also not normal and that’s also associated with CHF. 

 

Next step, we can use our nursing skills to find out more information in this objective data. So, we can listen to his lungs and determine that he has coarse crackles. That means that in his lung fields, he’s carrying some extra fluids and that’s what makes this coarse crackly sound. Some nurses might refer to this as junkie. So, that’s not good either and that tells us that the heart is not pumping fluids forward and actually some of them are backing up into the lungs. That’s where the C in congestive heart failure comes from. That’s the congestion they’re talking about. Okay, next step, we notice that his fingers and his toes are really pale and that tells us that they’re not getting good perfusion. Same with this next thing here. The capillary refill being prolonged tells us that the blood flow from the heart all the way down to the extremities, the hands and the feet, is not sufficient. 

 

Okay, so we work our way forward into the diagnosis section. This is where we as nurses get to decide what is really going on with this patient? What are we concerned about? This is how we move forward with building our care plan. So, we noticed that he has decreased cardiac output. Some of these things from the assessment tell us that, especially these last two here, his pale fingers and toes and his capillary refill that tells us that the heart again is not pumping out to those extremities. Next step, we also can notice that he has increased fluid volume and we notice those from the respiratory symptoms. So, these crackles, the shortness of breath, not being able to sleep, laying down flat, those will have to do with the body working too hard to manage the current volume of fluid in the plan section. This is where we determine what this patient can work towards to get feeling better. 

 

So, we can make up a few different goals here. Weight is a really, really good goal for patients who have CHF, because weight is a very sensitive indicator of how well the patient is doing and how much fluid they’re carrying around. So, we could say that the patient would participate in daily weights. That goes hand in hand with a fluid restriction. Typically, the provider will write out a fluid restriction and it will be somewhere around two liters that this patient needs to adhere to. The patient not having shortness of breath would be a huge indication that they’re doing better, right, so that’s a great goal there. They have a brisk capillary refill, so that would be something like around two seconds, instead of prolonged here, let’s say that was maybe like three or more seconds to come back. So, a brisk cap refill tells us that those fingers and toes they’re getting the blood that they need and so are all the other organs along the way. Then lastly, we always, always want our patients to understand education about all these other things that we’re working with them on in the implementation section. This is where we decide what we do as a nurse to help out our patient and if you haven’t noticed yet, there’s a trend here, right? We’re always working this way in the care plan and referring back to build the next section.

 

So, the nurse will support daily weights by helping to record them and teaching the patient how important it is to do this. When they go home, a lot of times, a good rule of thumb for these patients is to be doing this at the same time every day, wearing roughly the same amount of clothing too. That’s really important for when they go home.  The nurse can monitor this fluid restriction and make sure that the patient’s actually adhering to it. This is something that’s really, really hard to do. Think about any time you’ve been told you can’t have something, what do you want? You want that thing they say you cannot have. So, these patients are really, really thirsty for fluid so we can help them out with monitoring their intake and output and we also can help them by giving them maybe cups of ice because when you drink a big old drink, that super easy to go down, but when you give them a cup of ice, this melts down and actually has a lot less volume than straight water or other liquids would have, but they’re still feeling like they’re getting hydrated. 

 

Then for these next two goals, we can just monitor them more like we’re supposed to be doing as nurses, every shift, right? So, we monitor their cardiovascular and the respiratory systems, how we do that is by listening, right? We can listen to their hearts. We can listen to their lungs. We can observe how hard they’re working to breathe and we can keep on checking that cap refill on the shortness of breath and saying, Hmm, are they getting any better? Lastly, of course, we play a huge role in the education of this patient. So, we want them to feel confident that they can take care of themselves and that they can avoid hospital stays in the future because they know what they’re doing. They know how to manage this new diagnosis, right? That’s very important. So, for daily weights, this right here is important too. Also, one thing to know is that there may be a guideline for this patient to follow. So, maybe they need to call the doctor if they gain more than two pounds in one day or five pounds in one week and that tells us that, oh, they’re starting to have too many fluids on board. When you discharge a patient, there will be education like this, so they know exactly when they need to seek a provider’s care. We also, again, can help them to know why they’re doing this strict fluid restriction, because it’s really hard. I know when things are hard, they’re made easier when you understand, why, why do I have to do this? Why are you not letting me drink fluids? Well, it’s going to make your heart’s job a lot easier and you will continue to feel better and then heck, they can even monitor their own status at home. They can keep a journal of how frequently they’re feeling, shortness of breath. Does that happen when they do something really strenuous? Like they just went and mowed the lawn, or is it starting to happen more just at rest when someone is short of breath at rest, that is not a good sign, right? So, making sure they know all of this is very, very important. 

 

The last section here is very straight forward. We’re just asking ourselves, did this work? Did they meet their goals? So, let’s say this patient was a rockstar and they met all of their goals. So, they recorded their weights every day. They complied with her fluid restriction here, check and check. They no longer have shortness of breath at rest. Their capillary refill is back to normal and they verbalize understanding of the education you’ve given them. That would be awesome. That would be a very successful care plan, right? But, let’s say that this patient actually didn’t meet one of these goals. What would we do then? What do you think we would do? Well, we would put “not met” in this section and all we have to do is reevaluate. Sometimes that means we have to go back one section. Sometimes that means we have to go all the way back here and we just fix the problem and make it so we can eventually have this met, and that’s okay. That’s part of customizing a care plan for a patient because not every patient is going to respond the exact same way. 

 

Alright, so now you know how to do your awesome care plan. You know how to give patient care and you know how to educate these patients. We love you guys. Now, go out and be your best selves today and as always, happy nursing!

 

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Adenosine (Adenocard) Nursing Considerations
Acute Respiratory Distress
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
Acute Coronary Syndrome (ACS) Module Intro
Acute Coronary Syndrome (ACS)
Acute Confusion
Abuse and Neglect for Certified Emergency Nursing (CEN)
Abuse
02.11 12 Lead EKG- Injuries for CCRN Review
02.10 12 Lead EKG- Lead V1-V6 for CCRN Review
02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review
02.01 Hypertensive Crisis for CCRN Review
Abruptio Placenta for Certified Emergency Nursing (CEN)
Abruptio Placentae (Placental abruption)
Acyclovir (Zovirax) Nursing Considerations
Addicted Newborn
Adult Vital Signs (VS)
Alpha-fetoprotein (AFP) Lab Values
Ampicillin (Omnipen) Nursing Considerations
Anemia in Pregnancy
Antepartum Testing
Antepartum Testing Case Study (45 min)
Anti-Infective – Aminoglycosides
Anti-Infective – Lincosamide
Babies by Term
Behind The Red Line – Live Tutoring Archive
Betamethasone and Dexamethasone
Betamethasone and Dexamethasone in Pregnancy
Bicarbonate (HCO3) Lab Values
Blood Cultures
Blood Glucose Monitoring
Blood Transfusions (Administration)
Body System Assessments
Breastfeeding
Butorphanol (Stadol) Nursing Considerations
Cardiac (Heart) Disease in Pregnancy
Causes of Chorioamnionitis Nursing Mnemonic (Pregnancies Are Very Interesting)
Causes of Labor Dystocia Nursing Mnemonic (Having Extremely Frustrating Labor)
Causes of Postpartum Hemorrhage Nursing Mnemonic (4 T’s)
Certified Nurse Midwife
Chorioamnionitis
Clindamycin (Cleocin) Nursing Considerations
Congestive Heart Failure (CHF) Labs
Day in the Life of a Labor Nurse
Day in the Life of a Postpartum Nurse
Dexamethasone (Decadron) Nursing Considerations
Direct Bilirubin (Conjugated) Lab Values
Discomforts of Pregnancy
Disseminated Intravascular Coagulation (DIC)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Dystocia
Ectopic Pregnancy
Ectopic Pregnancy Case Study (30 min)
Ectopic Pregnancy for Certified Emergency Nursing (CEN)
Emergent Delivery (OB) (30 min)
Emergent Delivery for Certified Emergency Nursing (CEN)
Epidural
Episiotomy – Evaluation of Healing Nursing Mnemonic (REEDA)
Erythroblastosis Fetalis
Eye Prophylaxis for Newborn
Eye Prophylaxis for Newborn (Erythromycin)
Factors That Can Put a Pregnancy at Risk Nursing Mnemonic (RIBCAGE)
Family Planning & Contraception
Family Planning & Signs of Pregnancy – Live Tutoring Archive
Fertilization and Implantation
Fetal Alcohol Syndrome (FAS)
Fetal Circulation
Fetal Development
Fetal Distress Interventions Nursing Mnemonic (Stop MOAN)
Fetal Environment
Fetal Heart Monitoring (FHM)
Fetal Heart Monitoring Like A Pro – Live Tutoring Archive
Fetal Heart Monitoring Like A Pro 2 – Live Tutoring Archive
Fetal Wellbeing Assessment Tests Nursing Mnemonic (ALONE)
Fundal Height Assessment for Nurses
Furosemide (Lasix) Nursing Considerations
Gestation & Nägele’s Rule: Estimating Due Dates
Gestational Diabetes (GDM)
Gestational Diabetes and Why YOU Should Know About It – Live Tutoring Archive
Gestational HTN (Hypertension)
Glucagon Lab Values
Glucose Tolerance Test (GTT) Lab Values
Gravidity and Parity (G&Ps, GTPAL)
HELLP Syndrome
HELLP Syndrome – Signs and Symptoms Nursing Mnemonic (HELLP)
Hematomas in OB Nursing: Causes, Symptoms, and Nursing Care
Hemodynamics
Hemoglobin A1c (HbA1C)
Hemorrhage (Postpartum Bleeding) for Certified Emergency Nursing (CEN)
Hepatitis B Vaccine for Newborns
Homocysteine (HCY) Lab Values
Hydatidiform Mole (Molar pregnancy)
Hydralazine (Apresoline) Nursing Considerations
Hydrochlorothiazide (Hydrodiuril) Nursing Considerations
Hyperbilirubinemia (Jaundice)
Hyperemesis Gravidarum
Hyperemesis Gravidarum for Certified Emergency Nursing (CEN)
Hyperglycemia Management Nursing Mnemonic (Dry and Hot – Insulin Shot)
Hypovolemic Shock Case Study (OB sim) (60 min)
Incompetent Cervix
Infections in Pregnancy
Initial Care of the Newborn (APGAR)
Inserting a Foley (Urinary Catheter) – Female
Intra Uterine Device – Potential Problems Nursing Mnemonic (PAINS)
Isotonic Solutions (IV solutions)
Labor Progression Case Study (45 min)
Leopold Maneuvers
Lung Surfactant
Lung Surfactant for Newborns
Magnesium Sulfate
Magnesium Sulfate
Magnesium Sulfate (MgSO4) Nursing Considerations
Magnesium Sulfate in Pregnancy
Mastitis
Maternal Risk Factors
Mechanisms of Labor
Meconium Aspiration
Meds for Postpartum Hemorrhage (PPH)
Meds for PPH (postpartum hemorrhage)
Menstrual Cycle
Methylergonovine (Methergine) Nursing Considerations
Newborn of HIV+ Mother
Newborn Physical Exam
Newborn Reflexes
Nifedipine (Procardia) Nursing Considerations
Nursing Care Plan (NCP) for Abortion, Spontaneous Abortion, Miscarriage
Nursing Care Plan (NCP) for Abruptio Placentae / Placental abruption
Nursing Care Plan (NCP) for Chorioamnionitis
Nursing Care Plan (NCP) for Diabetes Mellitus (DM)
Nursing Care Plan (NCP) for Dystocia
Nursing Care Plan (NCP) for Ectopic Pregnancy
Nursing Care Plan (NCP) for Gestational Diabetes (GDM)
Nursing Care Plan (NCP) for Gestational Hypertension, Preeclampsia, Eclampsia
Nursing Care Plan (NCP) for Hyperemesis Gravidarum
Nursing Care Plan (NCP) for Hypertension (HTN)
Nursing Care Plan (NCP) for Incompetent Cervix
Nursing Care Plan (NCP) for Mastitis
Nursing Care Plan (NCP) for Maternal-Fetal Dyad Using GTPAL
Nursing Care Plan (NCP) for Meconium Aspiration
Nursing Care Plan (NCP) for Neonatal Jaundice | Hyperbilirubinemia
Nursing Care Plan (NCP) for Newborns
Nursing Care Plan (NCP) for Placenta Previa
Nursing Care Plan (NCP) for Postpartum Hemorrhage (PPH)
Nursing Care Plan (NCP) for Premature Rupture of Membranes (PROM) / Preterm Premature Rupture of Membranes (PPROM)
Nursing Care Plan (NCP) for Preterm Labor / Premature Labor
Nursing Care Plan (NCP) for Process of Labor
Nursing Care Plan (NCP) for Transient Tachypnea of Newborn
Nursing Care Plan for (NCP) Fetal Alcohol Syndrome (FAS)
Nursing Care Plan for Newborn Reflexes
Nursing Case Study for Maternal Newborn
Nutrition Assessments
Nutrition in Pregnancy
Nutritional Requirements
OB (Labor) Nurse Report to OB (Postpartum) Nurses
OB Course Introduction
OB Non-Stress Test Results Nursing Mnemonic (NNN)
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Obstetric Trauma for Certified Emergency Nursing (CEN)
Obstetrical Procedures
Opioid Analgesics in Pregnancy
Oral Birth Control Pills – Serious Complications Nursing Mnemonic (Aches)
Oxytocin (Pitocin) Nursing Considerations
Pediatric Vital Signs (VS)
Physiological Changes
Phytonadione (Vitamin K)
Phytonadione (Vitamin K) for Newborn
Placenta Previa
Placenta Previa for Certified Emergency Nursing (CEN)
Possible Infections During Pregnancy Nursing Mnemonic (TORCH)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Postpartum Discomforts
Postpartum Hematoma
Postpartum Hemorrhage (PPH)
Postpartum Interventions
Postpartum Physiological Maternal Changes
Postpartum Thrombophlebitis
Precipitous Labor
Preeclampsia (45 min)
Preeclampsia, Eclampsia, and HELLP Syndrome for Certified Emergency Nursing (CEN)
Preeclampsia: Signs, Symptoms, Nursing Care, and Magnesium Sulfate
Pregnancy Labs
Pregnancy Outcomes Nursing Mnemonic (GTPAL)
Preload and Afterload
Premature Rupture of the Membranes (PROM)
Preterm Labor
Preterm Labor for Certified Emergency Nursing (CEN)
Probable Signs of Pregnancy Nursing Mnemonic (CHOP BUGS)
Process of Labor
Process of Labor – Mom Nursing Mnemonic (4 P’s)
Process of Labor – Baby Nursing Mnemonic (ALPPPS)
Process of Labor – Live Tutoring Archive
Process of Labor 2 – Live Tutoring Archive
Prolapsed Umbilical Cord
Promethazine (Phenergan) Nursing Considerations
Prostaglandins
Prostaglandins in Pregnancy
Protein (PROT) Lab Values
Retinopathy of Prematurity (ROP)
Rh Immune Globulin (Rhogam)
Rh Immune Globulin in Pregnancy
Signs of Pregnancy – Live Tutoring Archive
Signs of Pregnancy (Presumptive, Probable, Positive)
Spironolactone (Aldactone) Nursing Considerations
Stages of Fetal Development Nursing Mnemonic (Proficiently Expanding Fetus)
Subinvolution
Terbutaline (Brethine) Nursing Considerations
Threatened/Spontaneous Abortion for Certified Emergency Nursing (CEN)
Tips & Advice for Newborns (Neonatal IV Insertion)
Tocolytics
Tocolytics
Top 5 Misunderstood OB Concepts – Live Tutoring Archive
Transient Tachypnea of Newborn
Umbilical Cord Vasculature Nursing Mnemonic (2A1V)
Uterine Stimulants (Oxytocin, Pitocin)
Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations
VEAL CHOP Nursing Mnemonic (Fetal Accelerations and Decelerations) (VEAL CHOP)
What the Heck is Antepartum Testing? – Live Tutoring Archive
Abortion in Nursing: Spontaneous, Induced, and Missed
05.03 Jaundice for CCRN Review
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Behavioral Genetics
Brain and Behavior
Defense Mechanisms
Emotions and Motivation
Energy Balance and Weight Control
Exercise Guidelines Nursing Mnemonic (FIT)
Growth & Development Theories
Health & Stress
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Intelligence and Language
Intro to Psychology Course Introduction
Learning & Behavior,Memory
Maslow’s Hierarchy of Needs in Nursing
Not Settling
Psychological Disorders
Self Care & Avoiding Nursing Burnout
Sensation & Perception
State of Consciousness
Stress and Crisis
Types of Exercise
01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
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)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
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)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
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)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
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)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
Aging and Socialization
Crime in Society
Dark Skin: IV Insertion
Gender Equity (Inclusion, Gender Transition) for Certified Emergency Nursing (CEN)
Gender Inequality
Global Inequalities
High-Risk Behaviors
Human Trafficking for Certified Emergency Nursing (CEN)
Introduction to Sociology
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Race, Ethnicity, and Migration in Society
Shorthand Lab Values
Social Effects on Health, Illness, and Disability
Social Groups
Social Interactions in Life
Sociological Perspectives
Sociology and Culture
Sociology and Education
Sociology Course Introduction
Sociology Research
Citations
Evidence Based Research
Nurse Educator
Page Sections, Footnotes & Headers
Page Set-Up
Research Nurse
Title Page
Why CEs (Continuing education) matter
01.01 CCRN Test Overview for CCRN Review
12 Points to Answering Pharmacology Questions
5 Rules for Powerpoint
5 Things You Never Knew About The NCLEX – Live Tutoring Archive
9 Easy Steps to Passing Every Nursing School Test | With Jon Haws, BSN, RN, Founder of NURSING.com
Absolute Words
Acute vs Chronic
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
ADLs (Activity of Daily Living) Nursing Mnemonic (BATTED)
Advanced Critical Thinking
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alkalosis and Acidosis Nursing Mnemonic (Kick Up, Drop Down)
Anatomy of an NCLEX Question
Anticholinergics – Side Effects Nursing Mnemonic (4 Can’ts)
Arterial Blood Gases Nursing Mnemonic (ROME)
Ask Questions
Avoiding Alarm Fatigue
Backwards and Forwards
Be a Mix Tape (Rewind and Fast-Forward)
Beta 1 and Beta 2 Nursing Mnemonic (1 Heart, 2 Lungs)
Bloom’s Taxonomy
C – Content
Can You Draw It
Care Plan Review (Addresses Patient Considerations) for Certified Perioperative Nurse (CNOR)
Caring Licensed Practical Nurse Nursing Mnemonic (CLPN)
Caring Practices for Progressive Care Certified Nurse (PCCN)
Causes of Poor Gas Exchange Nursing Mnemonic (All People Can Value Lungs)
Chance’s Story on His Personal Journey
Cheatsheets
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)
Clinical Inquiry for Progressive Care Certified Nurse (PCCN)
Community Health Tool Nursing Mnemonic (MAP-IT)
Concept Map Course Introduction
Connections
Course Introduction to Nursing School Preparation
Critical Thinking
Critical Thinking
Degree Restrictions in Career Growth
Denying Feelings
Dig for the Why
Diploma vs ADN vs BSN vs Bridge
Drawing Pictures
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Drugs for Bradycardia & Low Blood Pressure Nursing Mnemonic (IDEA)
Duplicate Facts
E – Engagement
Electrolytes – Location in Body Nursing Mnemonic (PISO)
Emergency Drugs Nursing Mnemonic (LEAN)
Environmental Health Assessment Nursing Mnemonic (I PREPARE)
Evaluating Patient Response to Plan of Care for Certified Perioperative Nurse (CNOR)
Exercise Guidelines Nursing Mnemonic (FIT)
Explaining the “Why”
Exporting and Uploading to Frame.io
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)
Getting Access to frame.io
Getting Started with Tech
Gluten Free Diet Nursing Mnemonic (BROW)
Goal Setting
HESI® Prep Course Introduction
High Risk Behavior Nursing Mnemonic (HEADSS)
How to Write a Nursing Care Plan
Hyperkalemia – Causes Nursing Mnemonic (MACHINE)
Hyperkalemia – Management Nursing Mnemonic (AIRED)
Hyperkalemia – Signs and Symptoms Nursing Mnemonic (Murder)
Hypernatremia – Causes Nursing Mnemonic (MODEL)
IADLS (Instrumental Activities of Daily Living) Nursing Mnemonic (SCUM)
Identifying Interventions per Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Identifying Measurable Patient Outcomes for Certified Perioperative Nurse (CNOR)
Increase MAP Nursing Mnemonic (VAK)
Inflammation- Signs and Symptoms Nursing Mnemonic (HIPER)
Interviewing for Nursing School
Introduction to CCMM
Jon’s Story on His Personal Journey
Keep it Short
Lesson Elements
MAO Inhibitors Nursing Mnemonic (TIPS)
Marie’s Story on Her Personal Nursing Journey
Miriam’s Story on Her Personal Journey
Mnemonic for Organ Systems (MR DICE RUNS)
MSN (Masters) vs. DNP (Doctorate)
NCLEX Question Traps! – Live Tutoring Archive
NCLEX® Question Traps
Need Help Making A Study Plan? – Live Tutoring Archive
NRSNG | Closing Thoughts
NRSNG Live | 5 Things You Never Knew About NCLEX Questions
NRSNG Live | AMA (Ask Me Anything) Nursing Success Roundtable
NRSNG Live | AMA Student Panel – How I Survive (Barely) Nursing School
NRSNG Live | How I Went From Nursing School Dropout to Passing NCLEX in 75 and Teaching 18 Million Nurses
NRSNG Live | How to Get the Most out of NRSNG
NRSNG Live | How to Pass Any Nursing School Test
NRSNG Live | My Super Secret Note Taking Method
NRSNG Live | The Core Content Mastery Method and How to Use it Throughout Your Nursing Journey
NRSNG Live | The Successful State of Mind
NRSNG Live | What Your Nursing Professors Want to Tell You But Can’t
Nursing Care Plans Course Introduction
Nursing Case Study Introduction
Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Evaluate
Nursing Process – Implement
Nursing Process – Plan
Nursing School Application Essay
NURSING.com Assessment & Skills Checks
NURSING.com Introduction
O – Origins
OLD CARTS Mnemonic (OLD CARTS)
Online vs Brick-and-Mortar
Opposite or the Same – Live Tutoring Archive
Opposites
Our Goals for Teaching
Our Mission
Outline Question Method (Note taking)
Overview of the Nursing Process
Paying for Nursing School
Pharmacokinetics Nursing Mnemonic (ADME)
Pictures
Plan of Care Updates for Certified Perioperative Nurse (CNOR)
Planning Community Health Interventions Nursing Mnemonic (PRECEDE-PROCEED)
Post-Partum Assessment Nursing Mnemonic (BUBBLE)
Prioritization
Prioritizing Assessments
Priority
Purpose of Nursing Care Plans
Questions To Ask Before Applying To A Nursing Program
R – Real-Life
Real Life
Real-Life Experiences
Recording
Repeating Words
Resources for Lesson Creation
RN to MSN
Safety Check Nursing Mnemonic (MADLE)
Same
SATA
SATA like a BOSS – Live Tutoring Archive
SATA like a BOSS 2 – Live Tutoring Archive
SBAR Communication Nursing Mnemonic (SBAR)
Screencastify Setup
Share the Wealth
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
Start and End with the Linchpin
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)
Study Setting
Study Tips for Success
Systems Thinking for Progressive Care Certified Nurse (PCCN)
TEAS® Prep Course Introduction
Tenet 1 Filet Mignon
Tenet 2 Linchpins & Connections
Tenet 3 Why Behind the What
Tenet 4 Learner-Centered Talkabouts
Test Taking Course Introduction
The Academy
The CARPET Methods of Teaching
The Nurse Routine
The Nursing Process Pro Tips for Test Taking – Live Tutoring Archive
The Outline is the Foundation
Thinking Like a Nurse
Time Management
Time Management
To The Point
Tracheal Esophageal Fistula – Sign and Symptoms Nursing Mnemonic (The 3 C’s)
Trauma – Complications Nursing Mnemonic (TRAUMATIC)
Trauma Surgery – Medical History Nursing Mnemonic (AMPLE)
Triage Nursing Mnemonic (START)
Trusting your Gut
Two pathways of the peripheral nervous system Nursing Mnemonic (SAME)
Using Nursing Care Plans in Clinicals
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)
Welcome to NURSING.com
Welcome to NURSING.com
What Are the Absolutes
What are the NCLEX Categories? – Live Tutoring Archive
What do you want me to know?
What is CCMM?
What is Pedagogy
What is the NCLEX?
What Should They Learn
What to Expect In Clinical
Where To Start
Why NURSING.com?
Working night shift
Your Role
08.01 Psychological Review for CCRN Review
Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)
Albumin Lab Values
Alcohol Withdrawal (Addiction)
Alcohol Withdrawal Case Study (45 min)
Alcoholism – Outcomes Nursing Mnemonic (BAD)
Alprazolam (Xanax) Nursing Considerations
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Ammonia (NH3) Lab Values
Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)
Antianxiety Meds
Antianxiety Meds
Antidepressants
Antidepressants
Antipsychotics
Antipsychotics
Anxiety
Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)
Atypical Antipsychotics
Benzodiazepines
Benzodiazepines Nursing Mnemonic (Donuts and TLC)
Blood Urea Nitrogen (BUN) Lab Values
Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)
Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)
Buspirone (Buspar) Nursing Considerations
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Carbamazepine (Tegretol) Nursing Considerations
Chloride-Cl (Hyperchloremia, Hypochloremia)
Chlorpromazine (Thorazine) Nursing Considerations
Cholesterol (Chol) Lab Values
Cognitive Impairment Disorders
Creatinine (Cr) Lab Values
Day in the Life of a Hospice, Palliative Care Nurse
Day in the Life of a Mental Health Nurse
Defense Mechanisms
Defense Mechanisms
Dementia Nursing Mnemonic (DEMENTIA)
Depression
Depression Assessment Nursing Mnemonic (SIGNS)
Depression Concept Map
Diazepam (Valium) Nursing Considerations
Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)
Dissociative Disorders
Divalproex (Depakote) Nursing Considerations
Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)
Encephalopathy Case Study (45 min)
End of Life for Progressive Care Certified Nurse (PCCN)
End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Generalized Anxiety Disorder
Glomerular Filtration Rate (GFR)
Grief and Loss
Grief and Loss
Haloperidol (Haldol) Nursing Considerations
Handling Death and Dying
Head to Toe Nursing Assessment (Physical Exam)
Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)
Hypochondriasis (Hypochondriac)
Lamotrigine (Lamictal) Nursing Considerations
Lithium (Lithonate) Nursing Considerations
Lithium Lab Values
Liver Function Tests
Lorazepam (Ativan) Nursing Considerations
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)
MAO Inhibitors Nursing Mnemonic (TIPS)
MAOIs
Meds for Alzheimers
Mental Health Course Introduction
Metabolic Alkalosis
Methadone (Methadose) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)
Mood Disorders (Bipolar)
Mood Stabilizers
Mood Stabilizers
Nurse-Patient Relationship
Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens
Nursing Care Plan (NCP) for Alzheimer’s Disease
Nursing Care Plan (NCP) for Anxiety
Nursing Care Plan (NCP) for Depression
Nursing Care Plan (NCP) for Dissociative Disorders
Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)
Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)
Nursing Care Plan (NCP) for Paranoid Disorders
Nursing Care Plan (NCP) for Personality Disorders
Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)
Nursing Care Plan (NCP) for Schizophrenia
Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)
Nursing Care Plan (NCP) for Suicidal Behavior Disorder
Nursing Case Study for (PTSD) Post Traumatic Stress Disorder
Nursing Case Study for Bipolar Disorder
Nursing Case Study for Mania (Manic Syndrome)
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Palliative Care for Progressive Care Certified Nurse (PCCN)
Paranoid Disorders
Paroxetine (Paxil) Nursing Considerations
Personality Disorders
Phases of Nurse-Client Relationship
Phosphorus-Phos
Post-Traumatic Stress Disorder (PTSD)
Postmortem Care
Potassium-K (Hyperkalemia, Hypokalemia)
Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)
Quetiapine (Seroquel) Nursing Considerations
Schizophrenia
Schizophrenia Case Study (45 min)
Self Concept
Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)
Sertraline (Zoloft) Nursing Considerations
Sodium-Na (Hypernatremia, Hyponatremia)
Somatoform
Somatoform Disorder Case Study (30 min)
SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)
SSRIs
Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)
Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)
Suicidal Behavior
TCAs
Therapeutic Communication
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)
Total Bilirubin (T. Billi) Lab Values
Types of Schizophrenia
Urinalysis (UA)
Vitamin B12 Lab Values
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Canes Nursing Mnemonic (COAL)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review
06.04 Differentiating Ectopy and Aberrancy for CCRN Review
06.05 Wide Complex Tachycardia for CCRN Review
Age and Culturally Appropriate Health Assessment Techniques for Certified Perioperative Nurse (CNOR)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Aneurysm and Dissection for Certified Emergency Nursing (CEN)
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Atrial Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Atrial Fibrillation (A Fib)
Atrial Flutter
AV Blocks Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Bacterial Endocarditis – Symptoms Nursing Mnemonic (Be Joan Of Arc)
Bleeding for Certified Emergency Nursing (CEN)
Canes Nursing Mnemonic (COAL)
Cardiac Arrest Nursing Interventions for Certified Perioperative Nurse (CNOR)
Causes of Dyspnea Nursing Mnemonic (The 6 P’s)
CHF Treatment Nursing Mnemonic (UNLOAD FAST)
Common Signs of Parkinson’s Nursing Mnemonic (SMART)
Complications of Thoracentesis Nursing Mnemonic (Patients Sometimes Bleed Internally)
Cor Pulmonale – Signs & Symptoms Nursing Mnemonic (Please Read His Text)
Critical Thinking to Facilitate Patient Care for Certified Perioperative Nurse (CNOR)
Discharge Planning for Certified Emergency Nursing (CEN)
Dysrhythmias for Certified Emergency Nursing (CEN)
Environmental Cleaning (Spills, Room Turnover, Terminal Cleaning) for Certified Perioperative Nurse (CNOR)
Environmental Stewardship (Waste Minimization) for Certified Perioperative Nurse (CNOR)
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Formulating Nursing Diagnoses for Certified Perioperative Nurse (CNOR)
Fundamentals Course Introduction
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Hypertension (HTN) Concept Map
Hypertension (Uncontrolled) and Hypertensive Crisis for Progressive Care Certified Nurse (PCCN)
Hypertension for Certified Emergency Nursing (CEN)
Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)
Interventions for Aphasia Nursing Mnemonic (PROP)
Ischemic (CVA) Stroke Labs
Lacerations for Certified Emergency Nursing (CEN)
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Management of Pressure Ulcers (Pressure Injuries) Nursing Mnemonic (SKIN)
Maxillofacial Trauma for Certified Emergency Nursing (CEN)
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Seizures
Patient and Healthcare Team Safety (Disasters, Environmental Hazards) for Certified Perioperative Nurse (CNOR)
Personal Growth Resources for Certified Perioperative Nurse (CNOR)
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Pulmonary Embolus for Certified Emergency Nursing (CEN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Trauma for Certified Emergency Nursing (CEN)
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Sinus Bradycardia
Sinus Tachycardia
Stroke (CVA) Module Intro
Stroke Case Study (45 min)
Supraventricular Tachycardia (SVT)
Trauma Nursing Interventions for Certified Perioperative Nurse (CNOR)
Ventricular Dysrhythmias for Progressive Care Certified Nurse (PCCN)
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Wound Bleeding (Uncontrolled External Hemorrhage) for Certified Emergency Nursing (CEN)
54 Common Medication Prefixes and Suffixes
Alpha-fetoprotein (AFP) Lab Values
Carboxyhemoglobin Lab Values
Cardiac Terminology
Diagnostic Testing Course Introduction
Diagnostics Terminology
Digestive Terminology
Gamma Glutamyl Transferase (GGT) Lab Values
Growth Hormone (GH) Lab Values
Hematology Oncology & Immunology Terminology
Integumentary (Skin) Terminology
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Medical Terminology Course Introduction
MedTerm Basic Word Structure
MedTerm Body as a Whole
MedTerm Prefixes
MedTerm Suffixes
Metabolic & Endocrine Terminology
Methemoglobin (MHGB) Lab Values
Musculoskeletal Terminology
Myoglobin (MB) Lab Values
Neuro Terminology
Pharmacology Terminology
Prealbumin (PAB) Lab Values
Procedural Terminology
Psychiatry Terminology
Reproductive Terminology
Respiratory Terminology
Sensory Terminology
Urinary Terminology
Basic Algebra
Basic Geometry
Basic Operations
Basic Statistics
Common Stat tests
Covariance and Causality
Decimals & Percentages
Distributions
Gamma Glutamyl Transferase (GGT) Lab Values
Graphing Equations
Growth Hormone (GH) Lab Values
Interpreting Trends
Lab Panels
Lab Panels – The Basics and What YOU Need to Know – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 2 – Live Tutoring Archive
Lab Panels – The Basics and What YOU Need to Know 3 – Live Tutoring Archive
Lab Values Course Introduction
Mathematics Course Introduction
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Measure of Spread
Normal distribution curve
Prealbumin (PAB) Lab Values
Ratios & Proportions
Response Variable vs. Explanatory variable
Shorthand Lab Values
Working with Fractions
ACLS (Advanced cardiac life support) Drugs
Advanced Cardiovascular Life Support (ACLS)
Brief CPR (Cardiopulmonary Resuscitation) Overview
CPR-BLS (Basic Life Support)
Life Support Review Course Introduction
Neonatal Resuscitation Program (NRP)
Pediatric Advanced Life Support (PALS)
ABG Course (Arterial Blood Gas) Introduction
ABGs Nursing Normal Lab Values
Vocabulary
Proper Punctuation Use
Postoperative (Postop) Complications
Prioritization
Handoff Report
Sterile Field
Cataracts
Intraoperative (Intraop) Complications
Cleft Lip and Palate
Nursing Care Plan (NCP) for Chronic Kidney Disease
Surgical Prep
Delegation
Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
Communicating with Patients
Documentation Course Introduction
Urinary Elimination
The Medical Team
Delegation and Personnel Management for Certified Perioperative Nurse (CNOR)
Septic Shock (Sepsis) Case Study (45 min)
Chest Tube Management
Nursing Care and Pathophysiology for Anemia
Fluid Volume Overload
Shock Module Intro
SBAR Communication
Legal Considerations
Communicating With Providers
Pituitary Gland
Order of Lab Draws
Cranial Nerves
Intro to Circulatory System
Multiple Myeloma
How to Take Nursing Report
Precepting a Student
Provider Phone Calls
1st Degree AV Heart Block
Admissions, Discharges, and Transfers
Remaining Calm
Communicating with UAPs
Growth & Development – Middle Adulthood
Growth & Development – Neonate
Growth & Development -Transitioning to Adult Care
Overview of Developmental Theories
Lidocaine (Xylocaine) Nursing Considerations
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Adrenal and Thyroid Disorder Emergencies for Certified Emergency Nursing (CEN)
Nursing Case Study for Cardiogenic Shock
Nursing Care Plan (NCP) for Hypovolemic Shock
Disease Specific Medications
Stroke Therapeutic Management (CVA)
Confidence in Communication – Live Tutoring Archive
Legalities of Charting
Pain Management for the Older Adult – Live Tutoring Archive
Growth & Development – Toddlers
Kohlberg’s Theory of Moral Development
Wound Infections for Certified Emergency Nursing (CEN)
Using Aseptic Technique
Impaired or Disruptive Behavior Reporting (Interdisciplinary Healthcare Team) for Certified Perioperative Nurse (CNOR)
Shift change and Patient handoff
Barriers to Health Assessment
Nursing Care Plan for Gastritis
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Growth & Development – Late Adulthood
Erikson’s Theory of Psychosocial Development
Body Image Changes Throughout Development
Meperidine (Demerol) Nursing Considerations
Angiotensin Receptor Blockers
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
ARDS Case Study (60 min)
COPD (Chronic Obstructive Pulmonary Disease) Labs
Lung Cancer
Vessels & Fluid
Heart Failure (Acute Exacerbations, Chronic) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan for Endometriosis
Sterilization and Disinfection Documentation for Certified Perioperative Nurse (CNOR)
Anti-Platelet Aggregate
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Hypokalemia – Signs and Symptoms Nursing Mnemonic (6 L’s)
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Oral Medications
Ethical and Professional Standards for Certified Perioperative Nurse (CNOR)
Diltiazem (Cardizem) Nursing Considerations
Nitro Compounds
Minimally-Invasive Cardiac Surgery (Non-Sternal Approach) for Progressive Care Certified Nurse (PCCN)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Rifampin (Rifadin) Nursing Considerations
Acute Coronary Syndromes (MI-ST and Non ST, Unstable Angina) for Progressive Care Certified Nurse (PCCN)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Phenazopyridine (Pyridium) Nursing Considerations
Thyroxine (T4) Lab Values
Coagulation Studies (PT, PTT, INR)
Nursing Care and Pathophysiology for Hyperthyroidism
Levothyroxine (Synthroid)
Hydralazine
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
IV Catheter Selection (gauge, color)
Starting an IV
IV Insertion Angle
Accountability and Assistance for Personal Limitations for Certified Perioperative Nurse (CNOR)
Trach Suctioning
Renin Angiotensin Aldosterone System (RAAS)
Blood Vessels
Cardiac Cycle
Membranes
02.05 Calculating PAWP on PEEP for CCRN Review
Mannitol (Osmitrol) Nursing Considerations
10.02 Breath Sounds for CCRN Review
Liver & Gallbladder
Drawing Blood from the IV
Patient Controlled Analgesia (PCA)
Metformin (Glucophage) Nursing Considerations
Tuberculosis for Certified Emergency Nursing (CEN)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Strabismus
Cerebral Perfusion Pressure CPP
Vitamin D Lab Values
Free T4 (Thyroxine) Lab Values