Management Flashcards

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1
Q

RN role

A
assess
analyze
interpret
critical thinking
provide education
offer counsel and support
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2
Q

LPN/LVN role

A

ASSIST with implementation of define care plan
provide care for stable clients with predictable outcome
collect date for assessment and report to RN
asepsis and dressing changes

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3
Q

CNA/UAP role

A
provide basic care
vitals
ADLs
topical care med and OTC meds
measuring and documenting intake and output
blood sugar check or 12 lead ECG

they may not delegate an assigned task to another UAP

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4
Q

when delegating assignment

A

give the most stable patient

LPN: can reteach

RN: assess evaluate teach

CNA: cannot

anyone returning should be given to RN
if the answers have sxs then that is a clue whether they are stable patients or not
- see which one is the most acute

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5
Q

advanced directives

A

includes a living will and durable power of attorney

nurses and other members of health care team are required to:

  • assess clients knowledge of advance directives and their status
  • provide info and assistance in developing directives
  • plan care that incorporates clients decision making
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6
Q

durable power of attorney

A

names a person to make health care decisions if client is unstable to do so

can make decisions of :

  • wehn to admit or discharge
  • types of treatmet or meds client can receive
  • has access to all health care records
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7
Q

DNR

A
not to perform:
- CPR
- life saving measures such as:
hemodialysis
intubation
emergency meds

healthcare proxy can verablly cancel DNR at any time

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8
Q

informed consent

A

cannot delegate to nurse

- they are only responsible for witnessing and co-signing clients signature

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9
Q

nonmaleficence

A

protect clients safety

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10
Q

autonomy

A

right to make deicisions for themselves, including living wills

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11
Q

maslows hierarchy

A

from priority to less priority:

  1. physiolocal needs
  2. safety needs
  3. social needs
  4. esteem needs
  5. self actualization
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12
Q

prioritzation

A
  1. BLS guidelines
  2. ABC
  3. Maslows hierarchy
  4. nursing process
  5. acute or chronic
    - suddent onset or rapid worsening of SOB or pain
  6. new onset sxs that doesn’t make sense with diagnosis
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13
Q

1st degree heart block

A

PR internvals greater than 0.2 seconds
regular P waves and R waves
P wave accompanying QRS complex

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14
Q

2nd degree heart block type 1 (Mobitz 1)

A

Pr intervals are progressively lengthening then all of a sudden theres no QRS complex

this is a cycle

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15
Q

2nd degree heart block type 2 (Mobitz 2)

A

theres no pattern in type 2
R waves is irregular
missing QRS complex randomly

temporary pacing is needed immediately

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16
Q

3rd degree - complete heart block

A

P wave will NOT accompany QRS complez

P and R waves are regular

17
Q

cranial nerve II

A

optic nerve

  • confrontation usual field test
  • snellen chart for visual acuity
18
Q

cranial III, IV, VI

A

3: oculomotor
4: trochlear
6: abducens

watch for nystagmus
reactive to light the pupils

19
Q

cranial nerve V

A

trigeminal nerve

bite down and feel the masseter muscle and temporal muscle
open mouth against resistance

20
Q

cranial nerve VII

A

facial nerve

close their eyes, smile, frown, puff out cheek

21
Q

cranial nerve VIII

A

vestibulocochlear nerve

test hearing by occluding one ear and whispering 2 words

22
Q

cranial nerve IX and X

A

IX: glossopharyngeal
X: vagus

swallow and say “ah”

23
Q

cranial nerve XI

A

accessory nerve

move head from side to side, up, down, shrug against resistance

24
Q

cranial nerve XII

A

hypoglossal

have patient stick tongue out and move it side to side