Dear Nurses: January 2026

ADDRESSING HELPFUL TOPICS FOR THE CLINICAL NURSE

Dear nurses,

As a nurse we must strive to do the best
job we can. The clinical setting is sometimes
challenging, but that does not mean we cannot
perfect our learning skills.

Enjoy learning!

In the image above, Mr. R is admitted to the hospital
with a history of congestive heart failure. His doctor
has ordered a fluid restriction of 500 cc/day,
Learn more about: Fluid restriction in the heart patient.

Learn more about : The importance of Therapy

Please watch the video to learn more about : Bowel obstruction

Helpful suggestion:

The care plan

Patient and family education should always
be included in the plan of care. The nurse is
responsible for initiating and updating the
care plan.

The Nursing Process

UNDERSTANDING NARCOTIC USES AND SIDE EFFECTS

Narcotic uses

Narcotics are controlled substances that are frequently
used in the clinical setting. They may be used for reasons
such as pain control, as anesthesia, pain control and more.

Commonly used narcotics include: Morphine, Oxycodone,
Fentanyl and Hydromorphone. It is important for the nurse
to be aware of the side effects, when administering these
types of drugs.

Side effects include: lethargy, hypotension, nausea, vomiting,
mental confusion or hallucinations. It is also necessary for the
nurse to document pain scales and reaction to medication given.

Medication is frequently given in a healthcare facility.
When the doctor orders medication, different routes
of administration may be used.

Drugs may be given through different routes:
- orally, by inhalation, sublingually ( under
the tongue)
- by injection in the muscle( IM), subcutaneously( SQ)
or intravenously ( IV or IV infusion).

Medication errors should be avoided at all costs.

In the image above, Nancy requested a pain shot.
The nurse did not read the doctor's order correctly
and drew up 5.0mg of the medication, instead of
0.5mg.

It is extremely important to pay close attention to the
placement of the decimal point.

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