while this is helpful information, how does this apply to the focus of this chapter, or even this textbook?

...may be contained...

and family, as applicable

includes

do you want to add the Code of Ethics here too?

this sentence is written as if poverty, education, safe medication, and health care disparities are all social determinants of health. Only the first two are SDOHs.

health disparities are a result of inequities. I don't see how safe medication apples here. I would remove the last two from the sentence and add another sentence with these concepts if needed..

make this plural

is clear the best option here?

I suggest explaining how gender this impacts excretion.

awkward

in a previous section the text referred to older adults having less fat, so this is contradictory

well done!!

this is all good information, but realistically, is the student truly absorbing this content and thinking about 'free drug' as they administer meds? I know this review is meant to assess the changes, but just putting it out there.

I also realize this content may be on NCLEX, so it does need to be explained.

at times resulting in....****

inconsistency with the definition in the hyperlink and text on page. Distributed versus dispersed. I would match this up.

solid and liquid is smoother...

the person applying this patch should be wearing gloves. I suggest finding a different image

this moving image is extremely distracting. I suggest showing snapshots instead, or a video. I cannot concentrate on what I'm reading when these are part of reading materials

"goes through"

just as you defined pharmacology, do you want to introduce this first, then move towards a 'deeper look'?

QSEN or other

nurse assess each visit to include arm circumference, etc.

same insertion “hole”

is this needed? If so, I would put in parentheses, it doesn't fit the way the sentence is worded.

I'm glad you highlighted this important QI issue. might want to add something about this being a quality of care issue.

is there a reading/number on the catheter to document? similar to a peg tube

of an object within the body?

the nurse in the video on the last page confirmed she asked the patient about any religious beliefs that would contraindicate the infusion, did you want to include that in the documentation?

and restart the infusion

how about infusion instead?

I don't think this belongs here, it's copied to the next block.

can you also share F?

you'll decide which you use, this or organization

will the students know what this means? don't believe it's been previously introduced

doesn't work...this sentence is about administering the blood so the last part of the sentence can be deleted. Sentence ends with administered.

the nurse is preparing for intubation, so 'if necessary' is redundant.

maybe add prepare for "potential" intubation. I think that's clearer

seems loss of consciousness would be last, going from mildest of the severe symptoms to severe

this procedure was introduced earlier. suggest explaining the procedure when its first introduced

how important are these minute details? Unless this is common on NCLEX?

delete

add (FFP) ??

what about organ transplantation? I don't know much about this piece, but just putting it out there just in case.

add an arrow to show the RH as you do for the blood type. if you can't do that explain it is located below the blood type

more encompassing would be child and maternal health and mortality.

maternal mortality is key here, during childbirth, it is not listed officially

little fingers? suggest stating pinky finger or fifth digit

I know this word, is it at the level of an 18-20 year old?

more conservative treatments

such as a Pyxis

require

delete

comma after administration

add per agency policy too

how could this happen when there is a set maximum dose per hour? I suggest sharing a different reason why only the patient should press the button

is this really needed? rather put the name of the provider

IV was just started, nothing was really infused yet

this is not realistic. nurses do not know the name of the vein. location on the arm is sufficient

how about this instead:

regardless of the method of ....

this is understood, I would delete, shorter is always better

I suggest being consistent with this format, "per agency policy"

Curl the extension set and tape it to the inside of the patient’s arm....

Using sterile technique, apply a ...

again, need an image here, the more the better

safety mechanism, as applicable, to cover

multiple choices

suggest sharing an image

clean or unsterile

as noted in previous page, add this to the blood draw checklist

this documentation is only about the blood draw, results would be hours later. and why is this only applicable, this checklist is for blood draw only, not IV insertion site. I would remove all reference to placing IV sites

isn't this about documenting blood draws? why would this be here?

sometimes agency is used. I suggest using the same word throughout the bood

shouldn't this be done prior to sampling blood?

might consider explaining the needle should not be removed if the collection tube is still in the vacutainer

(instead of a vacutainer)

I suggest including a picture of a vacutainer

to needle insertion site

clarify what this means

delete

delete

usedcomma here when available comma hereto

as noted in someone else's comment, following agency protocol is needed at the beginning

add comma here

and are difficult to cannulate.

the child is sleeping, he's not being distracted by toys.

where is the IV access site? I don't see their relevance to this image? I would delete and insert an image venous access on the scalp

how about adding the point I mentioned above about new bags?

new sentence

what about when changing IV bags, adding IV medication piggybacks?

what about lowering rate temporarily to KVO? based on clinical presentation, etc.

this is about prevention too

where can this be found?

a prevention column might be helpful

is this needed, just state the cause

is this needed?

delete

definitely need an image. is there a gauge to report on these?

and intravenous fluid

or, just delete blood,

'widest flow rate as it is referred to in the figure

seek out

and reduce trust in the nurse

by?

delete?

dependently (below the level of the heart)

I'd delete

was this concept introduced yet? If not, add it to the s/s of infiltration/complications earlier in the chapter

wordy

not sure what this means

I'd delete, wordy sentence

plays a strong

often

and catheter lumen size

"introduction of"

was this previously discussed? I can guess what it means. I checked out the hyperlink, quickly scanned it, did a search, I don't see reference to 'no tough technique'

according to agency protocol

initiation of...

also add cool to touch (from fluid in tissues)

'have'

the

if you have a hyperlinked definition below, hyperlink it here too

this is one very long sentence. I would split it up

might suggest one or two examples

delete?

as found in the blood

this is a repeat of the first sentence. I suggest deleting the first sentence and replacing it with this one.

sometimes you refer to nurses, other times not. suggest making this universal, whichever concept you want to use. same as the issue with patient and client

I would switch this around, refer to the medical terminology and put layman's term in parentheses

this is repetitive, we know it's blood... would delete

this is singular, sounds like you intended this to be plural: patients'

function of what? I'd reword, can't give you an example because I'm not following this point too well

what is this intended to mean? sounds subjective

do you want to add that telemetry monitoring was restarted, as appropriate?

does this apply to telemetry on previous page? it's not listed

figure 7.30, the text in the box is too small to read. I suggest finding a different one

different here compared to telemetry, so that was an error on previous page

I don't understand checking and assessing

good idea to add this

at some point earlier in the chapter you might want to refer the reader to telemetry, monitoring heart rhythms

I suggest putting this one first so they can compare more easily to the arrhythmias

instead, "optimal care"

this can be deleted for a smoother read

would it also be beyond the scope of the RN to interpret? If so, add that?

would students know what this means?

put this in parentheses

the written interpretation is honestly not so easy to follow for a student, so this video is extremely helpful

it would be helpful to hyperlink the table, better chance the student will check it out

as someone who hasn't read strips in decades, this is not easy to follow. example here as well

an example would be helpful

there's an issue here with hyphens, not sure if this is grammatically correct. usually there would be a hyphen with non-life, but can't have three hyphens here.

attached to the client’s body using electrodes....

I hope you do a search for the concepts patient and client and use the same one throughout this eBook

this is a great way to explain

I would delete sections, chambers is the correct concept here.

chest tube removal

protective waterproof pad

Report most recent chest X-ray results

add a comma after 'stable'

the chest tube removal process

every 15 minutes

would be clearer this way even though it's obvious:

Prepare the client for removal of the chest tube

which from previous sections, anxiety is assessed

I suggest adding anxiety level

patient?

this sounds confusing, aspirin is an NSAID and an anticoagulant. If you are giving an example of an NSAID and anticoagulant, how about:

Review client medications, noting the use of NSAIDs or prescribed anticoagulants, such as aspirin or warfarin, that increase the risk for bleeding.

chest tube was inserted and drainage began

clean gloves

how is it decided that some videos are embedded and others are hyperlinks? having videos embedded makes the page more interesting, and will likely be clicked on too.

instead, "and ensure continuous..."

add hyperlink here

change to patient as this concept is used throughout. I would assess other sections of this module or the book and use the same concept.

or per agency policy.

"until the patient is stable" is subjective... possibly revise to VS and rest. status is stable, something like that?

this is not equipment

maybe this is here if the nurse is showing a patient a card with the pain scale on it? it just looks odd to see this written as a tool. pain assessment is below, I would delete this as it does not align with the list of equipment

to the patient (and family if present)

or damaged

should there be a prompt to stop the suction?

I would write this as singular

it's a little awkward written this way. not sure how to reword, maybe something like this:

cues to "detect" the problem...

would suggest writing out water or sterile water.

the previous page has a hyperlink for tidaling. I suggest bringing the hyperlink to this sentence as well.

by the provider

remove comma

the image shows the 9th intercostal space when the image shows ninth. if ninth is correct, I suggest revising the text to fifth through ninth, something like that.

"a" patient

"a" patient

though I see reference to client in other areas. should be consistent with using one or the other throughout

in the previous section you have the YT video embedded in the page (how to insert NG), though here you share the link. I encourage you to embed the video, there's more of a chance the student will watch the video if it's right there on the page.

nare?

need a citation for this content

this is a brand, rather than a "numbing" throat spray

is this based on a 13 hour shift? way back when I worked med surg we worked 8 hour shifts and it was flushed once/shift, so 3x/day, versus 2x/day

consider this instead:

must be obtained immediately

this font size is much easier to read

this is a helpful image, but the font size for identifying physical structures is too small

level written twice, suggest deleting the second one

instead, consider

... to a point...

consider a section on EMDR

also this source

instead, suicidal ideation

include

(see content about ACEs)

Anytime you get a chance to re-introduce concepts from previous sections is critical for retaining content

spelling

factors

reword to nightmares?

footnotes need formatting

in past sections interference included education

may also begin

I would suggest the use of anti-anxiety meds to prepare the patient for this potentially anxiety-producing procedure since anesthesia is not used