Unit 1 Flashcards
What someone uses to make their decisions.
Characterized by implicit and explicit.
Values
Emphasis on morality.
Thought of as good v bad; right v wrong
Ethics
What is it called when the right action is unclear?
Ethical Dilemma
Who is called into a healthcare facility when the healthcare team needs assistance in making ethical decisions?
Ethics Committee
What are the ethical principles nurses use in healthcare?
respect for persons beneficence veracity Nonmaleficence justice confidentiality fidelity privacy
What is meant by the ethical principle respect for persons?
That people are free to make their own decisions.
What is beneficence?
Doing/promoting good to help others
Do no harm is what ethical principle?
Nonmaleficence
Standard of care is equal across the board regard less of financial/cultural/ethnic status is the definition of what ethical principle?
justice
Veracity is:
truth telling
Fidelity is:
loyalty and faithfulness to patient and their wishes
What are the nursing principles of behavior?
Accountability
Responsibility
Judgement
Advocacy
False communication that leads to the injury of someone’s character is:
defamation of character
Misrepresentation that causes harm is:
fraud
Disclosing confidential information to the wrong party is:
invasion of Privacy
What is the difference between assault and battery?
Assault is the threat of touching without consent.
Battery is action of carrying out the threat.
Not doing something any other reasonable person in profession would/would not do is:
negligence
Deviation from the standard of care that results in harm is:
Malpractice
Failure to conform to that standard of practice that creates a risk a reasonable person would have seen is:
Breach of Duty
What is informed consent?
Patient understands all risks presented and agrees to procedure
Documentation should be:
accurate, complete, consistent, objective
What are the steps of the nursing process?
assessment diagnosis outcome planning implementation evaluation
Collection, Validation, and Organization of objective and subjective data occurs in what step of the nursing process?
Assessment
During the diagnosis step of the nursing process what is done?
patterns are identified
nursing diagnosis is formulated
asks what is the real problem?
What step of the nursing process establishes priorities, client goals and uses SMART goals?
Outcome
What happens in the planning stage of the nursing process?
writing of the client care plan
plan nursing interventions
In what stage of the nursing process do you perform interventions, record nursing actions, and set priorities?
You “do the thing”
Implementation
What step of the nursing process asks, “did it work”?
evaluation
Acute pain R/T surgical trauma and inflammation EGB grimacing and verbal report of pain is an example of:
an actual nursing diagnosis
Risk for infection R/T surgery and immunosuppression is an example of:
a risk nursing diagnosis
Readiness for enhanced family processes is an example of
health promotion nursing diagnosis
What are the parts of an actual nursing diagnosis?
diagnostic label
related factors
defining characteristics (EGB- evidence given by)
The desired response to a medication is the
therapeutic effect
An unintended response to a medication is
an adverse effect
an unintended symptom of a medication is a
side effect
An unusually low response to a medication, that requires an increase in the dose to get the desired therapeutic effect is
drug tolerance
An immune reaction to a medication that ranges from mild to severe is
an allergic reaction
An overdose or buildup of medicine in the body is
drug toxicity
The administration of 1 drug being altered due to effects of another medication or food is
drug interaction
When an IV med precipitates/inactivates when mixed with another medication it is called
drug incompatibility
what are the six rights of medication administration?
person medication dose time route documentation
What are the 5 types of medication orders?
routine/standing PRN standing protocol one-time STAT order
5-15 degree used for TB bevel up shows a wheal these are the characteristics of what type of med admin?
intradermal administration
Tuberculin syringe
26-28 guage
1/2 in needle
is used for what type of med admin?
intradermal administration
45 or 90 degree angle
into connective tissue
not more than 1mL administered at a time
subcutaneous administration
1 mL syringe
26-30 guage
1/2 to 1 inch needle
subcutaneous administration
administer into ventrogluteal, deltoid, vastuslateralis 1-3 mL dose do not give more than 2 mL in deltoid inject 90 degree angle rotat sites
intramuscular administration
1-3 mL syringe
20-25 guage
1-3 inch needle
intramuscular administration
what are the steps to z-track medication administration?
pull skin (1 in. to side) inject hold for 10 seconds remove needle let skin slide back
What test is checked for Furosemide administration?
potassium level
What is normal potassium level to administer Furosemide?
3.5-5.0 mEq/L
What lab test result is looked at to administer Warfarin?
PT & INR
What are the normal ranges for PT and INR
PT = 14-24 sec INR = 2.0-3.0
What labs are checked when Heparin is administered?
aPTT
Anti Xa
What are normal ranges for aPTT and Anti Xa
aPTT 45-74 sec
Anti Xa 0.3-1.3
What is checked before giving Digoxin? What is a normal range?
apical pulse
hold if <60
What should be checked if giving Antihypertensive medications? What are the ranges?
pulse hold <60
BP hold < 90/60
What should be checked before giving insulin or oral anti-diabetic meds? What is the normal range?
Blood Glucose
60-110 mg/dL
\
How are oral medications delivered?
swallowed and absorbed from the stomach or small intestines
What are the routes of oral medications?
swallowed
SL
Buc
What type of medication is given directly into the stomach or intestines?
enteral medications
Medications absorbed through the skin are called
topical medications
Ophthalmic medications are delivered where? In what forms?
the eye
eye drops & ointments
What medications are applied to the ear? And what form?
Otic
Drops
What type of medications are administered as sprays, drops, or tampons?
nasal
What type of medication might be used to promote bowel movement?
rectal (PR)
What are the forms a vaginal medication can be administered?
creams
gels
suppositories
foams
A nebulizer or metered dose inhaler is used to administer what type of medication?
inhaled medication
What type of medication is administered via injection
parenteral medication
