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Nur 283 comp 2

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 6 pages. Originally published on StudyMerit.

Pages
6
Academic year
2025/2026
Language
English

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Lecture 11/25/23 Review Comp 2 Nur 283 Comp 2 exam 1. Negligence - failure to provide adequate care ; unintentional tort a. Failure to communicate concerns about elder client who is confused and is being discharged home is an example of negligence 2. Slander - Spoken remarks that cause harm Gossip 3. Assault – threat by words ; intentional ; intentional tort 4. Battery - act of harm... “ base ball bat” ; intentional tort 5. Libel - written “library” remarks of harm ; intentional 6. Delegation a. UAP - medical intake, I & O, remind i. Intervene SHOULD NOT= assisting client who has paracentesis 2 hours ago to get out of bed for 1 st time b. LPN - medical intake, reinforce teaching i. Asking LPN to obtain cap blood glucose reading on client who is diaphoretic ii. Which of the following task should Rn delegate to LPN= collection of past medical hx for client who is admitted for cellulitis iii. Delegate t o LPN reinforce discharge teaching 7. Interdisciplinary conference / mandatory reporting a. Police, social services, DCF i. Detail interview, physical exam, full hx 1. Child S/S neglect - undernourished, dirty, poorly clothed, untreated dental caries 2. Child S/S - physical abuse - spiral fracture, burns bilateral hands, redden welts on back 3. Elder neglect S/S - poor eye contact, exp meds, broken glasses and hearing aids 4. Elder physical abuse S/S= weight loss , dehydration, malnutrition , pressure ulcer, poor hygiene a. 72 year old who lives w/ daughter and has several pressure ulcers stage 3 b. Substance abuse mom with child i. Report suspected abuse MUST BE REPORTED 1. Protect client from immediate harm 2. Separately interview client away from suspected abuser 3. Collect, prepare evidence 4. Safety plan, provide info on shelters, safe house b. PT= gross motor, walking , crutches , cane i. 2 year old impaired gross motor and fine motor who was just dx with cerebral palsy c. OT= fine motor and ADLS, feeding, dressing i. Occupational therapist referral for client who has Parkinson's disease and having trouble performing activities of daily living d. ST= language, communication , DYSPHAGIA i. Speech therapist , the client who has COPD and has developed dysphagia e. Hospice i. Hospice care for Pt with terminal cancer and needs assistance with pain management at home f. Outside public health agency i. 27 year old who was admitted with confirmed STI 8. A fib - rapid firing in Atria= RISK FOR CLOTS can lead to MI, PE, CVA, DVT ; a. HR over 100, irregular, NO P wave , no PR interval i. Management - anticoags, HEPRIN DRIP (warfarin), beta blockers, cardiac ablation, digoxin if HR less 60 HOLD; toxic if 2 or more ), cardioversion ii. Treatment - o2, anti - coags, prepare for cardioversion iii. T eaching - dig ( report signs of toxicity) , warfarin ( INR) 9. Hepatic encephalopathy (liver = removes ammonia, metabolize rx, stores glycogen, produce clotting factors, albumin , bile ) a. Expected – acetone breath, jaundice, elevated enzymes ALT, AST , pruritus, asterixis , twitching arms and legs , confusion, bizarre behavior b. Report to HCP - unresponsive, coma, seizure i. Report to HCP= client who has developed hepatic encephalopathy . It is important to notify hCP of = pupil size from 7mm to 5mm c. Med - lactulose - get rid of ammonia , K ; NO tylenol i. Management - client w/ end stage cirrhosis of the liver with encephopathy intervention to reduce ammonia level= 1 st reduce intake of protein , 2 nd administer lactulose 10. Meds a. Med not working ...see patient first !!!!!! ; no rush to give insulin unless DKA ( IV); 11. Chronic strep infections a. Swelling sign of sepsis - !!!!! messages.downloaded_by lOMoARcPSD|6879242

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i. Nurse should assess first=15 year old who has acute post strep g lomernephritis and has crackles in the lungs and neck vein distention 12. IM z - track a. Ztrack i. IM - 22 - 25 length 0.5 - 1inches; 90 degrees, 1 - 2mL (in deltoid)= ventral gluteal, Dorso gluteal, deltoid; infants 0 - 12months vastus lateral i s; Z track ii. Max 1ml in deltoid iii. Hold skin taut with z track method 13. Insertion of IV a. Correct care = placing cloth between clients skin and tourniquet of older adult 14. Removal of IV a. Correct care = use of clean gloves to discontinue client IV infusion 15. Blood transfusion procedure a. Ensure 18 - 19 gauge IV b. Inspect blood exp, bubbles ect c. 2 RN verify blood order patient name d. VS before and during every 15mins e. Prime y tubing ; saline 0.9% f. Prime y tubing with blood g. Stay at bedside for 15mins take vs every 15mins i. Nurse is administering unit of packed RBCs what should nurse plant to take = administer over 3 hours ii. Client develops chills, flushing skin and reports back pain. The newly hired nurse stops the infusion and implements the following action. Which action requires INTERVENTION (incorrect)= Disposing of blood transfusion bag and tubing in biohazard bag 16. Clean and sterile specimen collection a. Sterile i. Clean gloves open outer wrapping, ii. Sterile gloves open inner liner, iii. Maintain 1in border iv. Open flap away from body v. Maintain waiste level or above, never back to field vi. Hands never below waist b. Clean catch specimen i. “since I am right handed I will use my left hand to spread labia open.” 17. Client 10 rights - know info while in hospital, refuse, know who is managing care , knowledge of alternative treatments a. “Can I refuse the ECT tomorrow?” You have the right to refused even though you have signed the consent 18. Pe diculosis C ap iti s – LICE= common in children a. Management - permethrin NIX; pets do NOT need treatment !!!! b. Education - wash with hot water; seal non washable items in air - tight bags, no sharing combs scarfs ect , vacuum carpets discard vac u um bag i. Home instruction =Seal non washable items (toys) in airtight plastic bag for 14 days 19. Dementia - progressive (forgetful) a. Management - acknowledge & discuss feelings, DO NOT present reality or ration alize, Redirect with activities b. Least invasive to most invasive - chair alarms, bed alarms first , last use restraints 20. Medication error process a. First assess patient, second tell DR. ( need antidote) ; Last incident report i. Which situation requires nurse to complete an incident report = a client has developed phlebitis from IV cath and is now receiving antibiotics 21. Mass Casuality black , red, yellow , green a. Black= 60% burns, grey matter exposed, fixed dilated pu pils , not breathing b. Red emergent = chest pain, wheezing , 30% burns c. Non Urgent Green= client w/ multiple fracture to both arm i. See first return from bronchoscopy with hemoptysis 22. Precautions a. Droplet - pertussis , influenzas , meningitis, pneumonia i. Surg mask googles, single room or shared w/ same organism 1. Correct client care if UAP is observed wearing gown, mask and gloves when entering the room of client with influenza b. Airborne - Measels, TB, Varicella i. Staff n95, neg pressure room, door closed, pat surg mask when transporting messages.downloaded_by lOMoARcPSD|6879242

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