good video

include a key for these pictures that blue = deoxygenated blood and red = oxygenated blood so students will better understand these graphics.

The great veins (the superior and inferior venae cavae) and the great arteries (the aorta and pulmonary trunk)... using parentheses helps read that sentence with better ease.

I like this definition better than the one provided in the text.

the last chapter's NGN question links required me to create an account and login, these links worked fine without requiring that.

fun activity, I like the variety and application of knowledge here.

remove comma

in the box right before this, it's stated "slower onset of action", here it states "rapid bronchodilation"- this may confuse students. I suggest deleting "rapid" here.

not a fan of this graphic- I've administered tiotropium before but never dismantled it like this, I think it would be confusing for students.

change to "stop"

breathe

this was a good video!

delete? Many people have allergies of some kind or another- everyone reacts to bee venom (though it may not be an anaphylactic reaction), most people seem to have sensitivities to some type of food (Asians are typically lactose intolerant), etc. "Hay fever affects up to 1 in 5 people at some point in their life" https://www.nhsinform.scot/illnesses-and-conditions/immune-system/hay-fever#:~:text=Hay%20fever%20is%20a%20common,part%20of%20their%20reproductive%20cycle.

interesting video but wondering if it's necessary content for this chapter?

good review!

good explanations/definitions here

interesting- I never had issues with accessing the other NGN questions through LibreTexts but not I'm required to sign in with a username and password to access these questions~

an

remove word

remove this word

increased

singluar- drop the s

and blood pressure

see comment above

see comment above

do you want to add "by the prescribing provider" or just remove this completely? I've administered clonidine lots but never adjusted it based on the pt's BP like a sliding scale- the current verbiage is written to suggest this and from my experience, is not true.

I don't like this word because it is so vague- I'd recommend either removing completely, adding in a more measurable frequency (i.e., before administration), or "per facility policy" although not everyone taking this med is in a nursing home...

may also want to comment that one should not use patches and nicotine gum or other nicotine cessation modalities concurrently due to toxicity

these NGN questions were great!

awesome activity, I really enjoyed this!

..."for topical cream/powder" (otherwise, the oral swish & swallow doesn't make sense)

"under 8" again, write out

"under 8 years old"- write it out

per institutional policy

repetitive? you mention gastrointestinal upset previously in this same sentence.

see previous comments

see previous comments about consistent verbiage

as previously mentioned, I'd suggest staying consistent with stomach vs. GI vs. epigastric

you've used the abbreviation GI previously

decide between using epigastric / GI / stomach for consistency

"yeast infection" was used previously

GI / epigastric/ stomach - I'd suggest being consistent between terms, each of these has been used in the text.

this is cumbersome- it's inherent that "chewable" means oral so I would remove the word oral here.

previously, GI distress was used- do you want to change this for consistency?

increased cost of administration

change to particular - "certain" is used again later in the sentence, so is redundant.

this is the same link used above- redundant, I would suggest only using it in one place

neat activity here!

the plan:

nice graphic here

some really good examples are found in this article!

this wasn't a fact sheet, but instead promoting free posters and materials to advertise Speak Up- might want a different link

administered to the patient

not sure if a more "professional" word should be used here i.e. deceit, misinformation, dishonesty...? Quackery makes me think of witchcraft.

eliminate this word

basis?

awesome question for the students to answer!

going in hand with this section's information is calculating safe dosage ranges- not sure if you'd want to reference back to Nursing Skills so students can make this connection between these concepts? https://wtcs.pressbooks.pub/nursingskills/chapter/5-12-safe-dosage-range/

Vancomycin is a common antibiotic that's dosed based on peak and trough values- could mention that in this paragraph just to give the students a real-life example.

I'm curious what the CpL stands for on the vertical axis bar? This might be distracting for the student as well?

I would end this sentence with (for added emphasis so the student knows better what to study) ; therefore, when preparing for NCLEX, learn the brand names of medications."

Steroids commonly end in "sone" or "solone" i.e., prednisone/methylprednisolone, I don't see that in the chart? There may be others missing as well...

I think adding a column at the end of this current chart would be helpful with some examples so that students can begin to see what's meant, i.e., "lidocaine" for analgesics. Otherwise, I like this chart!

what type of toxicity? Are you meaning of kidneys, liver, etc.? might want to clarify?

I don't know what's meant by "forward" here?

I always document "appears comfortable" because "resting comfortably" is very objective unless the pt states so or there is other objective data (i.e., using the pain scale).

I don't know if I like this word- sounds too casual for all the safety checks a nurse needs to do beforehand- change it to something else? like "Identify"

interesting terminology, I've never heard this before

may be

I love the variety of activities to practice knowledge.

define this to the reader

based on your hospital's policy... we are not allowed at my hospital to draw blood from midlines FYI

this sentence is extremely vague, not sure what you're trying to say?

using an alcohol wipe to ensure aseptic technique. (?)

versus client

I disagree with this- 18g or 20g are preferred and that's what's stated in that chapter for blood administration as well. I recommend changing this sentence to stay consistent.

extra space in here can be removed before the comma

this is a nice picture but that angle looks awfully steep? I've never performed an arterial blood sampling myself, but the ones I've witnessed do not have a 45 degree angle...

kidney functioning?

I don't recall seeing this content in the chapter?

Great activities to review content! I like how they support the NGN formats.

I don't see that it mentions to date the dressing after it's applied to the patient/client?

are you referring to Normal Saline 10mL syringes used for flushing?

I'm not familiar with this process? It sounds confusing to me.

visuals really help with comparing the different types of AV blocks; including a photo of the rhythm with the description would be extremely helpful. I know there are images below but they're not next to the descriptions.

A picture next to each row to show the rhythm being explained would be helpful to visual learners; this chart is overwhelming otherwise trying to picture all this.

I don't see that this is discussed previously in this chapter? So consider removing this strip

good definition- I believe this term is used in either chapter 1 & 2, would be helpful to link to this definition to that or explain it earlier.

you have a period at the end of this line but not at the end of others; I would recommend removing the period here.

I'm not familiar with this, or where it's located? Is this standard?

and leave them with their call light within reach.

to ensure administration is complete within a 4-hour timeframe.

is this standard? My hospital will administer blood anytime during the patient's hospital stay so long as they had a blood sample taken, it's not limited to 72 hours prior- it could be even a week or two later after the blood sample was taken.

client is used in other sections of the text- need to be consistent with terminology, i.e., versus patient

elsewhere in this text you use the term "fluid resuscitation", not sure if you want to stay consistent with terminologies throughout?

this one was really fun! Well done!

I'm unable to access for some reason?

good practice scenario

any reason why this is specific to obtaining a 12-lead EKG and not placing telemetry? Wondering if this should be added to 7.6

It's hard to visualize this xray- is the downward arrow indicating the NG tube is coiling? I would suggest a clearer graphic, and to show side-by-side a properly placed NG tube next to an improperly placed one (in the lungs, etc.) so students can compare

"may"- I work as an inpatient nurse but I don't communicate regularly with security gards or surgical team members or even medical imaging techs. Plus, it depends what shift you work as to how much you interact with other departments- i.e., there are no case managers or social workers on pm's or nights.

the term used above is "adult day centers"- both should use the same terminology

the

eliminate word

include links for these

anxiety isn't a need, it's a feeling so either eliminate this word or reword the sentence

define this word so students understand its importance.

remove- it's redundant of the next bullet point

strung-on sentence with too many "and"'s; needs to be simplified

PT can't write orders; change to "assessment by" or "recommendation"

remove

I don't like this sentence- it makes it sound like what students are taught as CNAs about proper body mechanics is a waste and not true. Instead, "Even proper use of gait belts and proper body mechanics can cause injuries in nurses" sounds better.

should write this word out

remove; lifting injuries aren't environmental so this isn't the right term for this sentence

remove; it's repetitive

can remove this word

In America

don't hyphenate or break up this word, it breaks up the flow of the sentence.

FYI her chin strap on the right side is too loose so this isn't a good example because she's wearing a bike helmet but it's not properly fitted.

..proper use, positioning, and installation of car seats." positioning because states vary but each requires backward versus forward facing until a certain timeframe.

"this site cannot be reached" when I attempted to use it

cite the resource for this

remove this wording

a picture would be helpful to show what these are

Should be written out in a heading

eliminate- it sounds like as soon as you leave, you don't have time for your patient

This is an odd-shaped table; make it regular size like Table 5.6a

a

eliminate this word

eliminate this word

Per facility protocol, check patients and residents for bed sores.

redundant; this sentence can be eliminated.

evidence-based practice

can abbreviate ANA here

staff can contribute to improving system safety performance but their job isn't directly improving it per se so I would recommend rewording to "ensuring that staff possess the knowledge and competence to perform required duties safely and contribute to improving system safety performance".

remove this comma- too many commas in this sentence

don't know if this word fits? Substitute with a different word?

citation/reference/link?

incoming?

remove this word, unnecessary

"item not found"- broken link

to create safe standards of care- plural

this is an awkward & cumbersome sentence with this verbiage- change to an easier-reading sentence.

rarely?? I can think of maybe one instance where this is true. To not confuse students, I would delete this sentence.

delete this word- QSEN was developed for practice, not just education.

resource?? Make sure these statistics are as current as possible- in 2020, covid was the 3rd leading cause of death.

an indication- eliminate "a hint"

use different word- intuitive?

add a space

no periods between letters

no periods between letters

no periods between letters

in previous areas, there were no periods between letters i.e. LPN

I would put this description & Figure 4.8 above Figure 4.7 because of its description & because Maslow's Hierarchy is listed at the top of Figure 4.7; when students get to Figure 4.7 they'll have a better understanding of Maslow's then.

It makes more sense to cluster ALL the information for each type of problem together instead of listing each of the 4 types & providing samples individually- it's more difficult to read.

remove extra space

"Related factors"- use quotations marks?

stopping or starting again at intervals; periodic or cyclic.

;

eliminate this word

Should this section be moved to the legal/ethics? Seems out of place here. I know it states "relevant to the nursing process" but distracts from the rest of the chapter

Should this section be renamed & replaced to the chapter about [therapeutic] Communication? Seems out of place here.

interdisciplinary? / teamwork?

eliminate this word

Evaluate patient outcomes

eliminate this word

Prioritize patient care

incoming?

incoming?

The SMART goal below identifies Mr. Hernandez to use a communication board, he is able to use his right hand & arm, may want to state somewhere that he is right-handed then somewhere?

This picture looks like a doctor doing teaching because of the length of the white coat; the longer the coat (especially white) = the higher the degree. Maybe change this picture to one of a nurse (in scrubs, no coat on) sitting beside the patient (on their level).

eliminate this word

I would combine these 2 sentences, otherwise the first 3 sentences in this paragraph all start the same. Instead of the period after patients, add a comma and go straight into "defined as..."

Just a note that she's not wearing gloves in this picture to administer a shot, wondering if there should be a different picture with proper administration?

eliminate this word

Is there a way to get rid of these hyphens? It breaks up the flow of reading.

Is there a way to get rid of these hyphens? It breaks up the flow of reading.

Is there a way to get rid of these hyphens? It breaks up the flow of reading.

Is there a way to get rid of these hyphens? It breaks up the flow of reading.