Archer 1 Flashcards
The term that best describes the role of the nurse as the nurse actively upholds and protects the rights of individual clients and a group of clients is:
Advocacy
The individual’s right to make independent, informed decisions without any coercion:
Autonomy
Deontological ethics and Utilitarian ethics are a:
School of ethical thought and does not relate to the rights of individual clients and groups of clients.
The “Five Rights of Delegation” are:
The “right” task The “right” circumstances The “right” person The “right” directions and communication The “right” supervision and evaluation
A variance and a medical error that has, or could have, cause harm to the client:
Sentinel event
A medication is a serious effect to a medication that is often needed to be discontinued:
Adverse effect
Unexpected and unexplainable effect to a medication:
Idiosyncratic side effect
Are the legal documents that you must you consider when you are writing up the assignments for the day because the state laws about the differentiated practice of members of the nursing team outline what the RNs, LPNs, and unlicensed assistive personnel are legally permitted to do:
The state’s scopes of practice for RNs, LPNs and unlicensed assistive personnel
In the presence of vaginal bleeding, an _________ is contraindicated unless inside an environment prepared to do an emergency delivery or cesarean section. Also, the nurse is not allowed and properly trained to perform an _________ examination.
internal vaginal examination
In _________, there is filling and inflammation of lung spaces with asbestos fibers. These fibers move into the alveolar space and cause fibrosis, leading to increased production in secretions impairing gas exchange
Asbestosis
The client with insufficient platelets may manifest as having:
Frank bleeding or oozing of blood from puncture sites, wounds, and mucous membranes
Increased hemoglobin and hematocrit levels would be displayed when the client has received a:
transfusion of red blood cells
Adding lemon juice, which is high in vitamin C, seems to cancel the inhibitory effect of tannin on:
Iron absorption
It is okay to add lemon for iron absorption
The PMI in children is between:
The fourth and fifth intercostal spaces at the midclavicular line
A large discrepancy in arm and leg blood pressures indicate congenital heart defects like:
Coarctation of the aorta or other obstructive disorders. It is not a normal finding in pre-school children
A systolic click can be appreciated at the sternal border:
Mitral insufficiency and is not normal in children.
Pulses are elevated when breathing in, and decreases when breathing out is:
Is normal in the assessment of cardiac status in pre-school children
Blurring vision and epigastric pain are indicators that pregnancy induced hypertension (PIH) has become:
More severe and may precede the eclamptic phase
A common side effect of magnesium sulfate (MgS04) is:
Respiratory depression
Forcing the client into the “quiet” room constitutes _________, which is touching the client without consent.
Battery
Restricting the client from going out of the room is:
False imprisonment
Threatening a client resulting in fear, is an example of:
Assault
The normal urinary pH ranges from:
4.5 to 8
_________ presents with shivering, bradycardia or tachycardia. The patient may also be alert or may have lethargy or confusion.
Mild Hypothermia
_________ presents with decreased LOC or coma, hypoventilation, bradycardia, atrial fibrillation, hypovolemia, cessation of shivering, and possible hyperglycemia.
Moderate Hypothermia
_________ manifests as coma, fixed and dilated pupils, bradycardia, apnea, hypotension, ventricular fibrillation, asystole
Severe Hypotermia
Frostbite is hypothermia in the:
Extremities
Frostbitten areas may appear :
Red and swollen or may be pale in color. Blisters containing clear of bloody purple fluid may appear.
A newborn who has not passed meconium 24 hours after birth must be assessed for:
Intestinal obstruction or congenital abnormalities
Clients with Raynaud’s disease or any other peripheral vascular disease are contraindicated to receive:
Ephedrine or any other adrenergic agonist (ends in RINE and PHRINE)
_________ should be on standby to save the vein in case of infiltration.
Phentolamine
Should you dilute Dopamine (Intropin) before use if it is not prediluted?
Yes. Diluting the drug prevents tissue irritation on injection.
Should you shake the insulin vial before withdrawing insulin?
No! You should not shake the vial but gently rotate it to ensure uniform suspension of insulin
The insulin should be stored in:
A cool place away from direct sunlight.
A fixed and dilated pupil signifies:
An increase in ICP
Provides ethical guidelines regarding nursing practice:
The Code of Ethics
Describes the scope of nursing practice. It directs the philosophy and standards of nursing. The formulation of policies and procedures should be based on this document:
Nurse practice acts
Outlines the rights that are due to them when admitted and seeking health care:
The Patient’s Bill of Rights
Provides people with mental illness the civil liberties that are due to them:
The Rights for the Mentally Ill
Staff members are encouraged to participate in the decision-making process whenever possible. The majority of the decisions are made by the group, not the manager in this management style:
Democratic
Decisions are made with little or no staff input. The manager makes all the decisions in the unit:
Autocratic
Problems are identified by the manager and presented to the staff with several solutions. Staff members are encouraged to provide input however, the manager makes the final decision:
Participative
Little direction, structure, or support is provided by the manager in a _________ type of management. The manager abdicates responsibility and decision making whenever possible in this type of management.
Laissez-faire
A trochanter roll is placed on the outer _________ holds the hip in a neutral position and keeps the leg in normal alignment
Outer aspect of the thigh
“Standard hip precautions” to decrease the chance of hip dislocation following total hip arthroplasty (THA) are:
- No extreme hip flexion (sleep on back with pillows between legs)
- No internal or external rotation of the hip (use trochanter roll, avoid crosing the legs)
- No adduction of the hip
What are legal mandates in terms of narcotics and controlled substances?
The verification of the narcotic count at the beginning and the end of the shift and the secure locking of controlled substances to prevent diversion and theft
Licensed practical nurses can also witness a sign when an:
Opiate is spent (ex. Dilauded)
The RN assumes responsibility for all aspects of care for a patient or group of patients during a shift of attention, although care can be delegated. The RN works directly with the patient, family, and health care team members is an example of:
Total patient care model
