Nursing Care Plan (NCP) for Hepatitis

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Included In This Lesson

Study Tools For Nursing Care Plan (NCP) for Hepatitis

Hepatitis B (HBV) Assessment (Picmonic)
Hepatitis A (HAV) Assessment (Picmonic)
Hepatitis Pathochart (Cheatsheet)
Example Care Plan_Hepatitis (Cheatsheet)
Blank Nursing Care Plan_CS (Cheatsheet)
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Outline

Lesson Objective for Hepatitis Nursing Care Plan

  • Understanding of Hepatitis Types:
    • Develop knowledge about different types of hepatitis, including A, B, C, D, and E, including their modes of transmission, risk factors, and clinical manifestations.
  • Recognition of Hepatitis Symptoms:
    • Learn to recognize the common symptoms of hepatitis, such as jaundice, fatigue, abdominal pain, and changes in urine and stool color, to facilitate early detection and intervention.
  • Prevention Strategies:
    • Understand preventive measures, including vaccination for hepatitis A and B, practicing safe hygiene, and avoiding risky behaviors that may lead to the transmission of hepatitis viruses.
  • Importance of Screening and Testing:
    • Recognize the significance of regular screening and testing, especially for high-risk populations, to identify hepatitis infections early and initiate appropriate medical interventions.
  • Promotion of Liver Health:
    • Gain insights into lifestyle modifications that promote liver health, such as maintaining a balanced diet, avoiding excessive alcohol consumption, and adhering to prescribed medications for chronic hepatitis.

Pathophysiology of Hepatitis

  • Viral Invasion:
    • Hepatitis is primarily caused by viral infections, with hepatitis A, B, C, D, and E viruses being the most common culprits. These viruses target hepatocytes, the functional cells of the liver.
  • Cellular Injury and Inflammation:
    • Viral invasion leads to direct injury to hepatocytes, triggering an inflammatory response. The immune system’s attempt to eliminate the virus contributes to liver cell damage and dysfunction.
  • Jaundice and Liver Dysfunction:
    • Hepatocyte damage results in impaired bilirubin metabolism, leading to the characteristic symptom of jaundice. Liver dysfunction further compromises the synthesis of clotting factors and other essential proteins.
  • Formation of Hepatic Nodules (Chronic Hepatitis):
    • Prolonged inflammation and ongoing liver injury can progress to chronic hepatitis. This stage is characterized by the formation of regenerative nodules, disrupting the normal architecture of the liver.
  • Risk of Cirrhosis and Hepatocellular Carcinoma:
    • Chronic hepatitis, if untreated, may progress to cirrhosis, marked by irreversible scarring of the liver. Cirrhosis increases the risk of complications, including hepatocellular carcinoma (HCC), a form of liver cancer.

Etiology of Hepatitis

  • Viral Infections:
    • Hepatitis A, B, C, D, and E viruses are the primary causes of viral hepatitis. Each virus has distinct modes of transmission, and their impact on the liver varies, ranging from acute to chronic infections.
  • Autoimmune Hepatitis:
    • Autoimmune hepatitis occurs when the immune system mistakenly targets and attacks healthy liver cells. The exact cause of this autoimmune response is not well understood but likely involves a combination of genetic and environmental factors.
  • Alcohol and Substance Abuse:
    • Chronic alcohol consumption and certain drugs or toxins can contribute to hepatitis by causing liver inflammation and damage. Alcohol-induced hepatitis is often linked to long-term excessive alcohol intake.
  • Metabolic and Genetic Factors:
    • Metabolic conditions, such as non-alcoholic fatty liver disease (NAFLD), obesity, and insulin resistance, can contribute to hepatitis. Additionally, genetic factors may predispose individuals to liver diseases.
  • Blood Transfusion and Contaminated Needles:
    • Hepatitis B and C can be transmitted through contact with infected blood, making blood transfusions with contaminated blood products or the sharing of needles a significant risk factor for acquiring these viruses.

Desired Outcome for Hepatitis

  • Resolution of Acute Infection:
    • Achieve the elimination of the causative agent (virus, toxin, etc.) to resolve acute hepatitis and prevent further liver damage.
  • Management of Chronic Infection:
    • For chronic hepatitis cases, the goal is often to suppress viral replication and reduce inflammation to prevent progression to cirrhosis or other complications.
  • Prevention of Complications:
    • Prevent the development of complications such as cirrhosis, liver failure, hepatocellular carcinoma, and other extrahepatic manifestations.
  • Liver Function Optimization:
    • Improve and maintain optimal liver function, including normalization of liver enzymes and other relevant markers.
  • Patient Education and Lifestyle Modification:
    • Empower the patient with knowledge about the condition, transmission prevention, and the importance of lifestyle modifications, such as avoiding alcohol and maintaining a healthy diet.

Hepatitis Nursing Care Plan

 

Subjective Data:

  • Loss of appetite
  • Fatigue
  • Muscle/joint aches
  • Nausea
  • RUQ abdominal pain
  • Itchy skin

Objective Data:

  • Dark-colored urine
  • Pale colored stools
  • Diarrhea
  • Jaundice
  • Vomiting
  • Fever

Nursing Assessment for Hepatitis

 

  • Medical History:
    • Gather information on the patient’s medical history, including any known risk factors for hepatitis (intravenous drug use, unprotected sex, recent travel to endemic areas, etc.).
  • Symptomatology:
    • Assess and document symptoms such as jaundice, fatigue, abdominal pain, nausea, vomiting, dark urine, and changes in bowel habits.
  • Exposure History:
    • Investigate potential exposure sources, such as recent travel, contact with infected individuals, or high-risk behaviors that may have led to hepatitis transmission.
  • Social History:
    • Explore the patient’s lifestyle, including alcohol consumption, substance use, and sexual practices, as these can impact the progression of hepatitis and influence treatment decisions.
  • Physical Examination:
    • Perform a thorough physical examination, with a focus on signs of liver dysfunction (jaundice, hepatomegaly, ascites, etc.) and any extrahepatic manifestations.
  • Laboratory Tests:
    • Order and review liver function tests (ALT, AST, bilirubin, etc.), viral hepatitis serology (HBsAg, anti-HCV, etc.), and other relevant blood tests to confirm the diagnosis and assess the severity of the condition.
  • Imaging Studies:
    • If necessary, collaborate with other healthcare professionals to order imaging studies (ultrasound, CT scan, etc.) to evaluate liver structure and identify any complications.
  • Psychosocial Assessment:
    • Assess the patient’s mental and emotional well-being, as a hepatitis diagnosis can have psychological implications. Provide appropriate support and resources for coping with the diagnosis and potential lifestyle changes.

 

Implementation for Hepatitis

 

  • Medical Management:
    • Collaborate with the healthcare team to implement medical interventions based on the type and severity of hepatitis. This may include antiviral medications, immunizations, and supportive therapies.
  • Symptom Management:
    • Administer prescribed medications to alleviate symptoms such as nausea, abdominal pain, and pruritus. Monitor the patient’s response to medications and report any adverse effects.
  • Infection Control:
    • Emphasize strict infection control measures to prevent the spread of hepatitis, especially in a healthcare setting. Educate the patient and caregivers on hand hygiene, safe disposal of bodily fluids, and other preventive measures.
  • Nutritional Support:
    • Collaborate with a registered dietitian to develop a nutrition plan that supports liver health. Encourage a well-balanced diet, adequate hydration, and restrictions on substances that may exacerbate liver damage, such as alcohol and certain medications.
  • Patient Education:
    • Provide comprehensive education on the nature of hepatitis, the importance of medication adherence, potential side effects of treatment, and strategies for preventing transmission. Emphasize the need for regular follow-up appointments and monitoring.

Nursing Interventions and Rationales

 

  • Initiate bleeding precautions per facility protocol
    • No straight razors
    • Use a soft toothbrush and good oral hygiene
    • Use stool softeners to avoid straining with bowel movements
  Coagulation chemicals such as prothrombin and fibrinogen. Damage to the liver may alter the production of these chemicals and increase the risk of bleeding.
  • Monitor fluid and electrolyte balance
    • Monitor I & O
    • Daily weights
    • Assess skin turgor
  Liver impairment may also affect renal function. Ascites and dependent edema may be indicators of hyponatremia. Diarrhea and vomiting may cause fluid imbalances.
  • Provide routine oral care before meals with a soft toothbrush
  Bleeding gums and lack of oral hygiene can lead to infection and poor appetite. Provide oral care before meals to enhance flavor and encourage adequate nutrition.
  • Encourage and assist with positioning
  Recommend patients eat sitting upright to reduce abdominal fullness and encourage dietary intake.
  • Administer medications appropriately and monitor for effectiveness and adverse reactions. Monitor lab values before administration.
  Medications may be given to manage electrolytes, and symptoms of nausea or to assist with alcohol or drug detox. Avoid giving acetaminophen. Antiviral medications may be given to treat certain types of hepatitis.
  • Provide and monitor supplemental feedings and TPN as necessary
  In chronic disease, it may be necessary to provide adequate nutrition and caloric intake
  • Nutrition and Lifestyle education, prevention and protection
    • Avoid alcohol and illicit drugs
    • Avoid exposure to dirty needles
    • Avoid contact with bodily fluids such as semen, blood, stool, and vomit
    • Encourage vaccines for high-risk patients and their families
  High-risk behavior and lifestyle modifications may be necessary. Encourage patients to avoid alcohol and drug use and unprotected sex as viral hepatitis is easily transmitted. Provide nutrition education to promote low fat, low sugar diet. Wheat, gluten, dairy, and artificial sweeteners are difficult for the liver to digest.

Evaluation for Hepatitis

 

  • Clinical Progress:
    • Regularly assess the patient’s clinical status, including improvement or resolution of symptoms, changes in liver function tests, and overall well-being. Document and communicate findings to the healthcare team.
  • Adherence to Treatment Plan:
    • Evaluate the patient’s adherence to the prescribed treatment plan, including medication regimens, dietary recommendations, and lifestyle modifications. Identify and address any barriers to adherence.
  • Monitoring for Complications:
    • Monitor for potential complications of hepatitis, such as liver cirrhosis or failure, and promptly report any signs or symptoms. Conduct ongoing assessments of vital signs, laboratory results, and physical indicators of liver function.
  • Psychosocial Well-being:
    • Assess the patient’s psychosocial well-being, including emotional responses to the diagnosis, coping mechanisms, and the impact of hepatitis on daily life. Offer support, counseling, or referrals to appropriate services as needed.
  • Education Outcomes:
    • Evaluate the patient’s understanding of hepatitis, its management, and strategies for prevention. Assess the effectiveness of education interventions by testing knowledge retention and addressing any misconceptions or gaps in understanding.


References

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Transcript

Here, we’re going to work on the hepatitis nursing care plan. So the patho behind hepatitis is, hepatitis is an inflammation of the liver. The hepatitis may be resulted from lifestyle factors, chronic or auto-immune disorders or viral agents. Um, some forms of hepatitis are curable and others are, uh, there for a lifetime. Management and treatment of the disease does depend on the causative factor. The widespread inflammation results in degeneration and necrosis of the liver. About 70% of hepatitis cases, BNC progress to a chronic state cirrhosis, or become fatal.

The nursing considerations that we want to keep in the forefront of our mind, let’s assess and monitor mental status. Uh, these patients can have a quick decline in their mental status. We want to prevent bleeding and at any time we want to assess and manage their pain. The desired outcome for hepatitis is to minimize progressive degeneration and necrosis of the liver, we want to improve quality of life, improve healthy lifestyle habits, and we want to maintain optimal nutrition and functionality of the liver. 

So, a patient, regardless of which type of hepatitis that they have, would typically present the same way because of the liver damage. Uh, they will often complain of a loss of appetite. They will be fatigued, they will complain of muscle or joint aches, they’ll have some nausea, they will have some right upper quadrant abdominal pain, and that’s when the liver is located, and they’ll also have some itchy skin. And a lot of that is attributed to the toxins that have built up from not being processed by the liver. So, their skin would be very itchy. Um, some things that we are going to notice, these are some hallmark signs for anyone with liver damage or hepatitis, is that there will be dark colored urine. The urine is going to be very dark. They’re going to have pale color stools. Um, they’re going to have some diarrhea. Their skin is going to have a yellow tinge. Uh, Jaundice, this is what we call it. So, let’s write that down. Jaundice, they’re also going to have some vomiting and they may also present with a fever. 

So, what are some of the things that you think, uh, we want to, uh, do for these patients? Well, I think that maybe we want to initiate some bleeding precautions. Do we want to put these, these patients are bleeding precautions, so bleeding precautions, and the reason why we want to put them on bleeding precautions is, these patients have an impaired bleeding coagulation, um, because of their liver, their liver controls a lot of the clotting factors producing. So, when your liver is impaired, then you have longer bleeding times. So again, those, um, bleeding precautions include, uh, no straight razors. Uh, we want to make sure that they use a soft toothbrush and we also want to make sure that they use stool softeners to avoid straining with bowel movements. Next up, we want to take a look at those coagulation studies. So we’re going to really, uh, focus on their lab values, but we’re going to look at the PT, the PTT and the INR. Those are just some of the labs that we want to look at. Damage to the  liver is going to alter the production of prothrombin and fibrinogen. So it’s going to increase that risk of bleeding, their bleeding risk is increased. 

Okay, the next thing we want to do is we want to monitor their fluid and electrolyte balance. Liver impairment may also affect renal function. So ascites, which are, uh, pretty much fluid retention, third spacing around the abdomen, and dependent edema are indicators of hypernatremia. Diarrhea, and vomiting may also cause fluid imbalances. We want to keep a close eye on that. Next up, we want to provide routine oral care before meals with a soft toothbrush. The reason for this is we want to provide oral care before meals to enhance flavor and encourage adequate nutrition. A lot of these patients have no appetite. So we want to give them a leg up in any way we can and freshen up their mouth before meals. We’ll also give them the drive to want to eat more. We want to provide a monitor, supplemental feedings and TPN if possible, and this chronic disease, it may be necessary to provide adequate nutrition, uh, supplemental. 

So, sometimes we will give them those, uh, shakes or TPN, which is, it goes through your central line to give them the nutrition. We want to monitor the caloric intake because it’s very important to put them on the road to recovery. We want to encourage and assist with positioning. Uh, it’s very important for the patient when it’s, when it’s time to eat, it is important for them to, to sit upright. And that’s going to reduce abdominal fullness feeling, and encourage dietary intake. Uh, their abdomen is, uh, and their livers are large. So that ascites, that part of the abdomen is full, but also the society’s the fluid that’s kind of there. It’s also giving them a fullness feeling, so we want to encourage, um, the, uh, caloric intake in order to do that. Let’s sit them up. High Fowler’s is preferred. Now let’s look at the key points. 

So pathophysiology, uh, inflammation of the liver is called hepatitis. This is what we’re talking about. It may result from lifestyle factors, chronic or autoimmune diseases or viral agents. Subjective, so what is the patient saying? The patient has a decreased appetite. The patient may also complain of being fatigued, some right, upper quadrant pain and very itchy skin. Uh, some things that we’re going to notice is we’re going to see pale stool. They’re going to be Jaundiced, or show yellowing of the skin or eyes. They’re going to have dark, dark, urine, and they’re going to have a fever. What we want to focus on, is we want to focus on neuro assessment. So, as the toxins build up, there may be changes in their level of consciousness. We’re going to assess for encephalopathy okay, And then finally, we’re going to do lab draws and we’re going to focus on the coagulation studies. What is their liver telling us through their blood. Liver damage alters prothrombin, and fibrinogen production. And it increases the risk of bleeding. I know this was a lot, but as always, we love you guys. Go out and be your best self today and as always, happy nursing.

 

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1st Degree AV Heart Block
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Epoetin (Epogen) Nursing Considerations
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Essential NCLEX Meds by Class
Evaluation of Irregular Moles Nursing Mnemonic (ABCDE)
Fentanyl (Duragesic) Nursing Considerations
Ferrous Sulfate (Iron) Nursing Considerations
Fibrin Degradation Products (FDP) Lab Values
Fibrinogen Lab Values
Fibromyalgia
Fluid Volume Overload
Fractures
Free T4 (Thyroxine) Lab Values
Fundamentals Course Introduction
Gabapentin (Neurontin) Nursing Considerations
Gastritis
Gastrointestinal (GI) Bleed Concept Map
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GERD causes Nursing Mnemonic (Reflux Is Probably Mean)
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Glucagon (GlucaGen) Nursing Considerations
Gout Case Study (45 min)
Hb (Hepatitis) Vaccine
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Hearing Loss
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Heart (Cardiac) Failure Module Intro
Heart (Cardiac) Failure Therapeutic Management
Heart (Cardiac) Sound Locations and Auscultation
Heart Failure – Live Tutoring Archive
Heart Failure – Right Sided Nursing Mnemonic (HEAD)
Heart Failure 2 – Live Tutoring Archive
Heart Failure Case Study (45 min)
Heart Failure-Left-Sided Nursing Mnemonic (CHOP)
Heart Failure-Origin Nursing Mnemonic (Left – Lung|Right – Rest)
Hematology Module Intro
Hematology/Oncology/Immunology Course Introduction
Hemodialysis (Renal Dialysis)
Hemorrhagic Stroke Risk Factors Nursing Mnemonic (HATS)
Heparin (Hep-Lock) Nursing Considerations
Hepatitis B Virus (HBV) Lab Values
Hiatal Hernia
Hiatal Hernia Symptoms Nursing Mnemonic (Her Belly Really Hurts Following Dinner)
High Pressure Vent Alarms Nursing Mnemonic (Kings Eat Big Cakes)
Histamine 1 Receptor Blockers
Histamine 2 Receptor Blockers
HMG-CoA Reductase Inhibitors (Statins)
Hydralazine
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Hypercalcemia – Signs and Symptoms Nursing Mnemonic (GROANS, MOANS, BONES, STONES, OVERTONES)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (FRIED)
Hypernatremia – Signs and Symptoms 2 Nursing Mnemonic (SWINE)
Hypernatremia – Signs and Symptoms 3 Nursing Mnemonic (SALT)
Hypertension – Nursing care Nursing Mnemonic (DIURETIC)
Hypertension (HTN) Concept Map
Hypertension- Complications Nursing Mnemonic (The 4 C’s)
Hypertensive Crisis Case Study (45 min)
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)