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Fundamental Concepts of Nursing > Unit 1 > Flashcards

Unit 1 Flashcards

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1
Q

What someone uses to make their decisions.

Characterized by implicit and explicit.

A

Values

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2
Q

Emphasis on morality.

Thought of as good v bad; right v wrong

A

Ethics

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3
Q

What is it called when the right action is unclear?

A

Ethical Dilemma

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4
Q

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

A

Ethics Committee

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5
Q

What are the ethical principles nurses use in healthcare?

A 
respect for persons 
beneficence
veracity
Nonmaleficence
justice 
confidentiality 
fidelity
privacy
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6
Q

What is meant by the ethical principle respect for persons?

A

That people are free to make their own decisions.

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7
Q

What is beneficence?

A

Doing/promoting good to help others

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8
Q

Do no harm is what ethical principle?

A

Nonmaleficence

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9
Q

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

A

justice

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10
Q

Veracity is:

A

truth telling

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11
Q

Fidelity is:

A

loyalty and faithfulness to patient and their wishes

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12
Q

What are the nursing principles of behavior?

A

Accountability
Responsibility
Judgement
Advocacy

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13
Q

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

A

defamation of character

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14
Q

Misrepresentation that causes harm is:

A

fraud

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15
Q

Disclosing confidential information to the wrong party is:

A

invasion of Privacy

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16
Q

What is the difference between assault and battery?

A

Assault is the threat of touching without consent.

Battery is action of carrying out the threat.

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17
Q

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

A

negligence

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18
Q

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

A

Malpractice

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19
Q

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

A

Breach of Duty

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20
Q

What is informed consent?

A

Patient understands all risks presented and agrees to procedure

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21
Q

Documentation should be:

A

accurate, complete, consistent, objective

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22
Q

What are the steps of the nursing process?

A 
assessment 
diagnosis 
outcome
planning 
implementation 
evaluation
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23
Q

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

A

Assessment

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24
Q

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

A

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

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25
Q

What step of the nursing process establishes priorities, client goals and uses SMART goals?

A

Outcome

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26
Q

What happens in the planning stage of the nursing process?

A

writing of the client care plan

plan nursing interventions

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27
Q

In what stage of the nursing process do you perform interventions, record nursing actions, and set priorities?
You “do the thing”

A

Implementation

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28
Q

What step of the nursing process asks, “did it work”?

A

evaluation

29
Q

Acute pain R/T surgical trauma and inflammation EGB grimacing and verbal report of pain is an example of:

A

an actual nursing diagnosis

30
Q

Risk for infection R/T surgery and immunosuppression is an example of:

A

a risk nursing diagnosis

31
Q

Readiness for enhanced family processes is an example of

A

health promotion nursing diagnosis

32
Q

What are the parts of an actual nursing diagnosis?

A

diagnostic label
related factors
defining characteristics (EGB- evidence given by)

33
Q

The desired response to a medication is the

A

therapeutic effect

34
Q

An unintended response to a medication is

A

an adverse effect

35
Q

an unintended symptom of a medication is a

A

side effect

36
Q

An unusually low response to a medication, that requires an increase in the dose to get the desired therapeutic effect is

A

drug tolerance

37
Q

An immune reaction to a medication that ranges from mild to severe is

A

an allergic reaction

38
Q

An overdose or buildup of medicine in the body is

A

drug toxicity

39
Q

The administration of 1 drug being altered due to effects of another medication or food is

A

drug interaction

40
Q

When an IV med precipitates/inactivates when mixed with another medication it is called

A

drug incompatibility

41
Q

what are the six rights of medication administration?

A 
person
medication 
dose
time 
route 
documentation
42
Q

What are the 5 types of medication orders?

A 
routine/standing 
PRN 
standing protocol 
one-time 
STAT order
43
Q 
5-15 degree 
used for TB
bevel up 
shows a wheal 
these are the characteristics of what type of med admin?
A

intradermal administration

44
Q

Tuberculin syringe
26-28 guage
1/2 in needle
is used for what type of med admin?

A

intradermal administration

45
Q

45 or 90 degree angle
into connective tissue
not more than 1mL administered at a time

A

subcutaneous administration

46
Q

1 mL syringe
26-30 guage
1/2 to 1 inch needle

A

subcutaneous administration

47
Q 
administer into ventrogluteal, deltoid, vastuslateralis 
1-3 mL dose
do not give more than 2 mL in deltoid 
inject 90 degree angle 
rotat sites
A

intramuscular administration

48
Q

1-3 mL syringe
20-25 guage
1-3 inch needle

A

intramuscular administration

49
Q

what are the steps to z-track medication administration?

A 
pull skin (1 in. to side)
inject
hold for 10 seconds
remove needle
let skin slide back
50
Q

What test is checked for Furosemide administration?

A

potassium level

51
Q

What is normal potassium level to administer Furosemide?

A

3.5-5.0 mEq/L

52
Q

What lab test result is looked at to administer Warfarin?

A

PT & INR

53
Q

What are the normal ranges for PT and INR

A 
PT = 14-24 sec
INR = 2.0-3.0
54
Q

What labs are checked when Heparin is administered?

A

aPTT

Anti Xa

55
Q

What are normal ranges for aPTT and Anti Xa

A

aPTT 45-74 sec

Anti Xa 0.3-1.3

56
Q

What is checked before giving Digoxin? What is a normal range?

A

apical pulse

hold if <60

57
Q

What should be checked if giving Antihypertensive medications? What are the ranges?

A

pulse hold <60

BP hold < 90/60

58
Q

What should be checked before giving insulin or oral anti-diabetic meds? What is the normal range?

A

Blood Glucose
60-110 mg/dL
\

59
Q

How are oral medications delivered?

A

swallowed and absorbed from the stomach or small intestines

60
Q

What are the routes of oral medications?

A

swallowed
SL
Buc

61
Q

What type of medication is given directly into the stomach or intestines?

A

enteral medications

62
Q

Medications absorbed through the skin are called

A

topical medications

63
Q

Ophthalmic medications are delivered where? In what forms?

A

the eye

eye drops & ointments

64
Q

What medications are applied to the ear? And what form?

A

Otic

Drops

65
Q

What type of medications are administered as sprays, drops, or tampons?

A

nasal

66
Q

What type of medication might be used to promote bowel movement?

A

rectal (PR)

67
Q

What are the forms a vaginal medication can be administered?

A

creams
gels
suppositories
foams

68
Q

A nebulizer or metered dose inhaler is used to administer what type of medication?

A

inhaled medication

69
Q

What type of medication is administered via injection

A

parenteral medication

Fundamental Concepts of Nursing (4 decks)

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