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Small things make a big difference, like being able to open a command prompt from an Explorer window via the context menu. It's even better when you can open a command prompt that has your Visual Studio environment properly configured. What about launching a PowerShell command prompt with the same steps?
Making all this possible involves hacking the registry a bit. Thankfully, Mike Gunderloy and Scott Hanselman, both recognized leaders in the tool-geek category, have created .inf files to handle those registry changes for you. Gunderloy modified the original CMD Prompt Here PowerToy from Microsoft, creating a variant for Visual Studio 2003's prompt. Hanselman ran with that change, creating first a version for Visual Studio 2005 and then a separate hack for PowerShell.