Quiz 8 Flashcards
What act requires that in an emergency situation the patient must be stabilized before a transfer is appropriate:
The Emergency Medical Treatment and Active Labor Act (EMTALA)
What act addresses privacy issues?
Health Insurance Portability and Accountability Act (HIPAA).
What act addresses a patient’s right to refuse treatment and formulate advance directives, and the Americans with Disabilities Act (ADA) deals with equal access for all individuals:
Patient Self-Determination Act (PSDA).
Which food allergies provides possible cross-sensitivity to latex?
Kiwi, avocado, chestnuts.
Which nursing intervention is beneficial while administering a bitter medication to a child?
When a medication tastes bitter, the nurse should offer the child a frozen juice bar to numb the child’s taste buds.
To keep a physical examination well organized, the nurse should carry out painful procedures at the end of the examination.
If the patient becomes exhausted during the examination, the nurse should not stop the assessment; instead, the nurse should allow the patient to rest between the assessments.
The nurse should document quick notes during the assessment and complete larger notes at the end of the examination; this will help avoid delays and confusion.
The nurse should document assessments in specific terms in the electronic or paper record.
Info on informed consent:
An informed consent must be signed while the patient is free from mind-altering medications and after the patient has received all information necessary to make an informed decision. In most situations, the healthcare provider, not the nurse, obtains informed consent, because the nurse does not perform surgery or direct medical procedures…
Signed consent must be witnessed by the nurse, but never by a nursing student because of the legal nature of the document. Informed consent may be withdrawn at any time before the procedure and must be signed by patients age 18 and older. A parent or guardian’s signature is required for minors.
What patient preparation is needed on the day of a surgery involving general anesthesia?
Provide a partial bath. A partial bath is refreshing and relaxes the patient.
The patient should wear a clean hospital gown (personal nightwear is restricted in an operating room).
The patient should be fasting and should not be provided with clear liquids to drink.
The patient should remove all clips from the hair, because they can cause burns due to electrocautery.
Who can legally use a pill-splitting device to split tablets in half?
If a pill must be split within inpatient settings, a pharmacist is authorized to split the pill with a splitting device, repackage and labels it, and send it to the nurse for administration.
Patients, caregivers, and nurses should not split pills.
The registered nurse is overseeing a nursing student who is caring for a patient scheduled for surgery the next day. Which of the nursing student’s actions indicate a need for correction?
Discussing the patient’s case on social media.
Educating the patient about the preanesthesia in the public hospital hall.
- The nurse is required to protect the patient’s privacy and medical information, and discussing it on or educating the patient about preanesthesia in the public hospital hall violate this.
What do we call the surgical removal of the gallbladder?
Cholecystectomy
What do you do if the patient experiences systemic effects after receiving eye drops?
Close off the lacrimal duct by gently pressing against the duct/nose/corner of the eye for 1-2 minutes.
This will ensure the medicine does not enter their blood stream and is absorbed through the only.
How to administer eye drops:
Non-sterile gloves: Rest dominant hand on forehead, dropper 1/2 inch from eye, drop in to the conjunctival sac (not on eyeball) by holding it open with non dominant hand. Close and and have them move their eye around.
How to administer eye ointment:
Rest dominant hand on forehead, non dominant pulls lower lid down. Ask patient to look up, apply thin strip of ointment in the conjunctival sac. Twist your wrist to break off the strip of ointment.
Ask patient to close eye for 2-3 minutes.
