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Lord Tabang > Huling Bulong > Flashcards

Huling Bulong Flashcards

1
Q

Elderly ADLs

A

eating, dressing, bathing, toileting, continence and mobility

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2
Q

Agency, monthly pension of Senior Citizen

A

DSWD

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3
Q

Elderly Filipino Week

A

October 1st week

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4
Q

NGT Removal, priority instruction

A

Take and hold a deep breath

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5
Q

Recommended position during NGT insertion

A

High Fowler’s/SF/Sitting

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6
Q

NGT
While inserting the tube, observes that the pt. started to cough and showed DOB. Best nursing action

A

Remove the tube and reinsert when difficulty of breathing subsides

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7
Q

Basilar fracture with NGT order from physician, appropriate action

A

Check patency of airway before nasogastric tube

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8
Q

SATA: All of these

A

a. Identify the patient using name, birthday

b. Determine the length of the tube to be inserted and mark the location

c. Position her at 45 degrees HOB elevation

d. Let her breathe and swallow during the procedure

e. Measure gastric residual volume during tube feeding

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9
Q

Solutions is appropriate to use in flushing the NGT

A

20 to 30 mL of NSS

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10
Q

pH value of the gastric aspirate indicates NGT in place

A

5 (pH stomach 0-4)

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11
Q

Appropriate size of the feeding tube (NGT)

A

Fr 16-18

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12
Q

Ethical dillemas exists when

A

two or more rights ethical principles come in conflict

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13
Q

Code of Ethics

A

use to guide in ethical dilemmas

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14
Q

Ethical dillema EXCEPT which one of the following, when the

A

Choice is made between equally unfavorable alternatives on basis of risks and benefits

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15
Q

The dr. ordered a very high dose of morphine So4, which nurse questioned

A

Non Maleficence

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16
Q

When ethical issue arises, which of the ff. is the MOST important nursing responsibility

A

Be able to defend the morality of one’s action

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17
Q

Purpose to submit an IR is to

A

document immediately the incident

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18
Q

IR must be accomplished:

A

within 24 hrs

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19
Q

IR should be KEPT in

A

secured cabinet

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20
Q

frequency of analysis of IR

A

monthly

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21
Q

In writing IR, not included

A

daily medications

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22
Q

Important guidelines in IR

A

not made part of patient’s chart

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23
Q

prove nursing action carried out met, standards of care on falls

A

documenting the procedure done

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24
Q

Best source of factual information

A

Incident report

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25
Q

It is TRUE that quality improvement

A

is proactive rather than reactive

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26
Q

first step in QI process

A

confirm existence of problem and gathering data

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27
Q

periodic inspection of electrical equipment, conduct of fire drills and proper disposal of hazardous waste materials

A

risk management

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28
Q

Needs QI: SATA

A

All of these
1. Patient’s fall/injury
2. Infection
3. Safety
4. Pressure Ulcers

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29
Q

In Quality Improvement

A

do not use patient chart as a basis

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30
Q

QI is

A

process centered

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31
Q

Most important tool in assessing quality

A

standards

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32
Q

physician clarifying the process, this QI process is known as

A

System Analysis

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33
Q

explores a sentinel event or why incident is always happening

A

Root cause analysis

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34
Q

QI tool, useful for planning and scheduling projects

A

Gantt Chart

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35
Q

a visual representation of the step by step process, where to start and what to do next

A

Flow chart

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36
Q

Gantt chart represents

A

Time frame for the completion of the program with set goals

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37
Q

Illustration of all processes, decision-points, ACTION STEPS and WAITING STAGES in order to define problems and process improvement in health care

A

Flow Chart

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38
Q

cause and effect relationship

A

fishbone diagram or ishikawa diagram

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39
Q

MINIMIZE OBJECTIVITY multiple methods can be employes

A

360 degree evaluation

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40
Q

outcome can be measured by

A

client stisfaction

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41
Q

Pareto Chart

A

determine which problems that need to be solved first the bring best result

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42
Q

Bar Graph whose bars are drawn in decreasing order of frequency

A

PARETO CHART

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43
Q

Negligence (mistake by carelessness)
Simple carelessness

A

failure to follow standards of care

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44
Q

Negligence (mistake by carelessness)

A

FAILURE TO REPORT your findings

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45
Q

feeding was MISTAKENLY infused to the tracheostomy instead of infusing it to the NGT

A

Negligence (mistake by carelessness)

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46
Q

nurse mistakenly administered the drug to other patient

A

Negligence (mistake by carelessness)

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47
Q

administration of a penicillin injection which is ordered to another pt.

A

Negligence

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48
Q

Negligence

A

failure to do things necessary to do WITHIN YOUR SCOPE (expected na trabaho sa nurse)

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49
Q

Malpractice

A

doing things OUTSIDE scope (nagpaka doctor)

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50
Q

serious professional negligence resulting to harm/injury

A

Malpractice

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51
Q

Malpractice

A

used medical equipmeny improperly which harmed the patient

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52
Q

wrong medication to a patient, resulting to severe ALLERGIC REACTION

A

Malpractice

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53
Q

Malpractice

A

medication error resulting to death of patient

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54
Q

applied hot water bottle over a paralyzed leg which consequently got BURNED

A

Malpractice

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55
Q

child fell off the bed and injured

A

Malpractice

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56
Q

nurse administered 20cc instead 20 units of insulin client developed HYPOGLYCEMIA and DIED

A

Malpractice

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57
Q

placed the hot water bag without cover and placed it directly to the patient’s foot. The patient suffered 2nd degree burn

A

Malpractice

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58
Q

a THREAT or an attempt to make bodily contact or to touch another person without that person’s permission

A

Assault

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59
Q

If you don’t stop complaining, I will not allow you to see your family when they visit

A

Assault

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60
Q

nurse threatened the boy that he will be restrained

A

Assault

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61
Q

If you do not take off those dirty, smelly clothes, I will do it myself

A

Assault

62
Q

A 10 yo refuses to take his meds. Nurse threatened the boy that he will be restrained

A

Assault

63
Q

Unlafal touching, beating, wounding or performing interventions or procedures WITHOUT his/her consent

A

Battery

64
Q

touching a patient having EEG without her consent

A

Battery

65
Q

Resuscitating the client under DNR order

A

Battery

66
Q

oral defamation (paninirang puri sa pamamagitan ng salita)

A

slander

67
Q

written defamation

A

libel (lapis)

68
Q

Call center agent employee with increased ICP
Patient was started on mannitol therapy. What is the RATIONALE for this tx?

A

to increase osmolality of the blood

69
Q

Select the PRIORITY nsg. responsibility for taking care of px on Mannitol therapy. Monitoring of

A

Urine Output

70
Q

Decreased LOC is one of the result if IICP. Which of the following is NOT an early manifestation of decreased LOC?

A

comatose with no response to painful stimuli (late sign)

71
Q

Px has been observed to manifest signs of disorientation. Which of the ff. occurs FIRST in the state of disorientation? Disorientation to

A

Time

72
Q

On admission to the ER, a variety of laboratory tests, for diagnostic purposes, were done to patient who has been assessed to have decreased LOC. What test was NOT done at this point?

A

Urinalysis for WBC

73
Q

Disclosure of very personal information

A

Invasion of privacy

74
Q

Px felt annoyed, ashamed, uncomfortable in front of other, nurse liable for

A

unjust vexation

75
Q

injected cotrimoxazole, without consent

A

battery

76
Q

failure to raise a side rail up is considered which malpractice

A

breach of duty

77
Q

nurse with homicide bc she poisoned her px c a lethal med, what type of law

A

criminal law

78
Q

fundus just above symphysis pubis

A

12 weeks

79
Q

chief source of estrogen/progestone during the first trimester

A

corpus luteum

80
Q

during 1st tri the focus is

A

vital organs

81
Q

morning sickness pregnant characterized by N/V

A

presumptive

82
Q

pancreatitis confirm this diagnosis

A

serum amylase

83
Q

pancreatitis diagnostic

A

endoscopic retrograde cholangiopancreatography

84
Q

pancreatitis diagnostic

A

endoscopic retrograde cholangiopancretography

85
Q

least complication of DM

A

thrombophlebitis

86
Q

research study for life experiences

A

phenomenology

87
Q

study of caring behaviors of nurses

A

descriptive research

88
Q

px request a visit for clergy

A

independent intervention

89
Q

px says that her pill look different from the other one she take before

A

check the original prescription

90
Q

ALWAYS cause of respiratory alkalosis

A

hyperventilation

91
Q

not part of past medical hx

A

current hx

92
Q

not taken in hx taking

A

religious affiliation

93
Q

observance of respecting patient’s privacy

A

confidentiality

94
Q

nurse providing holistic care to post CS px during shift

A

Total px care

95
Q

FIRST STEP in sentinel events

A

Investigate

96
Q

FIRST action in case of medication error or any incidents

A

Assess patient

97
Q

ALWAYS

A

report to ATTENDING PHYSICIAN px assessment and findings

98
Q

NOT characteristics of ADHD

A

mental retardation

99
Q

px holds her arm out of you for BP taking and drug administration

A

expressed contract

100
Q

the nurse finds that the operative permit is not signed

A

Inform the surgeon

101
Q

HIV is common among

A

MEN

102
Q

HIV is not transmitted through

A

dry kissing

103
Q

transferring a resident from a bed into a wheelchair, where should the wheelchair be placed?

A

stronger side

104
Q

transfer px from bed to wheelchair

A

place the wheelchair parallel to foot of the bed, and lock wheels

105
Q

px taking furosemide, may result to

A

Hypokalemia

106
Q

hormone release by adrenal medulla

A

epinephrine

107
Q

child had insect bite

A

anaphylactic shock

108
Q

first action for anaphylactic shock

A

Inject epinephrine first before oxygen

109
Q

px c IICP

A

position to 30 to 40 degrees

110
Q

px under spirolactone aldactone

A

hyperkalemia (K sparing)

111
Q

narcolepsy is characterized by, EXCEPT

A

cessation of breathing for 10 seconds

112
Q

Cataplexy

A

sudden involunatry loss of muscle control

113
Q

preparation for cataract surgery, what drug is to be administered

A

Mydriatic

114
Q

most commonly affected in acoustic neuroma

A

inner ear

115
Q

Meinere’s dse triad

A

Vertigo, Tinnitus, Sensorineural Hearing Loss

116
Q

Otosclerosis is aggravated by

A

pregnancy

117
Q

Ostosclerosis, affected part

A

middle ear

118
Q

EMERGENCY conjunctivitis

A

pink eye

119
Q

most common cause of corneal ulceration

A

prolonged or improper use of contact lenses

120
Q

dying px wants to commit suicide

A

call multidisciplinary meeting

121
Q

BT, what to check

A

blood type, crossmatching, RH incompatibility, expiration date, lot no.

122
Q

NOT EARLY sx of acoustic neuroma

A

hearing loss

123
Q

affected in acoustic neuroma

A

Cochlea

124
Q

priority in buerger’s dse

A

rest period when pain occur

125
Q

prevention of buerger’s

A

quit smoking

126
Q

signs of buerger’s

A

intermittent claudification

127
Q

priority of reynaud’s

A

avoid exposure to cold environment

128
Q

change in color in reynaud’s

A

white then blue then red

129
Q

first initial visit, use for quick assessment

A

kardex

130
Q

active listening that is being used by nurse to gain an understanding of the px message

A

Attending

131
Q

isolation procedure APPROPRIATE for immunocompromised px (HIV/Leukemia)

A

Protective Isolation

132
Q

px refused his IM injection but the nurse proceeded to administer

A

battery

133
Q

element involved when nurse initiate interpersonal communication

A

referent

134
Q

time travel

A

ability to be aware of past or future

135
Q

corticosteroid

A

prednisone

136
Q

digoxin toxicity

A

N/V, anorexia

137
Q

first bud tooth erruption

A

2 lower central at 6 months

138
Q

nutrition, rest, exercise

A

primary level of prevention

139
Q

water works supply with source, outlet pipes and individual household taps

A

level 3

140
Q

dispose their excreta creeks

A

over-hung toilets

141
Q

In community, nurse is the researcher and community is:

A

co-researcher

142
Q

chronological sequence of growth and development

A

ovum, zygote, morula, embryo fetus, infant

143
Q

function of placenta

A

substance are exchange without mixing blood/nutrient

144
Q

major source of nutrtion

A

placenta

145
Q

3 day postpartum

A

fundic height 3cm below

146
Q

professional group productivity and members satisfaction are best achieved by

A

Democratic Leadership

147
Q

A staff nurse at nurses’ station answers the phone and is told there is a bomb in a client’s room. What action should the nurse take

A

ask caller for details about the bomb placement

148
Q

which action can the nurse be legally liable for

A

administering cephalosporin when the client has an allergy to penicillin

149
Q

The nurse-manager implements new processess to decrease the incidence of central IV line infection. What is the best indicator that the measures have resulted in improved outcomes:

A

retrospetive chart audits for infection rate show improvement in clients with central line IV lines

150
Q

nu

A
151
Q

The nurse-manager notes an unacceptable rate of falls on the unit. Hourly rounds by nursing staff are initiated. What is the best method to determine that the change has made a difference?

A

comparing fall rates after the rounds are initiated

152
Q

A client is referred to a surgeon by the general practitioner. After meeting the surgeon, the client decides to find a different surgeon to continue treatment. The nurse supports the client’s action, utilizing which ethical principle?:

A

AUTONOMY

Lord Tabang (1 decks)

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