Test 2 Flashcards
(58 cards)
Know Patient’s Rights
1.Right to considerate and respectful care
2.the right to information such as diagnosis, prognosis and treatment as well as:
a. Risks & benefits
b. Identity of care providers
c. Cost ($)
3. right to refuse care and to make decisions about the plan of care and be informed of the medical consequences if refuses
4. right to have an advance directive such as a living will or POA
5. right to every consideration of privacy
6. right to keep records confidential.
7. right to review their records
8. right to receive a reasonable response to their requests from facility such as:
a. The hospital must provide service indicated by the urgency of the care
b. Transferred
9. right to ask and to be informed of business relationships of the hospital, educational
institutions, other health care providers, and payers that may influence the patient’s treatment of care.
10. right to consent to or decline to participate in research studies- and right to have them fully explained before consent.
11. right to expect continuity of care and to be informed of available and realistic patient care options when hospital care is no longer appropriate.
12. right to be informed of hospital policies & practices that relate to patient care, treatment, and responsibilities. (Conflict, charges)
Does not change for terminally ill clients
Patient rights in a hospital
Hospital rights- • Hospitals must ensure a doctor/nurse respects the role of patients in decision making
• Hospitals must be sensitive to cultural, racial, linguistic, religious, age, gender, & other differences as well as the needs of persons with disabilities
Terminally ill patient rights
Right to DNR (right to die)
7 rights of med administration
Right patient, Right route, Right drug, Right documentation, Right to refuse tx/medications, Right time Right dose.
What is palliative care?
Comfort care or end of life care. Managing symptoms of pain, dyspnea, depression.
Lasix Teaching points & Side effects
How does it lower blood pressure??*
Give when?
Loop Acting Diuretics-
Cause the kidneys to excrete more urine by reabsorbing less water in the body & lowers blood pressure.
S/E-
increased urination
Loss of minerals/electrolytes such as sodium, potassium, magnesium
Cause dehydration, gout (joint disorders), dizziness, lower BP with postural change, and syncope (fainting), impotence, reduces edema, causes headaches, muscle cramps, and impotence
Can cause tinitius (ringing in ears) can drink caffeine/tea
Abdominal Post- Op Teaching Points
Educate patient on the agenda on the day of surgery, including respiratory exercises, pain management techniques, the possibility of drainage tubes, dressings, casts, IV lines, and monitoring or oxygen equipment
*Coughing and deep breathing, flinch belly - pay attention to surgical site, drainage , transferring, peristalsis (intestine digestion movement)
Nurses Role in pre-op:
informed consent-education, patient advocacy, documentation, ask if it’s the right procedure.
pre-op assessment
history taking, physical assessment, interpretation of laboratory studies, and familiarization with radiologic or other diagnostic tests
Nurses role:
info on what to expect before surgery, never events
- nurses- support patient advocate -prepares patient and ensures safety. Find out patient knowledge and needs for the surgery and implement interventions accordingly
Normal Urine Output
Adult: 1500-2000 ML in 24 hours
Minimum Output should be at least 30ML/Hour
HIPPA
Health Insurance Portability and Accountability Act
- Federal law
- Protects patient information in the medical record, conversations, personal insurance and billing information.
S/s of kidney stones
Elevated bp Tachycardia Restlessness Note location duration and intensity of pain Blood in urine Flank pain
Diagnostic tests used for Kidney Stones
(caused by too much calcium, dehydration, and hypernatremia)
Blood calcium, phosphorus, uric acid and electrolytes off
LABS/Tests: Bun Creatinine Urinalysis Ultrasound
K, U, B, X-ray *****
9. S/S of IBS and TX options #one cause
Give what for loose stools?
S/S of IBS and TX options
Stress is the #1 cause-
IBS: Treatment
no cure. anticholinergics, antidiarrheal agents, increase fiber, increase mobility, laxatives, decrease stress, low fat diets, don’t drink alcohol or smoke.
S/S: gas, abdominal pain, bloating, diarrhea, and constipation.
Imodium
- Bowel sounds in a post-surgical patient
* what to expect to hear?
Should not be absent
Should return to normal in 24-48 hours
Know the 7 ethical principles
Beneficence- Nonmaleficence- Autonomy- Justice- Veracity- Fidelity- Accountability-
To do good for the Patient
Beneficence-
Least invasive procedure to benefit and do good for patient
Nonmaleficence
freedom for the patient to decide what they want to do on their own
Autonomy
Treat everyone equally
Justice
Tell the truth
Veracity
Loyalty
Fidelity
Accountability-
Responsibility
S/S of Pyelonephritis
Infection of the upper urinary system
Infection Goes to kidney
6 Symptoms of pyelonephritis:
Fever, blood in Urine, urgency, chills, flank pain, n/v, headaches, increase HR and Resp., HTN, nocturia, hyperkalemia, acidosis, inability to develop sodium.
is A Process through which scientific evidence is identified, appraised, and applied in health care interventions
EBP
