STROKE ASSESSMENT

Updated 5/25

Scenario: In the image above, Ann is an opera
singer. While on stage, she suddenly starts having
trouble getting her words out. Her right arm also
feels weak. These symptoms are classic of someone
experiencing a stroke.

Signs and stroke symptoms:

- sudden , severe headache
- slurred speech, mental confusion

- nausea and vomiting

- visual disturbances, hearing loss

- facial weakness

- weakness in arm or leg on one side

A CAT scan or MRI or both may be done to 
confirm diagnosis.

What TBI mean ?

This means Traumatic Brain Injury. 
In the image below, a surfer hits his head on the pier.

He sustains a TBI and a Subarachnoid hemorrhage.

Above is an example of the nursing process.
This is described as having five steps.
A - assessment
D - diagnosis
P -  planning
I -  implementation
E - evaluation
Learn more : Care planning

STROKE SYMPTOMS AND KNOWING WHAT TO DO

Dear nurses,

Updated 8/23

Are you familiar with the signs of an impending stroke?

Learn more about this topic, by clicking on the link:

Stroke assessment

REHABILITATION AND THE STROKE PATIENT

Dear nurses,

Updated 8/23

Did you know that the stroke patient may require
ICU care, PT/OT and Rehabilitation?
Learn more about the stroke patient
by clicking on the link:
Stroke assessment
and enjoy learning.

ELECTROLYTE IMBALANCES

Updated 1/25

Dear nurses,

Dearnurses.net is no longer available.

Sessions 24- Electrolyte Imbalances has been updated
to What are electrolytes.

Enjoy learning.

WHAT IS HYPERKALEMIA ?

Updated 8/24

Dear nurses,

Dearnurses.com is no longer available.

Hyperkalemia ( High Potassium) is an electrolyte imbalance. EKG changes, fatigue, 

shortness of breath and heart palpitations are symptoms of hyperkalemia.

Kayexalate given by mouth or enema, is used to decrease potassium.
 

Do you understand what happens to the patient in

Hyperkalemia ( High potassium)?

There are many people who may have electrolyte imbalances

and do not understand what is happening. To learn more about

this topic, simply click on the link:

http://www.dearnurses.com/sessions_-_clinical_videos_page_2

and enjoy learning.

DOES THE HOUSKEEPER PLAY A ROLE IN THE CLINICAL SETTING

Updated 6/25

Dear nurses,

Have you ever stopped to consider the important role 
the Housekeeping Department plays in any institution?

It is easy to overlook this fact.

In the image above the housekeeper has just received
bad news. There is an emergency. There is no one to
replace her. Just look at the trash that is piling up!

Learn more about : IV site care

Learn more about : The spread of infection

MENINGITIS AND ITS TREATMENT

Updated 1/25

Dear nurses,

The meningitis case study is no longer available.

For New information, click on the link below:

Meningitis and Quiz questions.

There is a video packed with helpful information.

So, click on the link : Sessions 23 ( Meningitis)

and enjoy learning.

THE FINAL CHAPTER

Dear nurses,

Updated 1/24

The Clinical Setting Step by Step is no longer available.
Please read the info below for more information.

The final chapter (Chapter 20) has been completed.

This means, The Clinical Setting by Step is now completed.

But, that does not mean more clinical issues are not going to continue.

By God's grace, I intend to start another book in the next few weeks.

So, stay posted and in the meantime enjoy learning about

the role of other healthcare workers in the Clinical Setting.

Just click on the link:

http://www.dearnurses.net/the_clinical_setting_step_by_s

Please click on the link: Clinical judgement

for more helpful formation.

THERAPISTS IN THE CLINICAL SETTING

Dear nurses,

What role does the Physical, Occupational and Speech Therapist

play in the Clinical setting? Learn more, by clicking on the link:http://www.dearnurses.net/the_clinical_setting_step_by_step

and enjoy learning.

WHAT ROLE DOES EACH ONE PLAY IN THE CLINICAL SETTING

Dear nurses,

Have you stopped to consider the role of the Physical/Occupational or
Respiratory Therapist? Learn more, by clicking on the link:
http://www.dearnurses.net/the_clinical_setting_step_by_step
and enjoy learning.

KNOWING HOW TO AVOID MEDICATION ERRORS

Updated 4/24

Dear nurses,

Dearnurses.com is no longer available. Please click on the
links : Medication errors

for more updated information.

Sessions 22 ( Medication Errors) has been prepared to give

you some helpful tips on how to avoid medication errors.

Topics include:

-The Five Rights

- How to avoid using the wrong route

- When 2 patients have the same last name

- When to rethink your decision to administer medication

- Potassium administration

So, just click on the link:

http://www.dearnurses.com/sessions_-_clinical_videos_page_2

and enjoy learning.

WHEN CAN A MEDICATION ERROR BE AVOIDED?

Dear nurses,

Updated 9/23

When can a medication error be avoided? 
All nurses have the responsibility of giving 
medications ordered by the doctor, as safely
as possible.
To learn more about this topic,

simply click on the links:

Common causes of medication errors

Safe medication administration

and enjoy learning.

WHAT IS AN ACOUSTIC NEUROMA

What is an acoustic neuroma? An acoustic neuroma

(vestibular schwannoma) is described as a benign tumor

which grows somewhere along the eight cranial

nerve ( the acoustic nerve).

The eight cranial nerve is responsible for hearing

and balance.

Acoustic neuromas, may or may not need surgical intervention.

Symptoms include:

-hearing loss

-tinnitus (ringing in the ear)

- vertigo and loss of balance.

Enjoy learning more about the Cranial Nerves.