Test 2 Flashcards

1
Q

functions of laws in nursing

A
  1. provides framework for establishing which nursing actions in the care of clients are legal
  2. differentiates the nurses’s responsibilities from those of other health professionals
  3. helps establish boundaries of independent nursing action
  4. assists in maintaining a STANDARD of nursing practice by making nurses accountable under the law.
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2
Q

nurse practice act

A

Legally defines and describes scope of practice/protects public

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3
Q

who is responsible for NCLEX

A

NCSBN

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4
Q

areas for potential liability

A

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

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5
Q

5 rights of delegation

A
TASK
CIRCUMSTANCES
PERSON
DIRECTION AND COMMUNICATION
SUPERVISION AND EVALUATION
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6
Q

how much time is recommended for moderate activity

A

150 minutes a week

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7
Q

how much time is recommended for vigorous activity

A

75 minutes a week

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8
Q

activity deff

A

Bodily movement produced by skeletal muscles that requires energy expenditure and produces progressive health benefits

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9
Q

exercise deff

A

A TYPE OF ACTIVITY that is planned structured and repetitive, done to improve or maintain one or more components of physical fitness

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10
Q

isotonic

A

muscle shortens

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11
Q

isometric

A

muscle does NOT shorten

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12
Q

isokinetic

A

against resistance

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13
Q

subjective

A

taken from patient!!

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14
Q

objective

A

not taken from patient

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15
Q

objective

A

not taken from patient

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16
Q

pre op

A

before surgery

17
Q

intra op

A

during surgery

18
Q

post op

A

after surgery

19
Q

informed consent must include

A

Description of procedure
Explanation of Common Risks
Explanation of Right to Refuse
Explanation of Expected outcomes/Course of Recovery

20
Q

general anesthesia

A

depresses the CNS (inhaled and IV drugs) causes LOC relaxed muscles, analgesia and depressed reflexes

21
Q

moderate sedation

A

– IV sedatives and analgesics provide pain relief and amnesia of the event. Can be promptly reversed.

22
Q

regional anesthesia

A

relaxes muscles and may block regional reflexes

23
Q

topical or local

A

relaxes muscles and numbs pain

24
Q

post op complications

A

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

25
Q

braden scale scored on

A
Sensory perception 
Moisture
Activity
Mobility
Nutrition 
Friction and sheer
26
Q

stage 1

A

nonblanchable erythema of intact skin

27
Q

stage 2

A

partial-thickness skin loss

28
Q

stage 3

A

full-thickness skin loss; not involving underlying fascia

29
Q

stage 4

A

full-thickness skin loss with extensive destruction

30
Q

unstageable

A

base of ulcer covered by slough and/or eschar in wound bed

31
Q

measurements of wound

A

Size of wound
Depth of wound
Presence of undermining, tunneling, or sinus tract

32
Q

phases of wound healing

A

Hemostasis
Inflammatory
Proliferation
Maturation

33
Q

wound drainage

A

Serous
Sanguineous
Serosanguineous
Purulent