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Continuing Education For Nurse Practitioners, RNs, LPNs, and More

Continuing Education For Nurse Practitioners, RNs, LPNs, and More

By Gust Lenglet

There are a number of factors to take into consideration when planning your continuing education for nurse registration/license renewal. Each state has its own specifications. Some allow nurses to substitute practice hours for contact hours. However, it can take hundreds of practice hours to achieve the number of required hours for CE.

In contrast, 24-30 contact hours every two years will fulfill licensing or registration requirements in many states. You can easily meet this minimum by taking a few hours at a time as the opportunity arises. Just be careful to select accredited courses that are recognized as valid in your state.

Your employer may host seminars/lectures or provide training as a standard feature of your job. This is a common benefit of working in large medical facilities. However, if you work for a small clinic or private practice you may not have this advantage. Fortunately, there are many affordable options for continuing education for nurse practitioners, RNs, LPNs and LVNs.
Paying for your own courses also gives you the freedom to select the subjects of your choice. Use these classes to fill gaps in your knowledge, open up new career opportunities, and ensure that your patients are receiving the best care you can offer. Employment related CE is usually tax deductible, so keep receipts for any courses you take.

What You Can Learn

There are thousands of possible options to choose from when it comes to continuing education. For nurse training that requires hands on demonstrations, you will need to attend in person. However, most of your contact hours can be earned through distance learning. Here are just a few of the subjects you can choose to study:
  1. Pain management
  2. Bio-terrorism preparedness
  3. End of life care
  4. Reducing medical errors
  5. Ethics
  6. HIV infection control
  7. Wound care
You can also select courses related to specialties such as cardiology, endocrinology, oncology, and many more.

Ways to Take Courses

If you enjoy the give and take of a seminar, attending in person or via an audio-conference is ideal. That way, you can exchange ideas with other nurses and educators. However, a busy schedule may well keep you from attending classes. This isn't unusual in the high-demand field of nursing where chronic understaffing abounds. In that case, you may prefer an online course that allows you to start and stop at your own convenience.

Online training is quickly becoming a favored method for continuing education. For nurse educators, it offers the ability to update course materials quickly. This ensures that you learn about the most current medical information and best practices - not what is contained in an outdated textbook. Some CEU providers allow you to take courses before you pay for them. This gives you the opportunity to evaluate the quality of the material free of charge. Of course, to get your certificate showing your credit hours you do have to complete the payment process.

Gust A. Lenglet is an accomplished author in the fields of personal finance and education. We encourage you to visit our website at to learn more about education requirements for various professions. Continuing education for nurse practitioners, as well as RN's and LPN's can be found there.
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Practice NCLEX Test and 4 Simple Tips When Taking the NCLEX

Need some Practice NCLEX Test? The NCLEX is the examination to show if a nurse who has learned nursing is fit for the career. It is aimed at protecting the public from incompetent nurses by placing standards for nursing. It's no wonder therefore that the NCLEX is a difficult exam to pass. But with the right attitude and ample critical thinking skills during the exams, it is surely not impossible with a little determination.

Critical skills comes into play on the day that you take the NCLEX-RN exam. It enables you to answer very hard questions by applying the techniques of critical thinking. Do not misjudge me, studying for the NCLEX-Exam is more than an exercise in studying, for doing so without critical skills amounts to none. You would have to learn to the items of the test and analyze it as fast as possible. Always keep in mind, the NCLEX is a 5 hour activity and giving too much time on one answer will take an enormous, dangerous end toll on your score.

Shown are the 4 ultimate tips on how to enhance your critical thinking skills :

- You should answer the exam questions correctly. This will show you to remove out unimportant information that may tend to complicate the questions more than it already is. You will be able to divide what is necessary and what is unnecessary. This way, the questions will be easier to answer.

- Check the lesson for relevance. Another key factor in determining an exam item is showing the relevant facts needed in order to answer it truthfully. The lesson provided should be checked for specific measures of relevance and then you should try to discern, from the given choices, which is the appropriate answer.

- Show implications and results. One of the most hardest parts of critical skills is trying to get the implications of the information provided in the questions. But through repeated tests, you should be able to determine with relative ease the items of the facts provided in NCLEX questions.

- Remain focused and diligent. Though you may not have time to check and review your answers in the NCLEX, it is a must to stay focused on the work at hand, which is to excel the NCLEX-RN exam. Discipline is the weapon to any long exam session. Any distracting situation will tend to take precious moments away from you, leaving you with decreased chances to actually pass the Nursing RN exam.

Taking Practice Nclex Test Questions is one of the best ways to develop critical thinking skills. Below are some resources where you can get Free Nclex Practice Questions. Good luck!
The Author would like to share some Practice Nclex Tests and is the author of the #1 Nurses Resource on the Web.
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Looking For Free NCLEX Questions For Practice ?

Looking For Free NCLEX Questions For Practice?

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Top 7 Tips For the NCLEX Exams

Top 7 Tips For the NCLEX Exams

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The Functions of the Cerebral Cortex According to the Lobes

The Functions of the Cerebral Cortex According to the Lobes

Nervous System

Concerned with higher mental activities such as cognitive functioning, reasoning, concentration and elements of memory.
Prefrontal cortex exerts control over aspects of emotional expression and behaviour. Motor cortex is located here along with the premotor cortex, which coordinates muscles to work together in groups. It is also associated with learnt movements.
Motor control of speech through the Broca’s area.

Functions associated with movement, orientation and spatial awareness
Sensory cortex is located here which works closely with the thalamus and the sensory
association cortex for analysis and interpretation of inputs.

Concerned with the interpretation and comprehension of speech and sound through the
Wernicke’s area. This allows understanding of the meaning of words, both heard and
expressed by oneself .
Components of memory that are aided by visual, auditory, olfactory and sensory inputs to help store an experience or information and facilitate learning.

Mostly concerned with processing of visual information (visual perception) along with
involuntary eye movements.
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Nursing Care Plan for Myocardial Infarction

Nursing Care Plan for Myocardial Infarction

Myocardial infarction (MI)

Myocardial infarction (MI) or acute myocardial infarction (AMI), commonly known as a heart attack, is the interruption of blood supply to a part of the heart, causing heart cells to die. This is most commonly due to occlusion (blockage) of a coronary artery following the rupture of a vulnerable atherosclerotic plaque, which is an unstable collection of lipids (fatty acids) and white blood cells (especially macrophages) in the wall of an artery. The resulting ischemia (restriction in blood supply) and oxygen shortage, if left untreated for a sufficient period of time, can cause damage or death (infarction) of heart muscle tissue (myocardium).

Classical symptoms of acute myocardial infarction include sudden chest pain (typically radiating to the left arm or left side of the neck), shortness of breath, nausea, vomiting, palpitations, sweating, and anxiety (often described as a sense of impending doom). Women may experience fewer typical symptoms than men, most commonly shortness of breath, weakness, a feeling of indigestion, and fatigue. Approximately one quarter of all myocardial infarctions are "silent", without chest pain or other symptoms.(from : wikipedia)


Set basic management to obtain information about the current status of the patient so that all the deviations that occur can be known.
  1. History or presence of risk factors :
    • Arterial disease.
    • Previous heart attack.
    • Family history of heart disease / heart attack positive.
    • High serum cholesterol (above 200 mg / L).
    • Smoker
    • A diet high in salt and high in fat.
    • Obesity. (Ideal body weight = (height -100 ± 10%))
    • Women after menopause because estrogen therapy.
  2. Physical examination: based on cardiovascular assessment may indicate :
    Chest pain decreases with rest or administration of nitrate (the most important findings) are often also accompanied by :
    • Feeling faint and / or death threats
    • Diaphoresis.
    • Nausea and vomiting sometimes.
    • Dispneu.
    • Syndrome in various stages of shock (pale, cold, moist or wet skin, lower blood pressure, rapid pulse, decreased peripheral pulse and heart sounds).
    • Fever (within 24-48 hours).
  3. Review of chest pain in relation to :
    • Stimulating factor.
    • Quality.
    • Location.
    • Weight.

Nursing Diagnosis
Painful related to tissue ischaemia secondary to arterial blockage coroner. Possible evidenced by: chest pain with or without spread, face grimacing, restlessness, delirium changes in pulse and blood pressure.

Nursing Intervention  
Objectives : Pain decreased after treatment action during ...
Criteria : Chest pain scale decreased for example from 3 to 2, or from 2 to 1, facial expression relaxed / calm, not tense, not restless pulse 60-100 x / minute, blood pressure 120/80 mmHg
Intervention :
  • Observation of the characteristics, location, time, and travel is chest pain.
  • Instruct the client to stop activity and rest during an attack.
  • Help the client to do relaxation techniques, eg deep breathing, distraction behavior, visualization, or the guidance of imagination.
  • Keep Olsigenasi with bikanul example (2-4 L / min)
  • Monitor vital signs (pulse and blood pressure) every two hours.
  • Collaboration with the health team in providing analgesic.
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Nursing Care Plan for Bronchiectasis

Nursing Care Plan for Bronchiectasis


Bronchiectasis is destruction and widening of the large airways.
  • If the condition is present at birth, it is called congenital bronchiectasis.
  • If it develops later in life, it is called acquired bronchiectasis.


Bronchiectasis is often caused by recurrent inflammation or infection of the airways. It most often begins in childhood as a complication from infection or inhaling a foreign object.

Cystic fibrosis causes about half of all bronchiectasis in the United States. Recurrent, severe lung infections (pneumonia, tuberculosis, fungal infections), abnormal lung defenses, and obstruction of the airways by a foreign body or tumor are some of the risk factors.

The condition can also be caused by routinely breathing in food particles while eating.


Symptoms often develop gradually, and may occur months or years after the event that causes the bronchiectasis.

They may include :
  • Bluish skin color
  • Breath odor
  • Chronic cough with large amounts of foul-smelling sputum
  • Clubbing of fingers
  • Coughing up blood
  • Cough that gets worse when lying on one side
  • Fatigue
  • Paleness
  • Shortness of breath that gets worse with exercise
  • Weight loss
  • Wheezing

  1. History or presence of supporting factors
    • Smoking
    • Living or working in areas with severe air pollution
    • History of allergies in the family
    • There is a history of acid in childhood.
  2. History or the presence of trigger factors such exacerbations :
    • Allergen (pollen, dust, skin, pollen or fungal)
    • Emotional Sress
    • Excessive physical activity
    • Air pollution
    • Respiratory tract infections
    • The failure of the recommended treatment program

  3. Physical examination by focusing on the respiratory system include :
    • Assess the frequency and respiratory rhythm
    • Inpeksi color of skin and mucosal color menbran
    • Auscultation of breath sounds
    • Make sure that when patients use accessory muscles when breathing :
      • Lifting the shoulders during breathing
      • retraction abdominal muscles during breathing
      • Respiratory nostril
    • Assess if the symmetrical or asymmetrical chest expansion
    • Assess if the chest pain on breathing
    • Assess cough (whether productive or nonproductive). When you specify the color of sputum productive.
    • Determine if the patient has dispneu or orthopneu
    • Assess the level of consciousness.

Nursing Diagnosis and Intervention
  1. Ineffective airway clearance related to increased production of viscous secretions or secretion.

    Goal :
    Keep the airway patent with breath sounds clean / clear.

    Result Criteria :
    Showed the behavior to improve airway clearance (effective cough, and issued a secret.

    Action Plan :
    • Monitor the frequency of respiration. Note the ratio of inspiration and expiration.
    • Auscultation of breath sounds and record breath sounds.
    • Assess the patient to a comfortable position, height headboard and sat on the back of the bed.
    • Help the abdominal breathing exercise or lip.
    • Observations karakteriktik cough and Auxiliary measures for effectiveness cough efforts.
    • Depth of fluid intake till 3000ml/day appropriate cardiac tolerance and provide a warm and fluid intake between meals in lieu.
    • Give the drug as indicated.
  2. Changes in nutrition less than body requirements related to nausea, vomiting, sputum production, dispneu.

    Goal :
    Improvement in nutritional status and body weight patients

    Result Criteria :
    Patients did not experience further weight loss or maintain weight.

    Plan of action :
    • Monitor input and output every 8 hours, the amount of food consumed and body weight are weighed each week.
    • Create a fun atmosphere, an environment free of odor during mealtimes.
    • Refer patient to a dietitian to monitor food plan that will be consumed.
    • Encourage clients to drink at least 3 liters of fluid per day, if not get an IV.
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Nursing Care Plan for Gastritis

Nursing Care Plan for Gastritis


Gastritis is an inflammation (irritation and swelling) of the lining of the stomach.


There are many causes of gastritis.

The most common are :
  • Alcohol
  • Erosion (loss) of the protective layer of the stomach lining
  • Infection of the stomach with Helicobacter pylori bacteria
  • Medications such as aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs)
  • Smoking

Less common causes are :
  • Autoimmune disorders (such as pernicious anemia)
  • Backflow of bile into the stomach (bile reflux)
  • Eating or drinking caustic or corrosive substances (such as poisons)
  • Excess gastric acid secretion (such as from stress)
  • Viral infection, especially in people with a weak immune system

Gastritis can last a short time (acute gastritis) or for months to years (chronic gastritis).

  • Abdominal pain
  • Abdominal indigestion
  • Dark stools
  • Loss of appetite
  • Nausea
  • Vomiting
  • Vomiting blood or coffee-ground like material

  1. Predisposing factors and precipitation
    • Predisposing factors are chemicals, smoking, caffeine, steroids, analgesics, anti-inflammatory, vinegar or pepper.
    • Precipitation factor is the habit of consuming alcohol and smoking, drug use, diet and irregular diet and lifestyle such as lack of rest.
  2. Test diagnostics
    • Endoscopy: multi erosion would appear that most are usually bloody and lying scattered.
    • Examination Hispatologi: will appear mucosal damage due to erosion is never past the muscularis mucosa.

Nursing Diagnosis
  1. Interference volume of fluid and electrolyte balance is less than body requirements related to inadequate intake, vomiting.

    Goal :
    Disorders of fluid balance did not occur.

    Results Criteria :
    Moist mucous membranes, good skin turgor, electrolytes returned to normal, capillary filling pink, stable vital signs, input and output balance.

    Intervention :
    Assess signs and symptoms of dehydration, vital sign observation, measuring intake and encourage clients to drink out ± 1500-2500ml, observation of skin and mucous membranes, in collaboration with the medical provision of intravenous fluids.
  2. Impaired nutritional needs less than body requirements related to inadequate intake, anorexia.

    Goal :
    Nutritional deficiencies resolved.

    Results Criteria :
    Stable weight, normal laboratory values albumin, no nausea and vomiting weight within normal limits, normal bowel sounds.

    Intervention :
    Assess food intake, body weight balanced on a regular basis, give oral care on a regular basis, encourage clients to eat little but often, give food in warm, auscultation bowel sounds, assess food preferences, supervised laboratory tests such as: Hb, Ht, Albumin.
  3. Impaired sense of comfort pain associated with inflammation of gastric mucosa.

    Goal :
    Pain can be reduced / lost.

    Results Criteria:
    Pain gone / controlled, looked relaxed and able to sleep / rest, pain scale shows the number 0.

    Intervention :
    Review pain scale and location of pain, observation of vital signs, provide a quiet and comfortable environment, encourage relaxation techniques with breath in, do the collaboration in the provision of drugs in accordance with the indication to reduce the pain.
Nursing Interventions for Gastritis
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