Which is an adverse effect of digoxin?
bradycardia
What does TKVO mean?
To keep vein open
Mr. Singh is experiencing asthma and
... [Show More] acute shortness of breath and wheezing, whats the first thing you should do?
Administer rescue inhaler
Which of the following is most important when performing a preoperative assessment?
physical assessment
Which of the following would be elicit the best information about a patients pain?
Describe your pain to me (open ended)
The practical nurses scope of practice is determined by
legislation and regulatory and licensure requirments
Intentional torts
Assault
Battery
Invasion of privacy
False imprisonment
Battery
the intentional touching of a person without his or her consent
Unintentional torts
Negligence is a failure to take the care that a reasonable nurse in similar circumstances would have taken.
Examples of activities that nurses may be charged with
- theft of narcotics
- theft of client or agency property
- assisted suicide
- criminal negligence
Common negligence acts
medication errors, intravenous therapy errors that result in phlebitis or infiltrations, burns caused by equipment, falls, failure to use aseptic technique, failure to report, failure to monitor a patients condition, failure to notify a physician
Principles of accountability for nurses
- responsible and accountable for their decisions and actions
- engage in self reflection and continuous learning to maintain and enhance competence
- accountable and responsible for assessing their individual fitness to practice.
- practical nurses demonstrate and apply knowledge of the distinction between ethical responsible and legal rights
Code of nursing ethics
- being accountable for ones actions
- upholding the patients rights to privacy and confidentiality
- providing care that maintains pt dignity
- respect at all times
- promoting integrity by providing safe, competent, and ethical nursing care
- evaluating ones work and maintaining competency
A professional relationship is created through
the nurses application of knowledge, communication theory, understanding of human behaviour, and commitment to ethical behaviour.
Four phases of the nurse client relationship
Pre-interaction: Gathering information; assessing one's feelings, fears, and anxieties about working with a particular client
Orientation: nurse and client become acquainted. Goal is to establish trust.
Working: Goal is to promote client change
Termination: Evaluate goal attainment; and ensure therapeutic closure
-penia
reduced amount
Best approach to conflict resolution
collaboration
The repeat back method consists of
identification, situation, background, assessment, recommendations, repeat back
before consent, patients need to receive
full disclosure of all details of the procedure.
Can practical nurses obtain consent for surgery?
no because they are not conducting the surgery, but may be a witness
consent can be
verbal, written, and implicit
Example of implicit consent;
client lifting leg for wound care
Cno practice standard for resuscitation is based on these ethical values
- respect for ones well-being
- client choice
- privacy and confidentiality
- respect for life
- maintaining comittments
- truthfulness and fairness
medication treatment is used for
dx, treatment, cure, relief, and prevention
Idiosyncratic reactions
are unpredictable and occur when an individual overreaction from the medication or has a different reaction from the norm.
After a medication is taken it breaks down in the body and is
absorbed, distributed, metabolized, and excreted
10 rights of medication administration
right medication, right dose, right client, right route, right time, right documentation, right reason, right to refuse, right client education, right evaluation
oral medications
given by mouth. easiest route , most common, and has the slowest, most prolonged effect
sublingual medications
placed under the tongue and should not be swallowed.
parenteral medications
injected into the body tissues. The four main sites are:
- intradermal, subcutaneous (only for volumes of 0.5-1ml)
- intramuscular (for volumes up to 3ml)
- IV
inhalation route
used to administer medications through nasal passages, orally, by endotracheal tube or via tracheostomy
The nursing process
1. assessment [Show Less]