Unit 1 Flashcards by Kelsey Blatz

What someone uses to make their decisions.

Characterized by implicit and explicit.

Values

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Emphasis on morality.

Thought of as good v bad; right v wrong

Ethics

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What is it called when the right action is unclear?

Ethical Dilemma

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Who is called into a healthcare facility when the healthcare team needs assistance in making ethical decisions?

Ethics Committee

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What are the ethical principles nurses use in healthcare?

respect for persons 
beneficence
veracity
Nonmaleficence
justice 
confidentiality 
fidelity
privacy

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What is meant by the ethical principle respect for persons?

That people are free to make their own decisions.

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What is beneficence?

Doing/promoting good to help others

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Do no harm is what ethical principle?

Nonmaleficence

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Standard of care is equal across the board regard less of financial/cultural/ethnic status is the definition of what ethical principle?

justice

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Veracity is:

truth telling

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Fidelity is:

loyalty and faithfulness to patient and their wishes

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What are the nursing principles of behavior?

Accountability
Responsibility
Judgement
Advocacy

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False communication that leads to the injury of someone’s character is:

defamation of character

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Misrepresentation that causes harm is:

fraud

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Disclosing confidential information to the wrong party is:

invasion of Privacy

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What is the difference between assault and battery?

Assault is the threat of touching without consent.

Battery is action of carrying out the threat.

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Not doing something any other reasonable person in profession would/would not do is:

negligence

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Deviation from the standard of care that results in harm is:

Malpractice

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Failure to conform to that standard of practice that creates a risk a reasonable person would have seen is:

Breach of Duty

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What is informed consent?

Patient understands all risks presented and agrees to procedure

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Documentation should be:

accurate, complete, consistent, objective

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What are the steps of the nursing process?

assessment 
diagnosis 
outcome
planning 
implementation 
evaluation

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Collection, Validation, and Organization of objective and subjective data occurs in what step of the nursing process?

Assessment

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During the diagnosis step of the nursing process what is done?

patterns are identified
nursing diagnosis is formulated
asks what is the real problem?

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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