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Medical-Surgical Nursing Study Plan
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Nursing Care Plan (NCP) for Enuresis / Bedwetting

Nursing Care Plan (NCP) for Enuresis / Bedwetting

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Study Tools For Nursing Care Plan (NCP) for Enuresis / Bedwetting

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Outline

Lesson Objectives: Enuresis/Bedwetting

  • Understanding Enuresis:
    • Develop an understanding of enuresis, including its definition, potential causes, and prevalence in different age groups. Gain insights into the physiological and psychological factors contributing to bedwetting.
  • Assessment Skills:
    • Acquire assessment skills to identify the underlying causes of enuresis. Learn to differentiate between primary and secondary enuresis and recognize potential medical, psychological, or social factors contributing to the condition.
  • Individualized Care Planning:
    • Learn to formulate individualized care plans based on a thorough assessment. Consider the age of the individual, any associated symptoms, and the impact of enuresis on their quality of life. Tailor interventions to address the specific needs of each patient.
  • Behavioral and Lifestyle Interventions:
    • Explore behavioral and lifestyle interventions to manage enuresis, including strategies for fluid intake, toileting routines, and positive reinforcement. Understand the importance of involving caregivers and creating a supportive environment.
  • Collaboration and Communication:
    • Develop effective collaboration and communication skills with patients, caregivers, and other healthcare professionals involved in the care of individuals with enuresis. Foster a team-based approach to address the multifaceted aspects of this condition.

Pathophysiology of Enuresis/Bedwetting

  • Developmental Factors:
    • Enuresis often occurs during childhood and is associated with delayed maturation of the central nervous system controlling bladder function. Children may take longer to develop the ability to awaken in response to a full bladder.
  • Genetic Predisposition:
    • There is evidence of a genetic component in enuresis, suggesting a familial predisposition. Children with a family history of bedwetting are more likely to experience it themselves.
  • Bladder Dysfunction:
    • Some cases of enuresis result from an imbalance between the storage capacity of the bladder and the ability to awaken when the bladder is full. This can lead to involuntary nighttime voiding.
  • Hormonal Factors:
    • The release of antidiuretic hormone (ADH), which reduces urine production at night, may be insufficient in individuals with enuresis. Hormonal imbalances can contribute to increased nighttime urine production.
  • Psychological and Emotional Factors:
    • Stress, anxiety, and emotional factors can contribute to enuresis. Emotional stressors, such as major life changes or traumatic events, may exacerbate or trigger bedwetting episodes.

Etiology of Enuresis/Bedwetting

  • Developmental Factors:
    • Delayed maturation of the central nervous system controlling bladder function, which can affect the ability to awaken in response to a full bladder.
  • Genetic Predisposition:
    • Family history of bedwetting increases the likelihood of a child experiencing enuresis, suggesting a genetic component.
  • Bladder Dysfunction:
    • Imbalance between bladder storage capacity and the ability to awaken when the bladder is full, leading to involuntary nighttime voiding.
  • Hormonal Factors:
    • Insufficient release of antidiuretic hormone (ADH) at night, impacting the reduction of urine production during sleep.
  • Psychological and Emotional Factors:
    • Stress, anxiety, and emotional issues can contribute to enuresis. Major life changes or traumatic events may exacerbate or trigger bedwetting episodes.

Desired Outcome for Enuresis/Bedwetting

  • Achievement of Dry Nights:
    • The primary goal is for the individual to consistently stay dry throughout the night, indicating improved bladder control.
  • Improved Self-Esteem:
    • Enhancing the individual’s self-confidence and reducing feelings of embarrassment or shame associated with bedwetting.
  • Normalization of Sleep Patterns:
    • Establishment of regular sleep patterns without disruptions due to the need to wake up for urination, leading to improved overall sleep quality.
  • Effective Coping Mechanisms:
    • Acquisition of coping strategies and skills to manage stress or emotional factors contributing to bedwetting, fostering psychological well-being.
  • Enhanced Quality of Life:
    • Improvement in the overall quality of life for both the individual and their family, with decreased impact on daily activities and social interactions.

Enuresis / Bedwetting Nursing Care Plan

 

Subjective Data:

  • Repeat bedwetting
  • Wetting twice a week for 3 months or more
  • Anxiety
  • Pain with urination
  • Abdominal pain

Objective Data:

  • Small sized bladder
  • Blood or mucus in urine

Nursing Assessment for Enuresis/Bedwetting

 

  • Detailed Medical History:
    • Gather information on the individual’s medical history, including any previous treatments, surgeries, or underlying medical conditions that may contribute to enuresis.
  • Voiding Diary:
    • Have the individual or their caregiver maintain a voiding diary to track patterns of fluid intake, frequency of urination, and instances of bedwetting. This helps identify potential triggers.
  • Family History:
    • Explore family history, as enuresis can sometimes have a genetic component. Understanding family dynamics and stressors is crucial.
  • Psychosocial Assessment:
    • Assess the individual’s emotional well-being, stress levels, and any recent life changes or events that may be impacting their mental health and contributing to enuresis.
  • Sleep Patterns:
    • Evaluate the individual’s sleep habits, including bedtime routines, duration of sleep, and any disturbances during the night. Poor sleep hygiene can be a contributing factor.
  • Physical Examination:
    • Perform a physical examination with a focus on the genitourinary system to identify any anatomical abnormalities or signs of infection that may contribute to bedwetting.
  • Bladder Function Assessment:
    • Assess bladder function, including capacity and signs of overactivity, to identify any underlying bladder dysfunction or neurogenic issues.
  • Psychological Assessment:
    • Collaborate with a mental health professional to assess any psychological factors contributing to enuresis, such as anxiety, trauma, or behavioral issues.

 

Implementation for Enuresis/Bedwetting

 

  • Behavioral Interventions:
    • Implement behavioral strategies, such as positive reinforcement for dry nights, reward systems, and maintaining a consistent bedtime routine. Encourage the individual to take an active role in managing their condition.
  • Fluid Management:
    • Educate the individual and their family about appropriate fluid intake, especially in the evening. Limiting caffeine and sugary drinks can help manage nighttime urination.
  • Bladder Training:
    • Develop a bladder training program to gradually increase the time between voids, helping the individual learn to hold urine for longer periods. Scheduled voiding before bedtime may be incorporated.
  • Use of Bedwetting Alarms:
    • Introduce bedwetting alarms as part of a conditioning program. These alarms are designed to wake the individual when moisture is detected, helping them make the connection between a full bladder and waking up.
  • Medication Management:
    • If indicated and after consultation with a healthcare provider, consider medications such as desmopressin or imipramine. These medications can help reduce nighttime urine production or improve bladder function.

Nursing Interventions and Rationales

 

  • Perform physical assessment, noting signs of rash or irritation of the genital area

 

Skin irritation may cause a child to hold urine if there is pain with voiding. Observe for signs of sexual abuse.

 

  • Obtain history from patient and parents/caregivers. Note any changes in home or social situation that may cause stress.

 

Help determine cause of symptoms: social or emotional stress and changes in family dynamics can cause children to have wetting accidents

 

  • Assess abdomen
    • Look for signs of distention
    • Listen – auscultate for bowel sounds
    • Feel- palpate for distended bladder or signs of constipation. Note presence of tenderness

 

Chronic constipation can be a factor in causing enuresis. A large mass of stool in the colon puts pressure on the bladder, which may lead to a diminished ability to control urine or a decreased capacity to hold urine.

 

  • Collect sample and monitor results for urinalysis

 

To determine if a urinary tract infection is the cause of symptoms

 

  • Administer medication as appropriate

 

  • Antibiotics may be given if the cause of enuresis is determined to be urinary tract infection.
  • The medication desmopressin may be given for low levels of vasopressin, a hormone that tells the kidneys to slow urine production.
  • Imipramine may be given to help stimulate vasopressin secretion and decrease REM sleep so patient wakes with urge to void.

 

  • Provide education and motivational interventions:
    • Keep a calendar of wet and dry days
    • Set a toileting schedule
    • Avoid caffeine or high-sugar drinks
    • Minimize fluid intake in the evening
    • Consider enuresis alarms

 

  • A calendar can help determine if there is a pattern to wetting and what may trigger the incidences.
  • Help the child train their body to void at appropriate times.
  • Sugar and caffeine can increase urgency and frequency of urination, especially at night.
  • Encourage fluid intake in the daytime hours, but limit fluid in the evenings to prevent overload during the night.
  • Alarms may be placed on the bed to alert or wake the child when they void.

 

  • Provide education and resources for parents

 

  • Encourage parents/caregivers to be patient with child.
  • Remind parents/caregivers that the child is not at fault and discourage punishments which can cause stress and worsen the situation.
  • Provide referrals as appropriate for behavioral health or urology specialists if necessary.

Evaluation for Enuresis (Bedwetting)

 

  • Frequency of Bedwetting Episodes:
    • Assess the reduction in the frequency of bedwetting episodes. Compare the current frequency with the baseline to determine the effectiveness of interventions.
  • Impact on Quality of Life:
    • Evaluate the child’s overall well-being and assess whether the interventions have positively impacted their quality of life. Consider factors such as self-esteem and emotional well-being.
  • Compliance with Intervention Strategies:
    • Determine the extent of the child’s and family’s compliance with the recommended intervention strategies. Evaluate whether behavioral modifications, bladder training, or other interventions are consistently implemented.
  • Resolution of Contributing Factors:
    • Review the resolution or improvement of contributing factors, such as emotional stress, constipation, or sleep disorders. Assess whether addressing these factors has positively influenced the management of bedwetting.
  • Collaboration with Healthcare Providers:
    • Evaluate the collaboration with healthcare providers, including pediatricians, urologists, or psychologists. Assess whether the interdisciplinary approach has contributed to a comprehensive and effective management plan.

 

References

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Transcript

This is the nursing care plan for enuresis or bedwetting. So urinary incontinence also known as any enuresis is normal for children under the age of three, but as they grow children gain more control of the bladder, nocturnal enuresis or bedwetting is the most common. And it occurs when the child who normally has bladder control has episodes of wetting during the night, nocturnal enuresis or daytime is when the child is having episodes of wetting during the day there’s primary enuresis that describes the child who is not yet fully potty trained. And there are secondary reasons when the child is toilet trained, but still has episodes of wetting after periods of dryness. So some nursing considerations. So we want to do a good skin assessment. We want to make sure that we’re checking for rash or break down. We want to collect a urine analysis. We want to do an abdominal assessment. We want to provide education and resources for parents and patients regarding enuresis. And we want to administer any medications as ordered. The desired outcome for this patient is that this patient is going to have an optimal voiding pattern. The patient is going to be free from infection. The patient is going to understand and act on the urge to void, and the patient is going to have a decreased number of incontinent episodes. 

So when this patient comes in, there’s going to be a few things that are subjective, that the patient’s going to report to us, or the parent is going to report to us. So the first thing about any reason that we want to know is they are going to tell us that there is a repeat bedwetting. So that’s going to be the first thing there’s going to be a repeat bedwetting. The next thing that they are going to want to tell us is that they are wetting once or twice a week, for three months or more. Okay, there is going to be some anxiety. So the patient is going to have some anxiety. There may be some pain with urination. So pain. There may also be some abdominal pain. When we assess the patient, we’re going to cover some objective data. We may notice that there is a small bladder and we’ll do that by palpation or by imaging, or we may notice blood or mucus in the urine. This can give us some good information to indicate a few things. So the nursing interventions that we can do, the first thing is we want to assess, we’re going to assess, we’re going to do a physical assessment. We’re going to know any signs of rash or irritation to the genital area. Remember that skin irritation may cause a child to hold it in. And if there’s any pain while voiding, we want to observe also for signs of sexual abuse. 

The next thing we want to do is we want to collect a sample. So we want to do a urinalysis. So UA, and the reason why we want to do that is sometimes patients tend to hold onto urine, or it’s difficult to urinate if there is a urinary tract infection. So they may not want to go when it’s time to go, because it’s just very painful. So this is for a U T I, the next thing we want to do is we want to assess the abdomen. So we want to assess the abdomen. The reason why we want to assess the abdomen is because we want to check to see if there’s any constipation. Remember chronic constipation can be a factor in causing enuresis. A large mass of stool in the colon puts a lot of pressure on the bladder and it makes it diminished to be able to control the urine or a decreased capacity to hold urine. 

So that bladder space is decreased. We have decreased space in the bladder, maybe because of constipation. We want to provide some education and resources for the patients. So we want to encourage patients to be patient with the child, remind them that the child is not at fault and discourage punishments, which can cause stress and worse than that situation. Oftentimes parents may be angry or frustrated because the child is wetting the bed, but we want to assure them that it is not the child’s fault. Also, we want to make sure that we can provide any type of referrals as appropriate for any behavioral health issues. Or we may want to consult a urologist if necessary. So consult, urologist or psych. 

Finally, we want to administer any medications as appropriate. So we want to give some medicine; some meds that may be ordered are antibiotics. If it is a UTI if we can; what else can we or we offer desmopressin that’s given for low levels of vasopressin and that’s the hormone that tells the kidneys to slow your production. We may also give a medication to stimulate vasopressin secretion. some pathophysiology here. So remember, any reason is normal for a child under the age of three, but as they grow children gain more control of the bladder, subjective data. Remember, repeat bedwetting twice a week, repeat bedwetting for twice a week. And that’s going to be over a course of three months. There’s going to be some anxiety, abdominal pain. We may observe a small bladder. 

There may be blood or mucus in the urine. A skin assessment is the first thing we want to do. We want to do a good skin assessment because this patient is at risk for skin breakdown. And there may be some irritation that will cause the patient to not void on time. We want to do a urinalysis. Remember one cause of bedwetting is a urinary tract infection. We want to collect a sample and we want to send that sample to the lab because then we can intervene with any antibiotic therapy. We love you guys; go out and be your best self today. And, as always, happy nursing.

 

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Medical-Surgical Nursing Study Plan

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Hyperthermia (Thermoregulation)
Hyperthyroidism Case Study (75 min)
Hypertonic Solutions (IV solutions)
Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)
Hypoglycemia
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)
Hypoparathyroidism
Hypothermia (Thermoregulation)
Hypotonic Solutions (IV solutions)
Hypoxia – Signs and Symptoms Nursing Mnemonic (RAT BED)
ICU Nurse Report to OR (Operating)Team
Immunology Module Intro
Impulse Transmission
Inflammatory Bowel Disease Case Study (45 min)
Informed Consent
Inserting a Foley (Urinary Catheter) – Male
Inserting an NG (Nasogastric) Tube
Insulin
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin Mnemonic (Ready, Set, Inject, Love)
Intake and Output (I&O)
Integumentary (Skin) Course Introduction
Integumentary (Skin) Important Points
Integumentary (Skin) Module Intro
Interventional Radiology
Interventions for Aphasia Nursing Mnemonic (PROP)
Intracranial Pressure ICP
Intraoperative (Intraop) Complications
Intraoperative Nursing Priorities
Intraoperative Positioning
Intrarenal Causes of Acute Kidney Injury Nursing Mnemonic (TONIC)
Intro to Health Assessment
Introduction to Health Assessment
Intubation in the OR
Iodine Nursing Considerations
Ionized Calcium Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Isoniazid (Niazid) Nursing Considerations
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Kidney Cancer
Lactate Dehydrogenase (LDH) Lab Values
Lactic Acid
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Leukemia Case Study (60 min)
Levels of consciousness Nursing Mnemonic (Never Carry Dirty Socks Or Smelly Clothes)
Levofloxacin (Levaquin) Nursing Considerations
Levothyroxine (Synthroid)
Lidocaine (Xylocaine) Nursing Considerations
Lidocaine Toxicity – Signs and Symptoms Nursing Mnemonic (SAMS)
Linen Change
Lipase Lab Values
Lisinopril (Prinivil) Nursing Considerations
Live Bedside Report Medsurg (Medical surgical)
Liver Cancer
Liver/Gallbladder Module Intro
Local Anesthesia
Loperamide (Imodium) Nursing Considerations
Losartan (Cozaar) Nursing Considerations
Low Pressure Vent Alarms Nursing Mnemonic (Cake Everyday)
Lower Gastrointestinal (GI) Module Intro
Lung Cancer
Lung Diseases Module Intro
Lymphatic Assessment
Lymphoma
Lymphoma – Signs and Symptoms Nursing Mnemonic (NURSE For Pete’s Sake)
Macular Degeneration
Magnetic Resonance Imaging (MRI)
Malignant Hyperthermia
Mammogram
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)
Mechanical Aids
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)
Melanoma
Meniere’s Disease
Meperidine (Demerol) Nursing Considerations
Meropenem (Merrem) Nursing Considerations
Metabolic & Endocrine Module Intro
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic/Endocrine Course Introduction
Metformin (Glucophage) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Metoprolol (Toprol XL) Nursing Considerations
Metronidazole (Flagyl) Nursing Considerations
MI Surgical Intervention
Migraines
Miscellaneous Nerve Disorders
Mobility & Assistive Devices
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Multiple Myeloma
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Murmur locations Nursing Mnemonic (hARD ASS MRS. MSD)
Musculoskeletal Assessment
Musculoskeletal Course Introduction
Musculoskeletal Module Intro
Myocardial Infarction (MI) Case Study (45 min)
Myocardial Infarction Nursing Mnemonic (MONATAS)
Naproxen (Aleve) Nursing Considerations
Nasal Disorders
Neostigmine (Prostigmin) Nursing Considerations
Nephrotic Syndrome Case Study (Peds) (45 min)
Neuro A&P Module Intro
Neuro Anatomy
Neuro Assessment Module Intro
Neuro Course Introduction
Neuro Disorders Module Intro
Neuro Trauma Module Intro
Neurological Fractures
NG (Nasogastric)Tube Management
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
NRSNG Live | So You Want to be a Surgical Nurse?
Nuclear Medicine
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Aortic Aneurysm
Nursing Care and Pathophysiology for Appendicitis
Nursing Care and Pathophysiology for Arterial Disorders
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Cardiogenic Shock
Nursing Care and Pathophysiology for Cardiomyopathy
Nursing Care and Pathophysiology for Chlamydia (STI)
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Compartment Syndrome
Nursing Care and Pathophysiology for Crohn’s Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Nursing Care and Pathophysiology for Distributive Shock
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
Nursing Care and Pathophysiology for Endometriosis
Nursing Care and Pathophysiology for Epididymitis
Nursing Care and Pathophysiology for Gonorrhea (STI)
Nursing Care and Pathophysiology for Gout
Nursing Care and Pathophysiology for Hashimoto’s Thyroiditis
Nursing Care and Pathophysiology for Heart Failure (CHF)
Nursing Care and Pathophysiology for Hemorrhagic Stroke (CVA)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)
Nursing Care and Pathophysiology for Herpes Zoster – Shingles
Nursing Care and Pathophysiology for Human Papilloma Virus (HPV STI)
Nursing Care and Pathophysiology for Hyperparathyroidism
Nursing Care and Pathophysiology for Hyperthyroidism
Nursing Care and Pathophysiology for Hypothyroidism
Nursing Care and Pathophysiology for Hypovolemic Shock
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Ischemic Stroke (CVA)
Nursing Care and Pathophysiology for Lyme Disease
Nursing Care and Pathophysiology for Male Infertility
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Menopause
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Osteomyelitis
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Parkinsons
Nursing Care and Pathophysiology for Pelvic Inflammatory Disease (PID)
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Pneumothorax & Hemothorax
Nursing Care and Pathophysiology for Polycystic Ovarian Syndrome (PCOS)
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Pulmonary Edema
Nursing Care and Pathophysiology for Pulmonary Embolism
Nursing Care and Pathophysiology for Rhabdomyolysis
Nursing Care and Pathophysiology for Rheumatoid Arthritis (RA)
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Seizure
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology for Syphilis (STI)
Nursing Care and Pathophysiology for Testicular Torsion
Nursing Care and Pathophysiology for Thrombophlebitis (clot)
Nursing Care and Pathophysiology for Tuberculosis (TB)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Valve Disorders
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Angina
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Nursing Care and Pathophysiology of Coronary Artery Disease (CAD)
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Endocarditis and Pericarditis
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Hypertension (HTN)
Nursing Care and Pathophysiology of Myocardial Infarction (MI)
Nursing Care and Pathophysiology of Myocarditis
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Osteoarthritis (OA)
Nursing Care and Pathophysiology of Osteoporosis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Abdominal Pain
Nursing Care Plan (NCP) for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Pain
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Arterial Disorders
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Atrial Fibrillation (AFib)
Nursing Care Plan (NCP) for Bell’s Palsy
Nursing Care Plan (NCP) for Benign Prostatic Hyperplasia (BPH)
Nursing Care Plan (NCP) for Bladder Cancer
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bone Cancer (Osteosarcoma, Chondrosarcoma, and Ewing Sarcoma)
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Breast Cancer
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Cardiomyopathy
Nursing Care Plan (NCP) for Cellulitis
Nursing Care Plan (NCP) for Cervical Cancer
Nursing Care Plan (NCP) for Cholecystitis
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Colorectal Cancer (Colon Cancer)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Dementia
Nursing Care Plan (NCP) for Diabetes
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Enuresis / Bedwetting
Nursing Care Plan (NCP) for Epididymitis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Glaucoma
Nursing Care Plan (NCP) for Glomerulonephritis
Nursing Care Plan (NCP) for Gout / Gouty Arthritis
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hepatitis
Nursing Care Plan (NCP) for Herpes Zoster – Shingles
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperparathyroidism
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypoglycemia
Nursing Care Plan (NCP) for Hypoparathyroidism
Nursing Care Plan (NCP) for Hypothyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Impetigo
Nursing Care Plan (NCP) for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn’s Disease)
Nursing Care Plan (NCP) for Kidney Cancer
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lyme Disease
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Meniere’s Disease
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Neutropenia
Nursing Care Plan (NCP) for Nutrition Imbalance
Nursing Care Plan (NCP) for Osteoarthritis (OA), Degenerative Joint Disease
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Ovarian Cancer
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Parkinson’s Disease
Nursing Care Plan (NCP) for Peptic Ulcer Disease (PUD)
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Pneumonia
Nursing Care Plan (NCP) for Pneumothorax/Hemothorax
Nursing Care Plan (NCP) for Polycystic Ovarian Syndrome (PCOS)
Nursing Care Plan (NCP) for Pressure Ulcer / Decubitus Ulcer (Pressure Injury)
Nursing Care Plan (NCP) for Prostate Cancer
Nursing Care Plan (NCP) for Psoriasis
Nursing Care Plan (NCP) for Pulmonary Embolism
Nursing Care Plan (NCP) for Renal Calculi
Nursing Care Plan (NCP) for Respiratory Failure
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rhabdomyolysis
Nursing Care Plan (NCP) for Rheumatoid Arthritis (RA)
Nursing Care Plan (NCP) for Risk for Fall
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Seizures
Nursing Care Plan (NCP) for Sepsis
Nursing Care Plan (NCP) for Skin cancer – Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma
Nursing Care Plan (NCP) for Skull Fractures
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Stomach Cancer (Gastric Cancer)
Nursing Care Plan (NCP) for Stroke (CVA)
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Systemic Lupus Erythematosus (SLE)
Nursing Care Plan (NCP) for Testicular Cancer
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombocytopenia
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Thyroid Cancer
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan (NCP) for Urinary Tract Infection (UTI)
Nursing Care Plan (NCP) for West Nile Virus
Nursing Care Plan for (NCP) Trigeminal Neuralgia
Nursing Care Plan for Amputation
Nursing Care Plan for Chlamydia (STI)
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Compartment Syndrome
Nursing Care Plan for Coronary Artery Disease (CAD)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Endometriosis
Nursing Care Plan for Fibromyalgia
Nursing Care Plan for Fractures
Nursing Care Plan for Gastritis
Nursing Care Plan for Gonorrhea (STI)
Nursing Care Plan for Hemorrhoids
Nursing Care Plan for Herpes Simplex (HSV, STI)
Nursing Care Plan for Hiatal Hernia
Nursing Care Plan for Liver Cancer
Nursing Care Plan for Macular Degeneration
Nursing Care Plan for Myocarditis
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Osteomyelitis
Nursing Care Plan for Pelvic Inflammatory Disease (PID)
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Care Plan for Syphilis (STI)
Nursing Care Plan for Testicular Torsion
Nursing Case Study for Acute Kidney Injury
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Colon Cancer
Nursing Case Study for Diabetic Foot Ulcer
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Rheumatic Heart Disease
Nursing Case Study for Rheumatoid Arthritis
Nursing Case Study for Type 1 Diabetes
Nursing Skills Course Introduction
Nutrition (Diet) in Disease
Nutrition-related Diseases
Omeprazole (Prilosec) Nursing Considerations
Oncology Important Points
Oncology Module Intro
Oncology nurse
Ondansetron (Zofran) Nursing Considerations
Opioids
Osteosarcoma
Ovarian Cancer
Oxygen Delivery Module Intro
Pacemakers
Pain and Nonpharmacological Comfort Measures
Pain Assessment Questions Nursing Mnemonic (OPQRST)
Pain Assessments for Certified Perioperative Nurse (CNOR)
Pantoprazole (Protonix) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Patient Positioning
Patients with Communication Difficulties
Pentobarbital (Nembutal) Nursing Considerations
Peptic Ulcer Disease Case Study (60 min)
Performing Cardiac (Heart) Monitoring
Perioperative Nursing Course Introduction
Perioperative Nursing Roles
Peripheral Vascular Assessment
Peritoneal Dialysis (PD)
Phenazopyridine (Pyridium) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Phosphorus (PO4) Blood Test Lab Values
Pituitary Adenoma
Plant Alkaloids Topoisomerase and Mitotic Inhibitors
Pneumonia Concept Map
Pneumonia Labs
Pneumonia Risk Factors Nursing Mnemonic (VENTS)
Pneumothorax Signs and Symptoms Nursing Mnemonic (P-THORAX)
Positioning
Post-Anesthesia Recovery
Postoperative (Postop) Complications
PPE Donning & Doffing
Premature Atrial Contraction (PAC)
Premature Ventricular Contraction (PVC)
Preoperative (Preop) Education
Preoperative (Preop) Nursing Priorities
Preoperative (Preop)Assessment
Pressure Line Management
Pressure Ulcers/Pressure injuries (Braden scale)
Procalcitonin (PCT) Lab Values
Propofol (Diprivan) Nursing Considerations
Propranolol (Inderal) Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Prostate Cancer
Prostate Nursing Mnemonic (FUN)
Prostate Specific Antigen (PSA) Lab Values
Protein in Urine Lab Values
Proton Pump Inhibitors
Pulmonary edema treatment Nursing Mnemonic (MAD DOG)
Pupil Reactions Nursing Mnemonic (PERRLA)
Radiation Cancer Treatment
Ranitidine (Zantac) Nursing Considerations
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)
Red Cell Distribution Width (RDW) Lab Values
Renal (Kidney) Failure Labs
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma Module Intro
Restrictive Lung Disease Causes Nursing Mnemonic (PAINT)
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Rifampin (Rifadin) Nursing Considerations
Risk Factors for Cholelithiasis Nursing Mnemonic (5-F’s)
Risk Factors for Osteoporosis Nursing Mnemonic (ACCESS)
Routine Neuro Assessments
Science of Nutrition
Scleroderma Symptoms Nursing Mnemonic (CREST)
Sedatives-Hypnotics
Sedatives-Hypnotics
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Sepsis Concept Map
Sepsis Labs
Septic Shock (Sepsis) Case Study (45 min)
Shock
Shock – Signs and symptoms Nursing Mnemonic (TV SPARC CUBE)
Shock Module Intro
Signs of Osteoarthritis Nursing Mnemonic (OSTEO)
Sinus Bradycardia
Sinus Tachycardia
Skin Cancer
Specialty Diets (Nutrition)
Spinal Cord Injury
Spinal Cord Injury Case Study (60 min)
Spinal Precautions & Log Rolling
Sprains and Strains – Nursing Care Nursing Mnemonic (RICE)
Stages of Hepatitis Nursing Mnemonic (PIP)
Sterile Field
Sterile Gloves
Stoke Assessments Nursing Mnemonic (FAST)
Stomach Cancer (Gastric Cancer)
Strabismus
Streptokinase (Streptase) Nursing Considerations
Stroke (CVA) Module Intro
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Stroke Nursing Care (CVA)
Stroke Therapeutic Management (CVA)
Sucralfate (Carafate) Nursing Considerations
Supraventricular Tachycardia (SVT)
Surgical Incisions & Drain Sites
Surgical Prep
Sympatholytics (Alpha & Beta Blockers)
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)
Systemic Lupus Erythematosus (SLE)
TB Drugs Nursing Mnemonic (RIPE)
Tension and Cluster Headaches
Testicular Cancer
Tetracycline (Panmycin) Nursing Considerations
The 5-Minute Assessment (Physical assessment)
The Medical Team
Thoracentesis
Thrombin Inhibitors
Thrombocytopenia
Thrombolytics
Thyroid Cancer
Thyroid Stimulating Hormone (TSH) Lab Values
Thyroxine (T4) Lab Values
To Clot or Not To Clot – Anticoagulants! – Live Tutoring Archive
Total Iron Binding Capacity (TIBC) Lab Values
Toxicity Sepsis- Signs and Symptoms Nursing Mnemonic (The 6 T’s)
Trach Care
Trach Suctioning
Traction – Nursing Care Nursing Mnemonic (TRACTION)
Trauma – Assessment (Emergency) Nursing Mnemonic (ABCDEFGHI)
Triiodothyronine (T3) Lab Values
Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations
Troponin I (cTNL) Lab Values
Tuberculosis (TB) Case Study (60 min)
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)
Types of Hemorrhoids Nursing Mnemonic (Pie)
Ulcerative Colitis – Assessment Nursing Mnemonic (MADE 10)
Ultrasound
Understanding Blood Pressure Meds! – Live Tutoring Archive
Upper Gastrointestinal (GI) Module Intro
Urinary Elimination
Urinary Tract Infection Case Study (45 min)
Urine Culture and Sensitivity Lab Values
Using Aseptic Technique
Vancomycin (Vancocin) Nursing Considerations
Varicocele
Vascular Disease – Deep Vein Thrombosis Nursing Mnemonic (HIS Leg Might Fall off)
Vascular disease – Raynaud’s symptoms Nursing Mnemonic (COLD HAND)
Vasopressin
Vasopressin (Pitressin) Nursing Considerations
Venous Disorders (Chronic venous insufficiency, Deep venous thrombosis/DVT)
Vent Alarms
Ventilator Settings
Ventricular Fibrillation (V Fib)
Ventricular Tachycardia (V-tach)
Vessels & Fluid
Vitamin D Lab Values
Warfarin (Coumadin) Nursing Considerations
Who Needs Dialysis Nursing Mnemonic (AEIOU)
Wound Care – Assessment
Wound Care – Dressing Change
Wound Care – Selecting a Dressing
Wound Care – Wound Drains
Seizure Documentation Nursing Mnemonic (TDOC)