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Adult Health Nursing I > Clinical Exam > Flashcards

Clinical Exam Flashcards

(70 cards)

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1
Q

RACE

A

Rescue
Alarm
Confine the blaze
Extinguish or evaporate

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2
Q

PASS

A

Pull
Aim
Squeeze
Sweep

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3
Q

Class A Fires

A

Wood, paper, cloth, rubber, plastics

Prevented by simple housekeeping

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4
Q

Class B Fires

A

Gases, liquids

Prevented by storing combustible liquids and gases in specific areas away from heat sources

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5
Q

Class C Fires

A

Appliances, air conditioning, heating units, motors, generators

Most common fires in health care

Equipment should be kept clean and maintained properly, extension cords should not exceed 6 feet

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6
Q

Class D Fires

A

Certain metals

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7
Q

Licensure

A

The process of granting permission to a person to engage in a specific occupation

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8
Q

Standards of Care

A

The average degree of skill, care, and diligence exercised by members of the same profession under the same or similar circumstances

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9
Q

Negligence

A

When the standards of care are not met

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10
Q

Gross Negligence

A

Intentional disregard

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11
Q

Malpractice

A

A specific type of professional negligence that occurs when the standard of care that can be reasonably expected is not met

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12
Q

Ethics

A

Rightness or wrongness of an action

Goal is to ensure that individual’s rights are protected

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13
Q

Ethical Dilemma

A

Situation that requires a choice between two equally unfavorable alternatives

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14
Q

Five Step Process Tool for Helping with Ethical Dilemmas

A
  1. Collect, analyze, and interpret the data
  2. State the dilemma
  3. Consider the choices of action
  4. Analyze the advantages and disadvantages of each course of action
  5. Make the decision
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15
Q

Code of Ethics

A

A written list of a professional’s values and standards

Framework to help us make decisions

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16
Q

Identify areas of the “patient care partnership”

A 
High quality hospital care
Clean and safe environment
Involvement in your care
Protection of your privacy
Help when leaving hospital
Help with your billing claims
Discuss treatment choices
Discuss treatment plan
Provide information about health
Understanding health care goals and values
Understanding who should make decisions
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17
Q

Nursing Liability

A

Can lead to civil judgment, criminal penalties, imprisonment, restrictions on license

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18
Q

Nurse Practice Act

A

Specific statute from the state that defines and regulates nursing practice

Most important legal statute

Safeguards the patients

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19
Q

EMTALA

A

Emergency Medical Treatment and Active Labor Act

Requires that each facility provides appropriate medical screening within their ability

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20
Q

Patient cannot be transferred unless:

A
  1. They have had appropriate medical screening
  2. They have been stabilized
  3. The other facility has been called
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21
Q

Reporting Duties for Health Care Professionals

A 
Child abuse
Elder abuse
Communicable diseases
Impaired peers
EMTALA violations
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22
Q

Tort

A

A wrongful act committed by one person against another person

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23
Q

Scope of Practice

A

Determined by Nurse Practice
Act

Defines and limits the scope of nursing practice

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24
Q

Common Types of Patient Incidents

A

Falls
Restraints
Burns
Medication Errors

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25
Policy
Directive or regulation
26
Procedure
A way of doing something
27
Describe the purposes for client records
Planning client care, communication, legal documentation, reimbursement, quality assurance monitoring, research, education, accreditation and licensing, statistics
28
SOAP
Subjective, Objective, Assessment, Plan Used in prisons
29
SOAPIER
Subjective, Objective, Assessment, Plan, Implementation, Evaluation, Revision
30
APIE
Assessment, Plan, Implementation/Intervention, Evaluation
31
PIE
Problem, Intervention, Evaluation
32
DAR
Data, Action (nursing), Response (client)
33
FACT
Factual, Accurate, Consistent and Complete, Timely
34
SBAR
Situation, Background, Assessment, Recommendation
35
Discuss teaching as a major nursing responsibility
Teaching improves patient's health and well-being, is the right of the patient
36
Variables that affect learning abilities
Culture, values, physical readiness, emotional readiness, experiential readiness
37
Specific patient factors that affect learning abilities
Disability, hearing impairment, visual impairment
38
Gerontological Considerations with Learning Abilities
Decreased short term memory, concentration, slow reaction time Decreased visual acuity Decreased hearing
39
Methods of preparing for formal and informal clinical teaching situations
``` Lecture Group teaching Demonstration and practice Teaching aids Reinforcement and follow-up ```
40
Why is SBAR needed?
Poor communication leads to errors
41
Situation
What is happening at the present time? Patient name and room number Patient problem or concern Why was this patient admitted?
42
Background
What are the circumstances leading up to this situation? Admit date, surgical day, current medications, lab results, other clinical information
43
Assessment
What you found, what you think Pertinent objective and subjective data Assessment of the current situation
44
Recommendation
What do you want? Include things that need to be done
45
Hepatitis B
1/3 experience no symptoms, 1/3 experience flu-like symptoms, 1/3 experience clinical symptoms of HBV
46
Prevention of Hepatitis B
Universal precautions must be observed Standard precautions apply to blood, nonintact skin, mucous membranes Blood is the most common source of infection
47
Preoperative Phase
Begins when decision is made to have surgery and ends when patient is on the operating table
48
Assessment During Preoperative Phase
Health history, physical assessment, medications/herbal supplements/drug use, allergies, alcohol, teeth Identify health issues that could put a patient at higher risks for complications (COPD)
49
Informed Consent
Means that the patient has been told what the procedure involves, the risks and benefits, potential complications, alternative treatments available Needed for any surgical and/or invasive procedure
50
Preoperative Teaching
Deep breathing and coughing, incentive spirometer, splinting Turning and moving, exercises, ambulating early Pain control, pain scale
51
Preoperative Nursing Interventions
Maintain patient safety Make sure patient follows NPO orders Bowel preparation, skin preparation Helping with preoperative anxiety
52
Nursing Interventions Immediately Prior to Surgery
Remove all jewelry, hair accessories, glasses, dentures, contacts, etc. Baseline vitals, labs, assessment documentation, physician's H&P Verify patient, procedure, and site Preanesthetic medications
53
Intraoperative Phase
Consists of the entire time the patient is on the operating table
54
Surgical Team
Consists of circulating nurse, scrub nurse/tech, surgeon and assistants, and anesthesiologist
55
Circulating Nurse
Helps with getting patient positioned, does further skin preparation, monitors the patient, does all of the documentation, keeps track of time
56
Scrub Nurse
Provides sterilized tools to the physician
57
Unrestricted Area
Area you can go in your street clothes
58
Semi-Restricted Area
Need to be dressed in surgical scrubs
59
Restricted Area
Must be in full surgical garb
60
General Anesthesia
IV, inhalational-volatile gases Patient becomes fully unresponsive
61
Regional Anesthesia
Epidural, spinal, local conduction blocks
62
Moderate Sedation
"Conscious sedation" Makes patient loopy but able to follow commands Amnesia afterwards
63
Complications of Anesthesia
Anesthesia awareness (need to monitor vital signs) Nausea and vomiting Anaphylaxis Hypothermia Malignant hyperthermia
64
Postoperative Phase
Starts when patient is off operating table and continues until the last follow-up visit Receive the patient from OR and get their report Obtain baseline assessment Reassess every 5-10 minutes
65
Prevention of Postoperative Complications
Prevent atelectasis and pneumonia --> make sure patient is deep breathing and coughing Prevent DVT --> TED hose, ACE wrap, sequential compression devices, LMWH Assess surgical site and dressing Watch for hemorrhage Assess bowel sounds (do not give anything by mouth until you hear bowel sounds)
66
Outpatient Surgery Discharge
Provide written and verbal instructions Discuss actions to take if complications occur Patients are not to drive home or be discharged to home alone
67
Charting
Use facts only, do not summarize, never assign blame Care plans facilitate the continuity of care
68
Chain of Notification
Student should report concerns to clinical instructor (if present), the clinical preceptor, or designated staff person Then they will contact the unit supervisor (if necessary), and then the physician
69
Hourly Rounding
"I'm here to round on you." Explanation Discuss Pain, Potty, Position, and Possessions Conduct and Environmental Assessment Explain Clinical Hourly Rounding Log Close the Round
70
Normal Fasting Blood Glucose
Less than 100 is considered normal 100 to 125 is considered prediabetes 126 or higher on two test is diabetes

Adult Health Nursing I (22 decks)

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