Student resources: Good links
guidelines and standards:
AHRQ, Centers for Disease Control and Prevention, The Joint Commission,
Food and Drug Administration
NCLEX info: National
Council of State Boards of Nursing
Professional associations: American Nurses Association, National Student Nurses'
Career sites: J&J's Discover
Nursing, Career Center at NursingCenter.com, Nursing2007 job satisfaction survey report
Learn a new word
Tanner growth chart
A series of charts showing distribution of parameters
of physical development, such as stature, growth curves, and
skinfold thickness, for children by sex, age, and stages of
provided by stedmans.com
"tri-poly" (sounds like Tripoli) to remember the
key assessment findings in type 1 diabetes mellitus:
Review Made Incredibly Easy!, 4th edition, Lippincott
Williams & Wilkins, 2007.
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Welcome to the LWW
American Nursing Student E-Newsletter,
brought to you by the editors of Nursing2009
in conjunction with NursingCenter.com--absolutely . Written especially
for nursing students, it includes practice NCLEX questions,
medication errors to avoid, advice on how to care for
dying patients, tips from experienced nurses, and much
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In this issue...
Are you fit to study?
Charting: Charting don'ts
|| Key Facts:
Yourself: NCLEX practice
the Gap: Asking basic questions
||Recommended readings from Nursing2008
||Click on icon to e-mail this to a friend
|Study Tips: Are
you fit to study?
brain is part of your body. If your body is
uncomfortable, your brain has a harder time
doing its work. When you're studying,
you need your brain to focus on your work, not
your aching back. You can stay comfortable by
having good posture, avoiding eyestrain, moving
around, and eating healthy snacks during long
Here are some
ways to stay alert and be comfortable as you
- Sit up straight
to keep your back and neck from getting stiff.
It's worth the effort, and it can become
a habit if you stick with it. Sitting up straight
also keeps you alert and helps you concentrate.
- Make sure
your reading material is propped up at a 45-degree
angle from your work surface. And keep your
eyes at least 15 inches away from what you're
reading. If you're too close, your eyes
can't focus properly. If you're
too far away, you'll strain forward.
be afraid to get up and walk around every
so often when you're studying. Stay
in your study area, but try pacing around,
doing jumping jacks, or performing simple
stretching exercises. When you stand, 5% to
15% more blood flows to your brain. This means
your brain gets more oxygen and is more stimulated!
- What about
food? If you're going to study for more
than an hour at a time, bring a healthy and
easy snack, like grapes, so you can eat without
mess or distraction.
Success for Health Professionals Made Incredibly
Easy! by Nancy Olrech, Lippincott Williams
& Wilkins, 2008.
|Smart Charting: Charting
language and inappropriate information don't
belong in a patient's medical record and
can return to haunt you in a lawsuit. The charting
mistakes below are legal land mines--avoid them.
record staffing problems. Staff shortages
may affect patient care or contribute to an
incident, but you shouldn't mention
this in a patient's chart because it
can be used against you if the chart lands
in court. Instead, write a confidential memo
to your nurse-manager and review your facility's
policy and procedure manuals to see how you're
expected to handle this situation.
record staff conflicts. Don't chart
disputes with other nurses, questions about
a doctor's treatment, or a colleague's
rude or abusive behavior. Instead of charting
these problems, talk with your nurse-manager
or consult with the doctor directly if an
order puzzles you.
- Don't mention
incident reports. Incident reports are confidential
and filed separately from the patient's chart.
Document only the facts of an incident in
the chart, and never write incident report
or indicate that you filed one.
use words associated with errors. Terms like
mistake, accidentally, somehow, unintentionally,
miscalculated, and confusing
are bonus words to the plaintiff's attorney.
Steer clear of words that suggest an error
was made or a patient's safety was jeopardized.
Let the facts speak for themselves.
name a second patient. Naming a second patient
in a patient's chart violates confidentiality.
Instead, write roommate, the patient's
initials, or his room and bed number.
chart casual conversations with colleagues.
Telling your nurse-manager in the elevator
or restroom about a patient's deteriorating
condition doesn't qualify as informing
her. She's likely to forget the details
or may not even realize you expect her to
intervene. Before notifying someone, clearly
state why you're notifying the person
so she can focus on the facts and take appropriate
action. Otherwise, you can't chart that
you informed her.
Made Incredibly Easy!, 3rd edition,
Lippincott Williams & Wilkins, 2006.
is transmitted to the fetus primarily via
the mother's contact with contaminated
cat box filler.
- A therapeutic
abortion is recommended if the diagnosis is
made before the 20th week of gestation.
- Effects include
increased frequency of stillbirths, neonatal
deaths, severe congenital anomalies, deafness,
retinochoroiditis, seizures, and coma.
treatment involves anti-infective therapy
(sulfa or clindamycin).
A's in Maternal-Neonatal Nursing,
2nd edition, Lippincott Williams & Wilkins,
Yourself: NCLEX practice questions
about passing the NCLEX? The more practice questions
you do, the more confident you'll feel. Try
these, then review the answers and rationales
that follow. Experts recommend taking many practice
questions before the NCLEX, so take advantage
of review courses, books, and other products
to help you succeed and pass the NCLEX. ANSWERS
client with celiac disease is being discharged
from the hospital. Which food item should
be included in his diet?
a nurse is teaching the parents of a neonate
newly diagnosed with hypothyroidism, which
statement should be included?
large goiter in a neonate doesn't
present a problem."
neonates usually aren't affected by
the neonate exhibits obvious signs of hypothyroidism."
severity of the disorder depends on the
amount of thyroid tissue present."
child has been diagnosed with acute glomerulonephritis.
Which component should the nurse expect
the child's urine to contain?
1-year-old client is treated in the clinic
for a burn to the anterior surface of the
left hand. Which way to measure burn size
would be accurate for this child?
rule of nines
based on the child's weight
child's hand equals 1.25% of the child's
body surface area
can't be determined without knowing
the type of burn
staff nurse on a busy pediatric unit is
an excellent role model for her colleagues.
She encourages them to participate in the
unit's decision-making process and
helps them improve their clinical skills.
This nurse is functioning effectively in
|Bridging the Gap: Asking basic questions
you're caring for a Spanish-speaking patient,
you'll make him feel more at ease if you
can ask basic questions in his native language.
Here are some phrases you can use.
- How are you
se siente Ud.?
- What time
is it? ¿Qué
- What day
is it? ¿Qué
día es hoy?
- What is today's
date? ¿A qué
- Where are
- How old are
años tiene Ud.?
- Did you come
alone? ¿Vino Ud.
- Who brought
you? ¿Quién lo (la)
- Where were
you born? ¿Dónde
- Where do
you live? ¿ Dónde
your address? ¿Cuál
es su direccíon?
Spanish Made Incredibly Easy!, 3rd
edition, Lippincott Williams & Wilkins,
|Recommended readings from Nursing2008
miss this substantive, peer-reviewed feature
from the Decmber issue of Nursing2008.
It'll help you learn about evidence-based practice.
|Answers to NCLEX practice questions
4 Sources of gluten found in
wheat, rye, barley, and oats should be avoided.
Rice and corn are suitable substitutes because
they don't contain gluten. Pizza, luncheon
meat, and cereal contain gluten and, when broken
down, can't be digested by people with
2. 4 The severity of the disorder
depends on the amount of thyroid tissue present.
The more thyroid tissue present, the less severe
the disorder. A large goiter in a neonate could
possibly occlude the airway and lead to obstruction.
Preterm neonates are usually affected by hypothyroidism
due to hypothalamic and pituitary immaturity.
Usually the neonate doesn't exhibit obvious
signs of the disorder because of maternal circulation.
3. 1 Urinalysis findings consistent
with glomerulonephritis should include specific
gravity less than 1.030, positive blood and
protein casts, and white and red blood cell
casts. Calcium casts and glucose aren't
usually found in the urine of a client with
acute glomerulonephritis. The presence of cystine
crystals typically indicates a congenital metabolic
4. 3 The anterior surface of
a child's hand is equal to 1.25% of that
child's body surface. The rule of nines
is used for children ages 14 years and older.
The child's weight is important to calculate
fluid replacement for extensive burns, not to
estimate total body surface area. Burn type
doesn't determine the percentage of body
5. 3 A leader doesn't
always have formal power and authority but influences
the success of a unit by being an excellent
role model and by guiding, encouraging, and
facilitating professional growth and development.
A manager has formal power and authority from
the status within the organization, and such
power and authority is detailed in the manager's
job description. An autocrat isn't interested
in guiding or encouraging staff or in being
an effective role model. Authority, a characteristic
of a managerial position, is given by virtue
of position within an organization.
Questions & Answers Made Incredibly Easy!,
4th edition, Lippincott Williams &
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