Huling Bulong Flashcards
(152 cards)
1
Q
Elderly ADLs
A
eating, dressing, bathing, toileting, continence and mobility
2
Q
Agency, monthly pension of Senior Citizen
A
DSWD
3
Q
Elderly Filipino Week
A
October 1st week
4
Q
NGT Removal, priority instruction
A
Take and hold a deep breath
5
Q
Recommended position during NGT insertion
A
High Fowler’s/SF/Sitting
6
Q
NGT
While inserting the tube, observes that the pt. started to cough and showed DOB. Best nursing action
A
Remove the tube and reinsert when difficulty of breathing subsides
7
Q
Basilar fracture with NGT order from physician, appropriate action
A
Check patency of airway before nasogastric tube
8
Q
SATA: All of these
A
a. Identify the patient using name, birthday
b. Determine the length of the tube to be inserted and mark the location
c. Position her at 45 degrees HOB elevation
d. Let her breathe and swallow during the procedure
e. Measure gastric residual volume during tube feeding
9
Q
Solutions is appropriate to use in flushing the NGT
A
20 to 30 mL of NSS
10
Q
pH value of the gastric aspirate indicates NGT in place
A
5 (pH stomach 0-4)
11
Q
Appropriate size of the feeding tube (NGT)
A
Fr 16-18
12
Q
Ethical dillemas exists when
A
two or more rights ethical principles come in conflict
13
Q
Code of Ethics
A
use to guide in ethical dilemmas
14
Q
Ethical dillema EXCEPT which one of the following, when the
A
Choice is made between equally unfavorable alternatives on basis of risks and benefits
15
Q
The dr. ordered a very high dose of morphine So4, which nurse questioned
A
Non Maleficence
16
Q
When ethical issue arises, which of the ff. is the MOST important nursing responsibility
A
Be able to defend the morality of one’s action
17
Q
Purpose to submit an IR is to
A
document immediately the incident
18
Q
IR must be accomplished:
A
within 24 hrs
19
Q
IR should be KEPT in
A
secured cabinet
20
Q
frequency of analysis of IR
A
monthly
21
Q
In writing IR, not included
A
daily medications
22
Q
Important guidelines in IR
A
not made part of patient’s chart
23
Q
prove nursing action carried out met, standards of care on falls
A
documenting the procedure done
24
Q
Best source of factual information
A
Incident report
25
It is TRUE that quality improvement
is proactive rather than reactive
26
first step in QI process
confirm existence of problem and gathering data
27
periodic inspection of electrical equipment, conduct of fire drills and proper disposal of hazardous waste materials
risk management
28
Needs QI: SATA
All of these
1. Patient's fall/injury
2. Infection
3. Safety
4. Pressure Ulcers
29
In Quality Improvement
do not use patient chart as a basis
30
QI is
process centered
31
Most important tool in assessing quality
standards
32
physician clarifying the process, this QI process is known as
System Analysis
33
explores a sentinel event or why incident is always happening
Root cause analysis
34
QI tool, useful for planning and scheduling projects
Gantt Chart
35
a visual representation of the step by step process, where to start and what to do next
Flow chart
36
Gantt chart represents
Time frame for the completion of the program with set goals
37
Illustration of all processes, decision-points, ACTION STEPS and WAITING STAGES in order to define problems and process improvement in health care
Flow Chart
38
cause and effect relationship
fishbone diagram or ishikawa diagram
39
MINIMIZE OBJECTIVITY multiple methods can be employes
360 degree evaluation
40
outcome can be measured by
client stisfaction
41
Pareto Chart
determine which problems that need to be solved first the bring best result
42
Bar Graph whose bars are drawn in decreasing order of frequency
PARETO CHART
43
Negligence (mistake by carelessness)
Simple carelessness
failure to follow standards of care
44
Negligence (mistake by carelessness)
FAILURE TO REPORT your findings
45
feeding was MISTAKENLY infused to the tracheostomy instead of infusing it to the NGT
Negligence (mistake by carelessness)
46
nurse mistakenly administered the drug to other patient
Negligence (mistake by carelessness)
47
administration of a penicillin injection which is ordered to another pt.
Negligence
48
Negligence
failure to do things necessary to do WITHIN YOUR SCOPE (expected na trabaho sa nurse)
49
Malpractice
doing things OUTSIDE scope (nagpaka doctor)
50
serious professional negligence resulting to harm/injury
Malpractice
51
Malpractice
used medical equipmeny improperly which harmed the patient
52
wrong medication to a patient, resulting to severe ALLERGIC REACTION
Malpractice
53
Malpractice
medication error resulting to death of patient
54
applied hot water bottle over a paralyzed leg which consequently got BURNED
Malpractice
55
child fell off the bed and injured
Malpractice
56
nurse administered 20cc instead 20 units of insulin client developed HYPOGLYCEMIA and DIED
Malpractice
57
placed the hot water bag without cover and placed it directly to the patient's foot. The patient suffered 2nd degree burn
Malpractice
58
a THREAT or an attempt to make bodily contact or to touch another person without that person's permission
Assault
59
If you don't stop complaining, I will not allow you to see your family when they visit
Assault
60
nurse threatened the boy that he will be restrained
Assault
61
If you do not take off those dirty, smelly clothes, I will do it myself
Assault
62
A 10 yo refuses to take his meds. Nurse threatened the boy that he will be restrained
Assault
63
Unlafal touching, beating, wounding or performing interventions or procedures WITHOUT his/her consent
Battery
64
touching a patient having EEG without her consent
Battery
65
Resuscitating the client under DNR order
Battery
66
oral defamation (paninirang puri sa pamamagitan ng salita)
slander
67
written defamation
libel (lapis)
68
Call center agent employee with increased ICP
Patient was started on mannitol therapy. What is the RATIONALE for this tx?
to increase osmolality of the blood
69
Select the PRIORITY nsg. responsibility for taking care of px on Mannitol therapy. Monitoring of
Urine Output
70
Decreased LOC is one of the result if IICP. Which of the following is NOT an early manifestation of decreased LOC?
comatose with no response to painful stimuli (late sign)
71
Px has been observed to manifest signs of disorientation. Which of the ff. occurs FIRST in the state of disorientation? Disorientation to
Time
72
On admission to the ER, a variety of laboratory tests, for diagnostic purposes, were done to patient who has been assessed to have decreased LOC. What test was NOT done at this point?
Urinalysis for WBC
73
Disclosure of very personal information
Invasion of privacy
74
Px felt annoyed, ashamed, uncomfortable in front of other, nurse liable for
unjust vexation
75
injected cotrimoxazole, without consent
battery
76
failure to raise a side rail up is considered which malpractice
breach of duty
77
nurse with homicide bc she poisoned her px c a lethal med, what type of law
criminal law
78
fundus just above symphysis pubis
12 weeks
79
chief source of estrogen/progestone during the first trimester
corpus luteum
80
during 1st tri the focus is
vital organs
81
morning sickness pregnant characterized by N/V
presumptive
82
pancreatitis confirm this diagnosis
serum amylase
83
pancreatitis diagnostic
endoscopic retrograde cholangiopancreatography
84
pancreatitis diagnostic
endoscopic retrograde cholangiopancretography
85
least complication of DM
thrombophlebitis
86
research study for life experiences
phenomenology
87
study of caring behaviors of nurses
descriptive research
88
px request a visit for clergy
independent intervention
89
px says that her pill look different from the other one she take before
check the original prescription
90
ALWAYS cause of respiratory alkalosis
hyperventilation
91
not part of past medical hx
current hx
92
not taken in hx taking
religious affiliation
93
observance of respecting patient's privacy
confidentiality
94
nurse providing holistic care to post CS px during shift
Total px care
95
FIRST STEP in sentinel events
Investigate
96
FIRST action in case of medication error or any incidents
Assess patient
97
ALWAYS
report to ATTENDING PHYSICIAN px assessment and findings
98
NOT characteristics of ADHD
mental retardation
99
px holds her arm out of you for BP taking and drug administration
expressed contract
100
the nurse finds that the operative permit is not signed
Inform the surgeon
101
HIV is common among
MEN
102
HIV is not transmitted through
dry kissing
103
transferring a resident from a bed into a wheelchair, where should the wheelchair be placed?
stronger side
104
transfer px from bed to wheelchair
place the wheelchair parallel to foot of the bed, and lock wheels
105
px taking furosemide, may result to
Hypokalemia
106
hormone release by adrenal medulla
epinephrine
107
child had insect bite
anaphylactic shock
108
first action for anaphylactic shock
Inject epinephrine first before oxygen
109
px c IICP
position to 30 to 40 degrees
110
px under spirolactone aldactone
hyperkalemia (K sparing)
111
narcolepsy is characterized by, EXCEPT
cessation of breathing for 10 seconds
112
Cataplexy
sudden involunatry loss of muscle control
113
preparation for cataract surgery, what drug is to be administered
Mydriatic
114
most commonly affected in acoustic neuroma
inner ear
115
Meinere's dse triad
Vertigo, Tinnitus, Sensorineural Hearing Loss
116
Otosclerosis is aggravated by
pregnancy
117
Ostosclerosis, affected part
middle ear
118
EMERGENCY conjunctivitis
pink eye
119
most common cause of corneal ulceration
prolonged or improper use of contact lenses
120
dying px wants to commit suicide
call multidisciplinary meeting
121
BT, what to check
blood type, crossmatching, RH incompatibility, expiration date, lot no.
122
NOT EARLY sx of acoustic neuroma
hearing loss
123
affected in acoustic neuroma
Cochlea
124
priority in buerger's dse
rest period when pain occur
125
prevention of buerger's
quit smoking
126
signs of buerger's
intermittent claudification
127
priority of reynaud's
avoid exposure to cold environment
128
change in color in reynaud's
white then blue then red
129
first initial visit, use for quick assessment
kardex
130
active listening that is being used by nurse to gain an understanding of the px message
Attending
131
isolation procedure APPROPRIATE for immunocompromised px (HIV/Leukemia)
Protective Isolation
132
px refused his IM injection but the nurse proceeded to administer
battery
133
element involved when nurse initiate interpersonal communication
referent
134
time travel
ability to be aware of past or future
135
corticosteroid
prednisone
136
digoxin toxicity
N/V, anorexia
137
first bud tooth erruption
2 lower central at 6 months
138
nutrition, rest, exercise
primary level of prevention
139
water works supply with source, outlet pipes and individual household taps
level 3
140
dispose their excreta creeks
over-hung toilets
141
In community, nurse is the researcher and community is:
co-researcher
142
chronological sequence of growth and development
ovum, zygote, morula, embryo fetus, infant
143
function of placenta
substance are exchange without mixing blood/nutrient
144
major source of nutrtion
placenta
145
3 day postpartum
fundic height 3cm below
146
professional group productivity and members satisfaction are best achieved by
Democratic Leadership
147
A staff nurse at nurses' station answers the phone and is told there is a bomb in a client's room. What action should the nurse take
ask caller for details about the bomb placement
148
which action can the nurse be legally liable for
administering cephalosporin when the client has an allergy to penicillin
149
The nurse-manager implements new processess to decrease the incidence of central IV line infection. What is the best indicator that the measures have resulted in improved outcomes:
retrospetive chart audits for infection rate show improvement in clients with central line IV lines
150
nu
151
The nurse-manager notes an unacceptable rate of falls on the unit. Hourly rounds by nursing staff are initiated. What is the best method to determine that the change has made a difference?
comparing fall rates after the rounds are initiated
152
A client is referred to a surgeon by the general practitioner. After meeting the surgeon, the client decides to find a different surgeon to continue treatment. The nurse supports the client's action, utilizing which ethical principle?:
AUTONOMY
