Nutritional Guidelines for Various Dietary Restrictions in Healthcare, Exams of Nursing

Download Nutritional Guidelines for Various Dietary Restrictions in Healthcare and more Exams Nursing in PDF only on Docsity! 2024 GUARANTEE A+PN Exam 4 Questions, SOLUTION and Rationales Saying or publishing a false statement about someone, when you KNOW it's not true is known as: Invasion of privacy Malice Slander Libel - SOLUTION Malice The nurse evaluates which laboratory values to assess a patient's potential for wound healing? Fluid status Potassium Lipids Nitrogen balance - SOLUTION Nitrogen Balance **Nitrogen balance is important to determining serum protein status. A negative nitrogen balance is present when catabolic states exist. When a patient has a decreased protein level, he or she is at risk for delayed wound healing.** The nurse is caring for a patient with dysphagia and is feeding her a pureed chicken diet when she begins to choke. What is the priority nursing intervention? Suction her mouth and throat Turn her on their side Put on oxygen at 2-L nasal cannula Stop feeding her and place on NPO - SOLUTION Suction her mouth and throat **Stop feeding and place patient on NPO. If choking persists, suction airway. Notify health care provider.** A patient who is receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What would the nurse do first? Have the patient perform a Valsalva procedure Clamp the intravenous (IV) tubing to prevent more air from entering the line Have the patient take a deep breath and hold it Notify the health care provider immediately - SOLUTION Have the patient perform a Valsalva procedure **Turn the patient on his or her left side to prevent air from entering the left side of the heart. Then have the patient perform a Valsalva maneuver (holding the breath and "bearing down").** A patient is receiving both parenteral (PN) and enteral nutrition (EN). When would the nurse collaborate with the health care provider and request discontinuing parenteral nutrition? When 25% of the patient's nutritional needs are met by the tube feedings When bowel sounds return When central line has been in for 10 days When 75% of the patient's nutritional needs are met by the tube feedings - SOLUTION When 75% of the patient's nutritional needs are met by the tube feedings A patient's gastric residual volume was 250 mL at 0800 and 350 mL at 1200. What is the appropriate nursing action? Assess bowel sounds Raise the head of the bed to at least 45 degrees Position the patient on his or her right side to promote stomach emptying The nurse is caring for a patient with pneumonia who has severe malnutrition. The nurse recognizes that, because of the nutritional status, the patient is at increased risk for: (Select all that apply.) Heart disease. Sepsis. Pleural effusion. Cardiac arrhythmias. Diarrhea. - SOLUTION Sepsis. Pleural effusion. Cardiac arrhythmias. **Patients who are malnourished on admission are at greater risk of life- threatening complications such as arrhythmia, pleural effusions, sepsis, or hemorrhage during hospitalization.** The nurse is educating the patient and his family about the parenteral nutrition. Which aspect related to this form of nutrition would be appropriate to include? (Select all that apply.) The purpose of the fat emulsion in parenteral nutrition is to prevent a deficiency in essential fatty acids. We can give you parenteral nutrition through your peripheral intravenous line to prevent further infection. The fat emulsion will help control hyperglycemia during periods of stress. The parenteral nutrition will help your wounds heal. Since we just started the parenteral nutrition, we will only infuse it at 50% of your daily needs for the next 6 hours. - SOLUTION The purpose of the fat emulsion in parenteral nutrition is to prevent a deficiency in essential fatty acids. The fat emulsion will help control hyperglycemia during periods of stress. The parenteral nutrition will help your wounds heal. **Sometimes adding intravenous fat emulsions to parenteral nutrition supports the patient's need for supplemental kilocalories, prevents essential fatty acid deficiencies, and helps control hyperglycemia during periods of stress. Parenteral nutrition is administered at 50% of the patient's daily needs for the first 24 hours to assess how he or she is tolerating the infusion.** The nurse would delegate which of the following to nursing assistive personnel (NAP)? (Select all that apply.) Repositioning and retaping a patient's nasogastric tube Performing glucose monitoring every 6 hours on a patient Documenting PO intake on a patient who is on a calorie count for 72 hours Administering enteral feeding bolus after tube placement has been verified Hanging a new bag of enteral feeding - SOLUTION Performing glucose monitoring every 6 hours on a patient Documenting PO intake on a patient who is on a calorie count for 72 hours **The skills of measuring blood glucose level after skin puncture (capillary puncture) and writing down the amount the patient ate can be delegated to NAP. The nurse needs to administer enteral feeding because of the risk of aspiration. The nasogastric tube should never be repositioned by the NAP for risk of causing injury to the patient.** The nurse is teaching a program on healthy nutrition at the senior community center. Which points should be included in the program for older adults? (Select all that apply.) Avoid grapefruit and grapefruit juice, which impair drug absorption. Increase the amount of carbohydrates for energy. Take a multivitamin that includes vitamin D for bone health. Cheese and eggs are good sources of protein. Limit fluids to decrease the risk of edema. - SOLUTION Avoid grapefruit and grapefruit juice, which impair drug absorption. Take a multivitamin that includes vitamin D for bone health. Cheese and eggs are good sources of protein. **Cheese, eggs, and peanut butter are also useful high-protein alternatives. Vitamin D supplements are important for improving strength and balance, strengthening bone health, and preventing bone fractures and falls. Grapefruit and grapefruit juice can interfere with warfarin (Coumadin) (anticoagulant), preventing its breakdown. This would lead to an increased risk of bleeding.** Which patients are at high risk for nutritional deficits? (Select all that apply.) The divorced computer programmer who eats precooked food from the local restaurant The middle-age female with celiac disease who does not follow her gluten- free diet The 45-year-old patient with type II diabetes who monitors her carbohydrate intake and exercises regularly The 25-year-old patient with Crohn's disease who follows a strict diet but does not take vitamins or iron supplements The 65-year-old patient with gallbladder disease whose electrolyte, albumin, and protein levels are normal - SOLUTION The middle-age female with celiac disease who does not follow her gluten-free diet The 25-year-old patient with Crohn's disease who follows a strict diet but does not take vitamins or iron supplements Broth, coffee, tea, clear fruit juices, carbonated beverages, clear gelatin, popsicles A. Clear Liquid A. Clear Liquid B. Full Liquid C. Pureed, Thickened liquids, dysphagia stages D. Mechanical soft E. Low-purine F. Gluten-free G. Regular H. Bland I. Soft/Low Residue J. High Fiber - SOLUTION regular soft diet without spices, limited caffeine and citric acid juices avoid alcohol, tobacco, & aspirin A. Clear Liquid B. Full Liquid C. Pureed, Thickened liquids, dysphagia stages D. Mechanical soft E. Low-purine F. Gluten-free G. Regular H. Bland I. Soft/Low Residue J. High Fiber - SOLUTION Bland residue is the indigestible substances left in digestive tract after food has been digested contains easily digested foods such as: canned/cooked fruits & veges, pasta, soft meat no high fiber foods or foods that have skins and seeds, milk, and milk products, no nuts or coconut A. Clear Liquid B. Full Liquid C. Pureed, Thickened liquids, dysphagia stages D. Mechanical soft E. Low-purine F. Gluten-free G. Regular H. Bland I. Soft/Low Residue J. High Fiber - SOLUTION Soft/low residue Addition of fresh uncooked fruits, steamed veges, bran, oatmeal, dried fruits A. Clear Liquid B. Full Liquid C. Pureed, Thickened liquids, dysphagia stages D. Mechanical soft E. Low-purine F. Gluten-free G. Regular H. Bland I. Soft/Low Residue J. High Fiber - SOLUTION High fiber This diet attains or maintains ideal body weight, ensure normal growth, maintains glucose levels, uses food high in fiber and complex CHOs... Avoid simple sugars, jams, honey, syrup, frosting... - SOLUTION Diabetic diet The AHA recommends _____ sodium and _______ cholesterol - SOLUTION Low; Low ________ essential for growth, maintenance, and repair of body tissue. - SOLUTION Proteins Water comprises _____% to ____% of body weight. - SOLUTION 60-70 Fat soluble vitamins - SOLUTION A, D, E, K Water-soluble vitamins - SOLUTION C and B Digestion begins with the - SOLUTION mouth The __________ screens older adults in home care programs, nursing homes, and hospitals. This tool has 18 divided items into screening and assessment. 11 or less = the HCP completes assessment part. Less than 17 indicates protein-energy malnutrition. - SOLUTION Mini Nutritional Assessment **This is an effective way to measure nutritional problems for pts in a variety of health care settings** The patient for whom you are caring needs a liver transplant to survive. This patient has been out of work for several months and doesn't have health insurance or enough cash. Even though several ethical principles are at work in this case, what are the principles from highest to lowest priority? 1. Accountability: You as the nurse are accountable for the wellbeing of this patient. 2. Respect for autonomy: This patient's autonomy will be violated if he does not receive the liver transplant. 3. Ethics of care: The caring thing that a nurse could provide this patient is resources for a liver transplant. 4. Justice: The greatest question in this situation is how to determine the just distribution of resources. 4, 1, 3, 2 2, 4, 3, 1 4, 2, 3, 1 4, 3, 2, 1 - SOLUTION 4, 2, 3, 1 4. Justice: The greatest question in this situation is how to determine the just distribution of resources. 2. Respect for autonomy: This patient's autonomy will be violated if he does not receive the liver transplant. 3. Ethics of care: The caring thing that a nurse could provide this patient is resources for a liver transplant. 1. Accountability: You as the nurse are accountable for the wellbeing of this patient. **Understanding the concept of justice helps to enrich the conversation about how to act and lifts the conversation above and beyond the circumstances of the patient. If justice is compromised, respect for autonomy will be hard to maintain. The nurse will be able to care for the patient, but unfortunately her commitment to care does not give her the Nurses develop a relationship with the patient that is unique among all professional health care providers. The nurse's code of ethics recommends that a nurse be present at any ethical discussion about patient care. - SOLUTION Nurses develop a relationship with the patient that is unique among all professional health care providers. Ethical dilemmas often arise over a conflict of opinion. Reliance on a predictable series of steps can help people in conflict find common ground. All of the following actions can help resolve conflict. What is the best order of these actions in order to promote the resolution of an ethical dilemma? 1. List the actions that could be taken to resolve the dilemma. 2. Agree on a statement of the problem or dilemma that you are trying to resolve. 3. Agree on a plan to evaluate the action over time. 4. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma. 5. Take time to clarify values and distinguish between facts and opinions— your own and those of others involved. 6. Negotiate a plan. 4, 5, 2, 6, 1, 3 4, 5, 2, 1, 6, 3 5, 4, 2, 1, 3, 6 4, 5, 1, 2, 3, 6 - SOLUTION 4, 5, 2, 1, 6, 3 4. Gather all relevant information regarding the clinical, social, and spiritual aspects of the dilemma. 5. Take time to clarify values and distinguish between facts and opinions— your own and those of others involved. 2. Agree on a statement of the problem or dilemma that you are trying to resolve. 2. Agree on a statement of the problem or dilemma that you are trying to resolve. 1. List the actions that could be taken to resolve the dilemma. 6. Negotiate a plan. 3. Agree on a plan to evaluate the action over time. **This is the correct order to determine the dilemma and influencing factors. This process provides opportunities for the nurse and health care team to reflect on personal values and then identify the exact nature of the ethical problem, design a plan, and evaluate the success of the plan** The ANA code of nursing ethics articulates that the nurse "promotes, advocates for, and strives to protect the health, safety, and rights of the patient." This includes the protection of patient privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's x-ray film if you obscured or deleted all patient identifiers? Yes, because patient privacy would not be violated since patient identifiers were removed Yes, because respect for autonomy implies that you have the autonomy to decide what constitutes privacy No, because, even though patient identifiers are removed, someone could identify the patient on the basis of other comments that you make online about his or her condition and your place of work No, because the principle of justice requires you to allocate resources fairly - SOLUTION No, because, even though patient identifiers are removed, someone could identify the patient on the basis of other comments that you make online about his or her condition and your place of work **Information such as comments and photos on social media is widely distributed and becomes a risk for violation of privacy. People often inadvertently give "clues" or hints to the identity of a person, or people accessing your site could know your actual assignment or put "two and two" together.** What are the correct steps to resolve an ethical dilemma on a clinical unit? Place the steps in correct order. 1. Clarify values. 2. Ask the question, Is this an ethical dilemma? 3. Verbalize the problem. 4. Gather information. 5. Identify course of action. 6. Evaluate the plan. 7. Negotiate a plan. 2, 4, 1, 5, 3, 7. 6 2, 4, 3, 1, 5, 6, 7 4, 1, 2, 3, 5, 7, 6 2, 4, 1, 3, 5, 7, 6 - SOLUTION 2, 4, 1, 3, 5, 7, 6 2. Ask the question, Is this an ethical dilemma? 4. Gather information. 1. Clarify values. 3. Verbalize the problem. 5. Identify course of action. 7. Negotiate a plan. 6. Evaluate the plan. **Ask, Gather, Clarify, VINE** **In resolving an ethical dilemma, it first must be determined that an ethical dilemma exists. Then a systematic approach is needed to gather information, clarify values, verbalize the exact problem, identify a plan, negotiate elements of the plan, and evaluate the plan.** Resolution of an ethical dilemma involves discussion with the patient, the patient's family, and participants from all health care disciplines. Which of the following best describes the role of the nurse in the resolution of ethical dilemmas? To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations. To study the literature on current research about the possible clinical interventions available for the patient in question. To hold a point of view but realize that respect for the authority of administrators and physicians takes precedence over personal opinion. To allow the patient and the physician to resolve the dilemma on the basis of ethical principles without regard to personally held values or opinions. - SOLUTION To articulate the nurse's unique point of view, including knowledge based on clinical and psychosocial observations. Community values influence definitions of quality, and they are subject to change over time. Individual experiences influence perceptions of quality in different ways, making consensus difficult. The value of elements such as cognitive skills, ability to perform meaningful work, and relationship to family is difficult to quantify using objective measures. Statistical analysis is difficult to apply when the outcome cannot be quantified. Whether or not a person has a job is an objective measure, but it does not play a role in understanding quality of life. - SOLUTION Community values influence definitions of quality, and they are subject to change over time. Individual experiences influence perceptions of quality in different ways, making consensus difficult. The value of elements such as cognitive skills, ability to perform meaningful work, and relationship to family is difficult to quantify using objective measures. Statistical analysis is difficult to apply when the outcome cannot be quantified. **A person's average income and whether the person is employed are incorrect SOLUTION because income level is not necessarily a determining factor in measuring quality of life, but the ability to do meaningful work usually does influence the definition.** Which of the following properly applies an ethical principle to justify access to health care? (Select all that apply.) Access to health care reflects the commitment of society to principles of beneficence and justice. If low income compromises access to care, respect for autonomy is compromised. Access to health care is a privilege in the United States, not a right. Poor access to affordable health care causes harm that is ethically troubling because nonmaleficence is a basic principle of health care ethics. Providers are exempt from fidelity to people with drug addiction because addiction reflects a lack of personal accountability. If a new drug is discovered that cures a disease but at great cost per patient, the principle of justice suggests that the drug should be made available to those who can afford it. - SOLUTION Access to health care reflects the commitment of society to principles of beneficence and justice. If low income compromises access to care, respect for autonomy is compromised. Poor access to affordable health care causes harm that is ethically troubling because nonmaleficence is a basic principle of health care ethics. **Justice is the ethical principle that justifies the agreement to ensure access to care for all, but it does not necessarily clarify how to resolve issues of limited resources such as money or organs available for transplant. Privilege is not an ethical principle. Nonmaleficence means "first do no harm." A lack of care because of poor access causes harm (i.e., no preventive services, no early detection, no risk reduction) and therefore is ethically troubling. The principal of fidelity implies that we agree to ensure access to care even for people whose beliefs and behaviors may differ from our own, including drug addicts.** A nurse stops to help in an emergency at the scene of an accident. The injured party files a suit, and the nurse's employing institution insurance does not cover the nurse. What would probably cover the nurse in this situation? The nurse's automobile insurance The nurse's homeowner's insurance The Good Samaritan law, which grants immunity from suit if there is no gross negligence The Patient Care Partnership, which may grant immunity from suit if the injured party consents - SOLUTION The Good Samaritan law, which grants immunity from suit if there is no gross negligence **The Good Samaritan law holds the health care provider immune from liability as long as he or she functions within the scope of his or her expertise.** A nurse is planning care for a patient going to surgery. Who is responsible for informing the patient about the surgery along with possible risks, complications, and benefits? Family member Surgeon Nurse Nurse manager - SOLUTION Surgeon **The person performing the procedure is responsible for informing the patient about the procedure and its risks, benefits, and possible complications.** A woman has severe life-threatening injuries and is hemorrhaging following a car accident. The health care provider ordered 2 units of packed red blood cells to treat the woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood for religious reasons. What is the nurse's responsibility? Obtain a court order to give the blood Coerce the husband into giving the blood Call security and have the husband removed from the hospital More information is needed about the wife's preference and if the husband has her medical power of attorney - SOLUTION More information is needed about the wife's preference and if the husband has her medical power of attorney **Adult patients such as those with specific religious objection are able to refuse treatment for personal religious reasons, but there need to be clear directions on who can make the decision.** You are the night shift nurse caring for a newly admitted patient who appears to be confused. The family asks to see the patient's medical record. What is the priority nursing action? Give the family the record Discuss the issues that concern the family with them Call the nursing supervisor Determine from the medical record if the family has been granted permission by the patient to access his or her medical information - SOLUTION Determine from the medical record if the family has been granted permission by the patient to access his or her medical information **Family members do not have the right to private personal health information without the consent of the patient. Confidentiality protects private patient information once it has been disclosed in health care settings.** A home health nurse notices significant bruising on a 2-year-old patient's head, arms, abdomen, and legs. The patient's mother describes the patient's frequent falls. What is the best nursing action for the home health nurse to take? Document her findings and treat the patient Instruct the mother on safe handling of a 2-year-old child Contact a child abuse hotline Discuss this story with a colleague - SOLUTION Contact a child abuse hotline **Nurses are mandated reporters of suspected child abuse. These assessment findings possibly indicate child abuse.** You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Which is the best nursing action to take first? Call the nursing supervisor to discuss the situation Discuss the problem with a colleague Leave the nursing unit and go home Say nothing and begin your work - SOLUTION Call the nursing supervisor to discuss the situation A nurse is caring for a patient who recently had coronary bypass surgery and now is on the postoperative unit. Which are legal sources of standards of care that the nurse uses to deliver safe health care? (Select all that apply.) Information provided by the head nurse Policies and procedures of the employing hospital State Nurse Practice Act Regulations identified in The Joint Commission manual The American Nurses Association standards of nursing practice - SOLUTION Policies and procedures of the employing hospital State Nurse Practice Act Regulations identified in The Joint Commission manual The American Nurses Association standards of nursing practice **All of these sources govern the legal standards of care and are individualized by state and agency. Policies and procedures of employing agencies and standards set by statutes, accrediting agencies, and professional organizations describe the minimum requirements for safe care.** A nurse is sued for negligence due to failure to monitor a patient appropriately after a procedure. Which of the following statements are correct about this lawsuit? (Select all that apply.) The nurse does not need any representation. The patient must prove injury, damage, or loss occurred. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. The patient must prove that a breach in the prevailing standard of care caused an injury. The burden of proof is always the responsibility of the nurse. - SOLUTION The patient must prove injury, damage, or loss occurred. The person filing the lawsuit has to show a compensable damage, such as lost wages, occurred. The patient must prove that a breach in the prevailing standard of care caused an injury. **The patient as plaintiff must prove that the defendant nurse had a duty, breached the duty, and because of this breach caused the patient injury or damage.** Which of the following actions, if performed by a registered nurse, would result in both criminal and administrative law sanctions against the nurse? (Select all that apply.) Taking or selling controlled substances Refusing to provide health care information to a patient's child Reporting suspected abuse and neglect of children Applying physical restraints without a written physician's order Completing an occurrence report on the unit - SOLUTION Taking or selling controlled substances Applying physical restraints without a written physician's order **The inappropriate use of controlled substances is prohibited by every Nurse Practice Act. A physical restraint can be applied only on the written Autonomy Beneficence Nonmaleficence Justice Fidelity - SOLUTION Nonmaleficence Being fair Autonomy Beneficence Nonmaleficence Justice Fidelity - SOLUTION justice Agreement to keep promises Autonomy Beneficence Nonmaleficence Justice Fidelity - SOLUTION fidelity Who created the first professional nursing code of ethics? - SOLUTION ANA Your pt is about to undergo a contraversial orthopedic procedure. The procedure may cause periods of pain. Although nurses agree to do no harm, this procedure may be the pt's only treatment choice. This example describes the ethical principle of: Autonomy Fidelity Justice Nonmaleficence - SOLUTION Nonmaleficence **Key word: Agree to do no harm...** _____: Personal belief about the worth of a given idea, attitude, custom, or object that sets standards that influence behavior - SOLUTION value _____ defines actions as right or wrong. Doesn't look at consequences of actions to determine right or wrong. It DOES examine a situation for the existence of essential right or wrong. Deontology Ultilitarianism Feminist ethics Ethics of Care Casuistry - SOLUTION Deontology **D = Defines** Proposes that the value of something is determined by its usefulness Deontology Ultilitarianism Feminist ethics Ethics of Care Casuistry - SOLUTION ultilitarianism **U = Useful!** **ULTILITARIANISM Definition: the doctrine that actions are right if they are useful or for the benefit of a majority.** --deontology: the study of the nature of duty and obligation.-- ________ Focuses on the inequality between people Deontology Ultilitarianism Feminist ethics Ethics of Care Casuistry - SOLUTION feminist ethics Emphasizes the importance of understanding relationships, esp. as they are revealed in personal narratives Deontology Ultilitarianism Feminist ethics Ethics of Care Moral Behavior - SOLUTION Accountability **SOLUTION why you withheld it... responsbility is wrong b/c you would check BP before giving the med** Nurse Practice Act is an example of a _________ law Regulatory Statutory Common Criminal - SOLUTION Statutory **each state has one** Reporting a nurse for not meeting a standard of care is: Statutory Law Administrative Law Common Law Regulatory Law - SOLUTION Administrative Law Legal guidelines for defining nursing practice and identifying the minimum acceptable nursing care - SOLUTION standards of care The best known standards of care come from - SOLUTION ANA Are standards of care set by every state? - SOLUTION yes Select all that apply to standards of care: Best known from ANA Set by every state Set by state and federal laws that govern where nurses work Joint Commission requires policies and procedures. - SOLUTION Best known from ANA Set by every state Set by state and federal laws that govern where nurses work Joint Commission requires policies and procedures. Proof of Negligence 1. Nurse owed a duty to pt 2. Nurse did not carry out the duty or breached it 3. The pt was injured 4. The pt's injury was caused by the nurse's failure to carry out that duty **ALL 4 MUST BE MET** - SOLUTION Proof of Negligence 1. Nurse owed a duty to pt 2. Nurse did not carry out the duty or breached it 3. The pt was injured 4. The pt's injury was caused by the nurse's failure to carry out that duty **ALL FOUR MUST BE MET** __________ of 1986 states that you must provide at least a screening and if tx is necessary, you have to stabilize the pt before shipping off. American's w/ Disabilities Act EMTALA Mental Health Parity Act Uniform Anatomical Gift Act - SOLUTION EMTALA The ___________ of 1996 means that you cannot cap limits on mental health. Mental health cannot be cut from insurance. American's w/ Disabilities Act EMTALA Mental Health Parity Act Uniform Anatomical Gift Act - SOLUTION Mental Health Parity Act The __________ means that if you're over 18 years old, you have the right to make an organ donation. If pt dies, you have to call organ donation business no matter what. American's w/ Disabilities Act EMTALA Mental Health Parity Act Uniform Anatomical Gift Act - SOLUTION uniform anatomical gift act Living will, and DPoA's are part of ________ - SOLUTION Advanced directives A __________ is a written document in accordance to treatment wishes, like DNRs DPoA Living Will - SOLUTION Living Will Torts Assault Battery False Imprisonment - SOLUTION false imprisonment ______ law protects the rights of individual w/in our society and provides for fair and equitable treatment Civil Criminal - SOLUTION Civil **ex. nurse gives wrong med toa pt... pt rights to meds** _______ law protects society as a whole and provides punishment for crimes which are defined by municiple, state, and federal. Civil Criminal - SOLUTION Criminal **nurse steals narcs form an organization** Publishing or stating something that is not true when you KNOW it is not true, is an example of: Invasion of privacy Malice Slander Libel - SOLUTION malice **mALICE the ass hole** Written defamation of character, like starting a rumor but you DON'T know if it's true or not is an example of: Invasion of privacy Malice Slander Libel - SOLUTION Libel Making a false statement about someone is: Invasion of privacy Malice Slander Libel - SOLUTION slander Malpractice is a type of: - SOLUTION negligence _________________ negligence is when care falls below standard of care - SOLUTION professional Malpractice Insurance - Is a contract between the nurse and the insurance company - Provides a defense when a nurse is in a lawsuit involving negligence or malpractice insurance - Nurses covered by institution's insurance while working - Up to $10,000 - SOLUTION Malpractice Insurance - Is a contract between the nurse and the insurance company - Provides a defense when a nurse is in a lawsuit involving negligence or malpractice insurance - Nurses covered by institution's insurance while working - Up to $10,000 A student nurse is employed as a nursing assistant may perform care: As learned in school Expected of a nurse at that level Identified in the hospital's job description Requiring technical rather than professional skills - SOLUTION Identified in the hospital's job description You're about to administer an oral medication and you question the dosage. You should: Administer the medication Notify the physician Withhold the medication Document that the dosage appears incorrect - SOLUTION Notify the physician _________ __________ is a system of ensuring appropriate nursing care that attempts to identify potential hazards and eliminate them before harm occurs. - SOLUTION risk management One tool used in risk management is the: (SATA) Alert Reports Handoff Report Lisinopril - SOLUTION lisinopril **Lisinopril = ACE Inhibitor, antihypertensive** **Metoprolol = beta blocker** high alert opioid analgesic that can cause confusion - SOLUTION fentanyl (sublimaze, duragesic, lazanda, fentora) high alert anticoagulant and antithrombotics Heparin Diazepam Metoprolol Lisinopril - SOLUTION heparin (hep-lock, enoxaparin/lovenox) decreases BP and HR Heparin Diazepam Metoprolol Lisinopril - SOLUTION metoprolol (betaloc, lopresor) can decrease seizure activity Metoprolol Lopresor Diazepam Heparin - SOLUTION diazepam (valium) **b/c it basically 'chills' you out... it calms things down...** lowers BP, category D, prevents degradation of bradykinin and prostaglandins Diazepam Lisinopril Metoprolol - SOLUTION lisinopril (prinivil, zestril) which state was the first to enact a nurse practice act? (NPA) North Carolina South Carolina Kansas Missouri - SOLUTION North Carolina What is the purpose of NPA? - SOLUTION To protect the public what is the best resource for info about an NPA? - SOLUTION State Board of Nursing **Nurse Practice Act is regulated differently by each state** BON members are? 1. elected officials who serve for 2 years 2. appointed by the governor 3. nurse and sometimes members of the public 4. hired by the BON's executive officer - SOLUTION 3. nurse and sometimes members of the public what is the relationship bw an NPA and rules or regulation? 1. a BON can enact a rule without input from the public 2. a BON can change a regulation anytime 3. rules can supersede the requirements of an NPA 4. rules are often more specific than the NPA - SOLUTION 4. rules are often more specific than the NPA some newly licensed RNs are discussing their NPA during orientation. which statement is incorrect and needs to be corrected by their preceptor? 1. The NPA requires certification and a master's degree for all APRNs 2. the standards and scope of practice for nurses are aligned with the nursing process 3. the use of the title registered nurse is protected by the NPA 4. the NPA sets standards for prelicensure nursing education - SOLUTION 1. The NPA requires certification and a master's degree for all APRNs which of the following is a requirement for initial licensure as a nurse in every state? 1. confirmation of being drug free for at least 1 year 2. passing a licensure exam 3. criminal background check verifying no arrest record 4. endorsement by the state of permanent residence - SOLUTION 2. passing a licensure exam a complaint is filled against a nurse. what can the nurse expect to happen next? - SOLUTION The complaint will be investigated after agreeing to participate in an alternative-to-discipline program, a nurse can expect: 1. an announcement of her or his participation in the program in a newsletter 2. an official letter of censure in her or his workplace records 3. to return to work with no restrictions 4. regular monitoring to ensure compliance with treatment - SOLUTION 4. regular monitoring to ensure compliance with treatment which type of discipline case involves accepting gifts and money from a client while caring for him or her? - SOLUTION boundary violation the nurse is renting a house from a former client and after several months refuses to pay rent. the former client feels a complaint. this is an example of which type of discipline case? Practice Related Boundary Violation - SOLUTION boundary violation diuretics/ loop diuretics // decreases edema, abdominal girth and weight - SOLUTION allergy, cold, cough remedies, antihistamines, antitussives **AKA: Benedryl** What is the function and chemical classification of tylonel? allergy, cold, cough remedies, antihistamines, antitussives antipyretic, nonopioid analgesic antipyretic, anti rheumatic, nonopioid analgesic, non steroidal anti- inflammatory laxative, stool softener diuretics/ loop diuretics // decreases edema, abdominal girth and weight - SOLUTION antipyretic, nonopioid analgesic What is the function and chemical classification of Motrin? allergy, cold, cough remedies, antihistamines, antitussives antipyretic, nonopioid analgesic antipyretic, anti rheumatic, nonopioid analgesic, non steroidal anti- inflammatory laxative, stool softener diuretics/ loop diuretics // decreases edema, abdominal girth and weight - SOLUTION antipyretic, anti rheumatic, nonopioid analgesic, non steroidal anti-inflammatory what is the function and chemical classification of colace/docusate antipyretic, anti rheumatic, nonopioid analgesic, non steroidal anti- inflammatory laxative, stool softener diuretics/ loop diuretics // decreases edema, abdominal girth and weight - SOLUTION laxative, stool softener what is the function and chemical classification of lasix antipyretic, anti rheumatic, nonopioid analgesic, non steroidal anti- inflammatory laxative, stool softener diuretics/ loop diuretics // decreases edema, abdominal girth and weight - SOLUTION diuretics/ loop diuretics // decreases edema, abdominal girth and weight considered an NSAID Tylonel Ibuprofen - SOLUTION Ibuprofen A wrongful act based on speech committed by a person or entity against another person or entity that causes economic harm or damage to reputation, e.g., a defamation of character or an invasion of privacy. -Unintentional Tort -Quasi-Intentional Tort - SOLUTION Quasi-Intentional Tort Who was the Dr. who visited the class? Dr. Johnson Dr. Brueggemann - SOLUTION Dr. Brueggemann What autoimmune disorder did Dr. Brueggemann's son develop? - SOLUTION neutropenia Communication among multiple members of varied disciplines w/in the healthcare team is known as ____________ communication - SOLUTION interdisciplinary What are the two models of communication that are mainly used by Nurses & Doctors? - SOLUTION SBAR SOAP elevating other providers who will care for your patient is an example of - SOLUTION manage up If you're allergic to penicillin, what other antibiotic should you not take? - SOLUTION Rocephin **cross over allergy risk** Discharge planning begins at - SOLUTION admission Dr. Doug Lewis approach is for taking _________ of your patients' quality of life and well-being. - SOLUTION ownership **professionalism will follow** a nurse in a senior center is counseling a group of older adults about their nutritional needs and considerations. which of the following info should the nurse include? a. older adults are more prone to dehydration than younger adults are b. older adults need the same amount of most vitamins and minerals as younger adults do c. many older adults need calcium supplementation d. older adults need more calories than they did when they were younger e. older adults should consume a diet low in carbohydrates - SOLUTION a. older adults are more prone to dehydration than younger adults are b. older adults need the same amount of most vitamins and minerals as younger adults do c. many older adults need calcium supplementation