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continuing nursing education

A warming planet and human health

Although most Americans voice concern about climate change (climate breakdown), many remain unaware that they’re experiencing its effects today. In fact, those born in the 1980s or later…

Acute kidney injury: A nursing challenge

The renal system comprises the kidneys, ureters, and urethra, which maintain homeostasis via filtration and excretion of waste products, participate in acidbase balance, produce renin for maintaining hemodynamics,…
anxiety in primary care

Anxiety in primary care: A primer for APRNs

Anxiety disorders commonly present in primary care settings, and advanced practice RNs (APRNs) will benefit from understanding treatment options that promote positive outcomes. Several effective nonpharmacologic options exist…
Caring for diverse patient populations in their homes

Caring for diverse patient populations in their homes

CS/PC strategies enhance the three essential skills of home health nursing: building a caring-trusting relationship with the patient, holistic and advanced assessment and care planning skills, and effective…
Continuous glucose monitoring: the basics

Continuous glucose monitoring: THE BASICS

Blood glucose self-monitoring helps patients with diabetes understand the interrelationships among food, activity, and medication to achieve their glycemic targets. It also aids treatment effectiveness assessment. Patients continue…
AML

Differentiation syndrome: An emerging oncologic complication

Nurses are critical to recognizing and managing this life-threatening condition.  Learning Objectives  Identify the pathophysiology of differentiation syndrome (DS). Compare DS with tumor lysis syndrome. Discuss DS management.…

ECMO and nurse-led mobilization

Early mobilization involves the early application and intensification of physical therapy within the first 2 to 5 days of a critical illness.

Gut microbiome and health

Some researchers describe the bacteria, fungi, protozoa, and other microbes in our digestive system (the gut microbiome) as the newest discovered body organ. Each person’s balance and mix…
heart

Heart failure management: Updated guidelines

Heart failure (HF), a clinical syndrome that results from changes in the cardiac structure, leads to impaired ventricular filling or reduced blood ejected with each heartbeat. Primary prevention…

Knee Osteoarthritis: Assessment and management

CNE: 1.5 contact Hours Learning Objectives: Describe causes and risk factors of knee osteoarthritis (KOA), related health assessments, diagnostic tests that may be recommended by providers, and patient education…

Mpox: Be prepared for the next outbreak

Knowledge can help reduce stigmatization and improve access to care. Takeaways: Cases of human Mpox had been considered rare, but current data show rapid spread from human-to-human transmission.…

Nursing ethics and shared governance model

Through shared governance, nurses are encouraged to participate in organizational decision-making to satisfy professional obligations. Incorporating ethical competence and professional development into everyday nursing practice is imperative to…
pulmonary embolism

Pulmonary embolism: Surveillance is key

Pulmonary embolism (PE) occurs when a clot (thrombus) that formed somewhere in the body dislodges, travels through the right side of the heart to the lungs and blocks…

Recognizing oncologic emergencies

The American Cancer Society estimates that in 2023 over 1.9 million individuals will receive a diagnosis of some form of cancer. Many will seek care for oncologic emergencies…

Skin failure: A historical perspective

Kennedy terminal ulcer. Kennedy lesion. Skin failure. Skin changes at life’s end. Terminal ulcers. Trombley-Brennan terminal tissue injury. End-stage skin. Skin changes associated with dying. Decubitus ominosus. Unavoidable…

Sleep and the glymphatic system

Dr. Rafael Pelayo, a sleep physician from Stanford University, shared this insight into how he explains the sleeping brain: “My mother worked in a factory sewing clothes and…

UTI revisited: Optimizing best practices

Urinary tract infection (UTI) continues to attract clinical attention as one of the world’s most prevalent infections. UTI broadly describes several clinical conditions, including cystitis, pyelonephritis, and renal…

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Test Your Knowledge

Which of the following clinical signs and symptoms should prompt a nurse to suspect acute angle glaucoma? Select all that apply.