Test 2 Flashcards
functions of laws in nursing
- provides framework for establishing which nursing actions in the care of clients are legal
- differentiates the nurses’s responsibilities from those of other health professionals
- helps establish boundaries of independent nursing action
- assists in maintaining a STANDARD of nursing practice by making nurses accountable under the law.
nurse practice act
Legally defines and describes scope of practice/protects public
who is responsible for NCLEX
NCSBN
areas for potential liability
Assessment: Significant omissions or errors in recorded database
Diagnosis: Failure to identify priority nursing diagnosis critical to patient’s care
3. Outcome Identification and Planning: No indication in nursing care plan that nurses were aware of and sensitive to the patient’s healthcare priorities
4. Implementation: Nursing interventions deviate from usual standard of care (e.g. faulty or scarce equipment such as BP equipment in good repair)
Evaluation: No evidence in plan of care and nursing notes that nurses evaluated whether the patient achieved target goals
5 rights of delegation
TASK CIRCUMSTANCES PERSON DIRECTION AND COMMUNICATION SUPERVISION AND EVALUATION
how much time is recommended for moderate activity
150 minutes a week
how much time is recommended for vigorous activity
75 minutes a week
activity deff
Bodily movement produced by skeletal muscles that requires energy expenditure and produces progressive health benefits
exercise deff
A TYPE OF ACTIVITY that is planned structured and repetitive, done to improve or maintain one or more components of physical fitness
isotonic
muscle shortens
isometric
muscle does NOT shorten
isokinetic
against resistance
subjective
taken from patient!!
objective
not taken from patient
objective
not taken from patient
pre op
before surgery
intra op
during surgery
post op
after surgery
informed consent must include
Description of procedure
Explanation of Common Risks
Explanation of Right to Refuse
Explanation of Expected outcomes/Course of Recovery
general anesthesia
depresses the CNS (inhaled and IV drugs) causes LOC relaxed muscles, analgesia and depressed reflexes
moderate sedation
– IV sedatives and analgesics provide pain relief and amnesia of the event. Can be promptly reversed.
regional anesthesia
relaxes muscles and may block regional reflexes
topical or local
relaxes muscles and numbs pain
post op complications
Cardiovascular : Hemorrhage, Shock, Thrombophlebitis
Respiratory: pulmonary embolus
Pneumonia
Atelectasis
Infection
GI complications nausea vomiting paralytic ileus 3-5 days Pain meds can exacerbate the problem