Ethical Legal / Basic Care

Question 1

When a client is unable to make decisions what is the order of who can make decisions?

Answer 1

family members

Question 2

If there is no family members/health care proxy who can make decisions for the client who can?

Answer 2

Proxy is appointed by ethics board

Question 3

If someone is DNR and you forgot and you did CPR what do you do?

Answer 3

stop cpr

Question 4

When are you legally required to report to civil authorities?

Answer 4

Suspected elder abuse
Deaths considered as trauma, crime, suicide
Safety of others due to impairment
Individuals with STD’s, but is contraindicated in reporting to significant others/family members

Question 5

What is an advance directive?

Answer 5

People who make decisions about their medical treatment ahead of time in cases they are not able to make their wishes known

Question 6

What are the forms of advance directive?

Answer 6

Living wills and power of attorney

Question 7

Which individuals can prompt advance directives?

Answer 7

Aphasia - inability to express thoughts or comprehend language
GCS < 7

Question 8

Who is contraindicated for AMA?

Answer 8

Danger to self/others
LOC
Altered consciousness 
Mental illness
Under Influence
Court decision

Question 9

When is an incident / occurrence report required for completion?

Answer 9

Assault 
   - fall
   - physical/verbal 
    assault
Treatment
   -Failure to obtain 
  intervene diagnostic 
  procedure
  - delay in 
  performance/ 
  admininistration of 
  medication 
  - hospital equipment 
   failure

Question 10

What is battery?

Answer 10

Intentional touching of a person legally unaccepted

Question 11

Who are reportable to the state board of nursing?

Answer 11

practice outside of scope
falsification of records
stealing narcotics
abandonment

Question 12

Who are the greatest risk for pressure injuries?

Answer 12

Older adults with long bone fracture 
quads
critically ill 
anemia 
edema 
infection

Question 13

S/s of heat exhaustion ?

Answer 13

Volume depletion
electrolyte imbalance
dizziness
Weakness
Sweating 
Flushing 
Tachy

Question 14

When is venturi mask utilized?

Answer 14

Tachypnea
Hypercapnia
Hypoxemia

Question 15

Nasal Canula use?

Answer 15

For normal vital signs

Question 16

Non rebreathing mask?

Answer 16

asthma
pneumonia
trauma
sepsis

Question 17

Who cannot go AMA?

Answer 17

danger to self or others
under the influence
altered consciousness

Question 18

What increases risk for neutropenia?

Answer 18

Those who garden and come in contact with fresh flowers and plants.

Question 19

Effective communication for hearing impairment?

Answer 19

stand infront of pt

put sign infront of door

Question 20

When a pt has a blood transfusion allergic reaction what should you do?

Answer 20

Keep IV line open w/ N/S to prevent hypotension and vascular collapse

Question 21

To prevent dishiscence?

Answer 21

Stool softener
antiemetics
abdominal binder
Glycemic control 
Splinting the abdomen