Unit 1 Lesson 1 & 2 Flashcards

1
Q

Abbreviation for lactate ringers

A

LR

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2
Q

Abbreviation for 5% Dextrose in Water

A

D5/W

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3
Q

Sodium

A

Na

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4
Q

Drops

A

Gtt

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5
Q

Venipuncture

A

VP

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6
Q

Pounds per square inch

A

Psi

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7
Q

Potassium chloride

A

KCl

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8
Q

Measure of acidity

A

pH

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9
Q

Intravenous Piggy Back

A

IVPB

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10
Q

Chloride

A

Cl

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11
Q

The essential components of an Unusual Occurrence or Variance Report ,also known as an Incident Report, include:

A

Factual description of the event, physician notification, and outcome

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12
Q

What is the threefold purpose of documenting the nursing care provided?

A

Creating a legal record of the care provided, communicating pt status, and obtaining reimbursement for services

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13
Q

What form of documentation is composed of a story format?

A

Narrative

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14
Q

What documentary forms are used to document IV therapy procedures performed?

A

Nurse’s notes

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15
Q

Why should the word units be written out and not abbreviated as U?

A

It might accidently be read as zero

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16
Q

Ex. Of a subjective statement that is considered a common documentation error.

A

IV is dripping well

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17
Q

What charting formats tends to lead to greater opportunities for subjective rather than objective entries?

A

Narrative

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18
Q

The purpose of an unusual occurrence or variance report (incident report) is to

A

Provide factual, non judgmental accounts of unusual situations and their consequences

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19
Q

What are the 5 W’s?

A

-Who performed the procedure?
-What was done?
-When was it done?
-Where was it done?
-Why was it done?

20
Q

SOAPIE (Documentation Format)

A

-Subjective
-Objective
-Assessment
-Plan
-Intervention
-Evaluation

21
Q

Subjective

A

What the pt says

22
Q

Objective

A

What you observe

23
Q

Assessment

A

What you think is occurring

24
Q

Plan

A

What you are going to do

25
Intervention
action taken
26
Evaluation
result achieved by the intervention.
27
PIE (Documentation Format)
-problem -intervention -evaluation
28
Focus Charting
method of organizing the narrative documentation
29
What forms are commonly used for IV therapy procedures?
Nurses notes, IV Flow Sheet, MAR, blood transfusion administration record
30
What abbreviation should never be used?
KVO
31
cath
catheter
32
CV
central venous
33
CVP
central venous pressure
34
D5/NS or D5NS
dextrose 5% in normal saline
35
fancy U symbol
micron
36
mcgtt
micro drop
37
NS
normal saline
38
ONC
over the needle catheter
39
TPN
total parenteral nutrition
40
VP
venipuncture
41
KO, KVO, or TKO
keep vein open (usually 5-10 cc)
42
Purpose of the venous access and intravenous infusion modalities is to:
Prepare LPNs for limited IV fluid treatment therapy
43
Tort
Legally, a private wrong, by act or omission, that can result in a civil action by the harmed person
44
IV Fluid therapy procedures; universal precautions are federally mandated by:
OSHA
45
IV therapy activities that may be delegated to the LPN:
initiating peripheral access, converting an IV cannula to a "locked" cannula, and monitoring blood transfusions
46
IV- LPN restricted from performing:
adding vitamins to TPN solution in home care setting