fundamentals Flashcards
home health care is what level of health care
restorative
rehabs are what level of health care
restorative
skilled nursing facilities are what level of health care
restorative
emergency departments are what level of health care
secondary
diagnostic centers are what level of health care
secondary
urgent care centers are what level of health care
secondary
level of health care that diagnoses and treats acute illnesses and injuries
secondary health care
oncology centers are what level of health care
tertiary health care
intensive care are what level of health care
tertiary health care
burn centers are what level of health care
tertiary health care
level of health care in which a patient is treated for a brief but severe episode of illness, for conditions that are the result of disease or trauma, and during recovery from surgery is called?
acute care
end of life care is what level of health care
continuing health care
palliative care is what level of health care
continuing health care
hospice is what level of health care
continuing health care
adult day care is what level of health care
continuing health care
assisted living is what level of health care
continuing health care
in home repsite care is what level of health care
continuing health care
level of health care that addresses long term or chronic health care needs over a period of time
continuing health care
fullfilment of promises is what ethical principle
fidelity
what type of law protects individual rights?
civil law
negligence is what type of tort
unintentional
professional negligence is also called
malpractice
confidentiality breaches are what type of tort
quasi intentional
defamation is what type of tort
quasi intentional
what type of tort is assault
intentional
conduct that makes another person fearful and apprehensive is which intentional tort
assault
threatening to place an NG tube in a pt who refuses to eat is which intentional tort
assault
what type of tort is battery
intentional
intentional and wrongful contact with a person that involves an injury or offensive contact is which intentional tort
battery
restraining and giving an injection against a pts wishes is which intentional tort
battery
which type of tort is false imprisonment
intentional
what to do if a dnr pt has no pulse but there is no provider dnr prescription in pts medical record
start cpr
which sentence documents a clients behavior accurately, “client is agitated” or “client pacing back and forth in the room, yelling loudly”.
“client pacing back and forth in the room, yelling loudly” (shows what nurse sees and hears)
can you pre chart an assessment, intervention or evaluation?
no
should advance directives be included in transfer reports?
yes
should medication routine from medication administration record be included in transfer reports?
no unless there is a significant change in the routine (they can read it themselves in the chart)
should an upcoming bone scan be included in transfer report?
yes because nurse might have to modify care to accommodate leaving unit
is. talking about a pt at a nursing station a HIPAA violation?
no
should an incidence report be done for an omitted prescription?
yes
can an AP apply a condom catheter?
yes
what are the 5 rights of delegation
right task
right circumstance
right person
right direction and communication
right supervision and evaluation
can an AP administer a nebulizer treatment to a pt with pneumonia?
no
can an AP measure vitals of stable post op pt?
yes
can an AP give enteral feedings?
no
what does right direction and communication include?
what data to collect
method/timeline for reporting
specific tasks and client specific instructions
results, timelines and follow up communication expectations
making choices without help from others and fully assuming responsibility for choices is what level of critical thinking?
commitment
increasing IV fluid infusion when pt BP shows hypovolemic shock 24 hrs after surgery is what level of critical thinking?
commitment
what are the 3 levels of critical thinking?
basic
complex
commitment
does turning away from a sterile field contaminate it?
yes
time between infection and first symptom
incubation
time between general findings to distinct findings in an infection
prodromal stage
when findings specific to infection occur
illness stage
time between acute symptoms stop and total recovery
convalescence
an increase in what over 20mm/hr indicates active inflammatory process or infection?
ESR (erythrocyte sedimentation rate)
what are protective encironments used for
patient’s who are immunocompromised
what kind of airflow should be used in a protective environment
positive airflow 12
what does positive airflow do?
prevent airborne pathogens from entering
what airflow should be used in airborne precautions
negative pressure airflow
how many exchanges per hr should negative pressure airflow be used
6-12 exchanges/hr
is ibuprofen an antipyretic?
no
what pts should you keep side rails up?
sedated
unconcious
compromised
what rescue equipment should be at bedside for seizure precautions?
O2
oral airway
suction equipment
side rail padding
how many hrs of restraint does a prescription allow for an adult
4 hrs
how many hrs does a restraint prescription allow for a pt 9-17 yrs old
2 hrs
how many hrs does a restraint prescription allow for pt younger than 9 yrs old
1 hr
what class of fire extinguishers are for combustibles?
class A
what are examples of combustibles?
paper
wood
rags
class of fire extinguishers for flammable liquids and gas fires?
class b
class of fire extinguishers for electrical fires?
class c
should you go to the nurses station for help when a pt is having a seizure?
no stay with pt and use call light to call for help
what position to place pt having seizure
side lying (prevent choking on tongue)
what should you place along base of door to contain fire and smoke?
wet towels
how should infant be placed to rest?
on their back (back to sleep)
can you leave a mobile toy over a infants bed if they’re able to push up?
no
what kind of bed should climbing toddler be put in?
low bed
how should infants/toddlers under 2 yrs old car seats be placed?
rear facing
what kind of harness should be used for infant/children?
5 point harness
what should be used after a child outgrows a forward facing car seat?
booster seat
what spf of sunscreen should be used for toddlers
30 spf or higher
who should use booster seats?
children less than 4’9
weigh less than 40lbs
4-8 yrs old
children under what age should sit in backseat
under 12
where should bullets be stored
different location from guns
water heaters should not be higher than what temperature
120 degrees Fahrenheit
where should ice packs be placed for heat stroke pt
axillae
chest
groin
neck
should a burn pt be NPO?
yes
how does CO2 reduce the oxygen
binding to hemoglobin
can nail polish be used near pt receiving oxygen?
no (its flammable)
what material of clothing and bedding should a pt receiving oxygen use
cotton (*wool/synthetic create static electricity/fires)
HOB elevated 15-45 degrees is what position
semi fowlers
HOB elevated 45-60 degrees is what position
fowlers
what position for NG tube insertion and suctioning
fowlers (45-60 degrees)
what position to prevent regurgitation and aspiration for dysphagia pts
semi fowlers
position for pts with dyspnea or receiving mechanical ventilation
semi fowlers
pt lying supine with HOB elevated 60-90 degrees
high fowlers
position for severe dyspnea and prevents aspiration during meals
high fowlers
supine is also known as
dorsal recumbent
which position prevents hip flexion contractions after lower extremity amputation
prone
position for COPD
orthpneic
pt sitting with arms resting on pillow on overbed table across their lap is what position
orthopneic
position for hypovolemia
modified trendelenburg
when should you take a break from repetitive movements to flex/stretch joints and muscles
every 15-20 mins
how should knees be when sitting for long periods of time
higher than hips
how to treat anthrax inhalation
cipro & doxy plus 1 or 2 additional antibiotics
how to treat cutaneous anthrax
just cipro and doxy
how to treat mass casualty tularemia
cipro or doxy
how to treat general tularemia
streptomycin or gentamicin
what to do for bed confined pts during tornado
place blankets over them
should u apply water to a dry chemical exposure?
no (could activate chemical)
how to get dry chemical off
use brush to remove from skin and clothing
how often should dental assessments be done
every 6 months
how often should TB skin tests be done
every 2 years
how often should skin assessments be done for ages 20-40
every 3 yrs
how often should skin assessments be done for ages 40+
annually
how much weight do newborns gain a week in the 1st 6 months
5-7 oz
when should an infant demonstrate a head lag
1 month
when should an infant have a strong grasp reflex
1 month
what should a 1 month old infant have
head lag
strong grasp reflex
when should infant be able to lift head off mattress when prone
2 months
when should infant hold hands in open position and grasp reflex fade
2 months
when should infant raise head and shoulders off matress when prone
3 months
when should infant have only a slight head lag
3 months
when should an infants grasp reflex disappear
3 months
when should infant keep hands loosely open
3 months
when should an infant roll from back to side
4 months
when should infant be able to grasp objects w both hands
4 months
when should infant be able to put objects in mouth
4 months
when should infant roll from back to front
6 months
when should infant hold bottle
6 months
when should infant bear full weight on feet
7 months
when should infant sit leaning forward on both hands
7 months
when should infant be able to move objects from hand to hand
7 months
when should an infant be able to sit unsupported
8 months
when should infant start using pincer grasp
8 months
when should infant be able to pull to a standing position
9 months
when should infant have crude pincer grasp.
9 mo
when should infant dominant hand be evident
9 months
when should infant be able to change from prone to sitting position
10 mo
when should infant grasp rattle by its handle
10 mo
when should infant be able to walk while holding onto something
11 mo
