SIADH is one of those conditions where water retention can be deceptively subtle—but can quickly lead to life-threatening hyponatremia. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down what happens when the body produces too much antidiuretic hormone (ADH), leading to fluid overload, dangerously low sodium, and neurological decline. Learn how to identify early signs of SIADH, interpret the hallmark lab values, and prioritize interventions when sodium levels drop to critical levels. Morgan shares a real-life post-op case that highlights how easily SIADH can go unnoticed—until confusion and lethargy set in. Plus, we walk through a high-yield NCLEX question to help lock in your understanding. Topics discussed in this episode: What SIADH is and how it affects fluid and sodium balance Why clients retain water but not sodium—and why that’s dangerous Early signs of hyponatremia and how to catch subtle neuro changes Interpreting lab results: low sodium, low serum osmolality, high urine osmolality A real case of SIADH post-head trauma with neurological decline Fluid restriction, seizure precautions, and hypertonic saline use The danger of correcting sodium too quickly Breaking down a test question on priority nursing interventions for SIADH This episode is packed with clinical pearls and must-know nursing actions to keep your clients safe and your knowledge sharp. Tune in now to master SIADH for the NCLEX and real-world practice! Find everything Archer Review has to offer: archerreview.link/PulseCheck Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us! 📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP
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EP 8 - Diabetes Insipidus
Diabetes insipidus (DI) is a serious disorder of water balance that can lead to extreme fluid loss, electrolyte imbalances, and life-threatening complications. In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the pathophysiology of DI, explains the difference between neurogenic and nephrogenic causes, and shares a real-life case where fluid imbalance spiraled into a medical emergency. Learn how to recognize the classic signs of diabetes insipidus, why desmopressin is life-saving in some cases—but dangerous in others—and what red flags signal a need for immediate nursing intervention. Plus, Morgan walks through a high-yield test question to help you master this tricky topic for both the NCLEX and clinical practice. Topics discussed in this episode: What diabetes insipidus is (and what it’s not) The role of antidiuretic hormone (ADH) in fluid balance Causes of neurogenic vs. nephrogenic DI Classic signs: excessive urination, thirst, and hypernatremia A real case of post-op neurogenic DI Nursing priorities: desmopressin therapy, fluid replacement, and sodium monitoring The dangers of overcorrection and how to spot severe hyponatremia This episode is packed with high-yield clinical content that will sharpen your critical thinking and help you feel confident managing fluid and electrolyte imbalances. Tune in now! Find everything Archer Review has to offer: archerreview.link/PulseCheck Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us! 📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP
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EP 7 - Prolapsed Cord
A prolapsed umbilical cord is a true obstetric emergency that requires immediate recognition and action. But how do you spot it, and what’s the first thing you should do to save the baby’s life? In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the critical steps in managing a prolapsed cord, from recognizing the warning signs to the life-saving interventions that make all the difference. Learn how to identify a prolapsed cord in laboring patients, why immediate intervention is crucial, and explore a real-life case of fetal bradycardia that required an emergency C-section. Plus, Morgan walks through a test question to reinforce key nursing priorities and NCLEX essentials. Topics discussed in this episode: What causes a prolapsed cord and why it’s so dangerous How to recognize the early signs, including fetal bradycardia A real-life case study of a prolapsed cord emergency The #1 priority nursing action when a cord prolapse is detected Positioning techniques to relieve cord compression Why a prolapsed cord almost always leads to an emergency C-section Breaking down a test question on prolapsed cord management This episode is packed with high-yield nursing knowledge to help you act fast in a high-pressure situation. Tune in now! Find everything Archer Review has to offer: archerreview.link/PulseCheck Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us! 📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP
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EP 6 - Hydrocephalus
Hydrocephalus occurs when cerebrospinal fluid (CSF) accumulates in the brain, increasing intracranial pressure and causing serious complications. But what causes this buildup, and how do we treat it? In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, unpacks the pathophysiology of hydrocephalus, the differences between communicating and non-communicating hydrocephalus, and the role of external ventricular drains (EVDs) and ventriculoperitoneal (VP) shunts in managing this condition. Learn how to recognize the signs of increased intracranial pressure, understand the importance of EVD safety, and explore a real pediatric case study highlighting the transition from an EVD to a VP shunt. Plus, Morgan walks through a test question to reinforce key clinical concepts and nursing interventions. Topics discussed in this episode:The role of cerebrospinal fluid (CSF) and why hydrocephalus developsThe Monroe-Kellie Doctrine and how increased CSF affects the brainCommunicating vs. non-communicating hydrocephalusA real pediatric case of hydrocephalus caused by a brain tumorHow external ventricular drains (EVDs) manage CSF buildupWhen and why a VP shunt is needed for long-term treatmentCritical nursing considerations: EVD safety, clamping, and ICP monitoringBreaking down a test question on hydrocephalus managementThis episode is packed with high-yield nursing knowledge to help you understand hydrocephalus from both a clinical and NCLEX perspective. Tune in now!Find everything Archer Review has to offer: archerreview.link/PulseCheck Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us! 📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP
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EP 5 - Nephrotic Syndrome
Nephrotic syndrome is a kidney disorder that can cause severe swelling, protein loss, and an increased risk of clotting—but what exactly goes wrong in the body to trigger these symptoms? In this episode, Dr. Morgan Taylor, DNP, CPNP, CCRN, breaks down the pathophysiology of nephrotic syndrome, how it leads to massive fluid shifts, and the key nursing interventions that can improve patient outcomes. Learn how to recognize the hallmark signs of nephrotic syndrome, understand why the body’s response to protein loss makes things worse, and explore a real clinical case that highlights the importance of early recognition and treatment. Plus, Morgan walks through a test question to reinforce key takeaways for both the NCLEX and clinical practice. Topics discussed in this episode: • How glomerular damage leads to massive protein loss • Why proteinuria causes fluid overload, edema, and third-spacing • The liver’s response: Increased cholesterol and clotting risk • A real patient case of nephrotic syndrome caused by lupus and NSAID overuse • How steroids, diuretics, and albumin help manage nephrotic syndrome • The role of ACE inhibitors in reducing proteinuria • Breaking down a test question on nephrotic syndrome treatment This episode is packed with high-yield information to help you understand nephrotic syndrome from both a pathophysiological and clinical perspective. Tune in now! Find everything Archer Review has to offer: archerreview.link/PulseCheck Use code PULSECHECK10 - an exclusive discount just for our listeners! Connect with us! 📸 Instagram: @archernursing 📘 Facebook: Archer NCLEX Review 🎵 TikTok: @archernursing ▶️ YouTube: Archer Review NCLEX, USMLE, TEAS7, and FNP
Where nursing comes to life! Packed with high-yield information, challenge questions, and real-life cases, these episodes will help you master must-know nursing topics for both the NCLEX and clinical practice. Give us 15 minutes and we'll take one complicated nursing topic - and make it easy. Ready for nursing to be fun?
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