What is an ethical dilemma? - conflicting values that causes distress and controversy
What is the providers role in informed consent? - -explain the
... [Show More] benefits of the procedure
-explain the risks of the procedure
-explain an alternative (along with its risks and benefits)
-assess patients understanding of the information
-ANSWER ALL QUESTIONS
What does autonomy mean? - the patients right to make their own healthcare decisions
What is beneficence? - the act of promoting good
What is nomaleficence? - duty to do no harm
What is justice? - fairness
What is fidelity? - to be faithful/loyal
What is advocacy? - promoting/protecting the patients rights, health, and safety
What is veracity? - telling the truth
Right to refuse - refers to the patient's right to decline medication or other therapies (even if they were involuntarily admitted)
Nursing actions for AMA (against medical advice) - -NOTIFY the provider
-DISCUSS risks associated with leaving AMA with the patient
-HAVE the patient sign AMA forms (or document pt's refusal to sign form)
-REMOVE any IV catheters and apply dressing
-DO NOT call security
What is PDSA? - pt self determination in health care decisions
DNR - no CPR or resuscitative actions taking
Living will - indicates desired or prohibited medical interventions
EX of living wills - code status, level of intervention, or life sustaining measures
What is assault? - any threat made against a pt that makes them fearful
What is battery? - touching a pt without consent that causes harm
What is slander? - character deformation
What is a breach of confidentiality? - sharing protected health information
What is false imprisonment? - inappropriate confinement of a pt
What does immunocompromised mean? - having an impaired immune system
What is Rhonchi? - low-pitched, musical, snoring, adventitious lung sound caused by airflow obstruction from secretions
What is crackles? - discontinuous high-pitched popping or low-pitched bubbling
What is stridor? - a harsh vibrating noise when breathing, caused by obstruction of the windpipe or larynx.
What is bronchial? - - Heard over trachea
- High pitch
- Inspiration and expiration are equal
-normal l
What is bronchovesicular? - the normal breath sound heard over major bronchi, characterized by moderate pitch and an equal duration of inspiration and expiration
What is pleural rub? - sounds like crackles but caused when the pleural surfaces are inflamed
What is vesicular? - the soft, low-pitched, normal breath sounds heard over peripheral lung fields
TB precautions - -negative pressure room
-airborne precautions
-N 95 MASK!!!
when can AP's check a pt's vital signs? - when the patient is stable
When are some tasks AP's are allowed to do? - - bathing
- oral care
- ambulation
- linens
- feeding
- shaving [Show Less]