MEDSURG

A civil wrong commmitted by a person against another person or property

The enforcement of duties and right amongst individuals independent of contractual agreements is

The enforcement of agreements among private individuals

The three essential elements in a legal contract (under Contract Law) are?

A written contract can not be changed legally by an oral agreements. What kind of contract is this?

A ______ contract gives in writing, conditions and terms.

____contract acknowledges a relationship between parties for services.

Contract terms may be agreed in?

Deals with individual 's relationship to the STATE?

Deals with relationship amongst individuals?

Enacted by legislative bodies?

Public laws are?

Gives state boards of nursing to make rules and regulations governing nursing as set forth by the nursing practice act is

Civil law (automatic contract) are?

(side note: Federal and State levels)

State board of Nursing disiplinary actions are?

The responsibility of regulating nursing practice and setting educational guidelines for the programs is

License through the educational guidelines includes?

When case if brought against a nurse, it is usually a civil action that falls under tort law. Torts can be?

Intentional torts are?

More INtentional torts are?

Several factors must hold true for a nurse to be found guilty of malpractice, they are?

i.e. rails were left down on a confused clent's bed or a puddle was not cleaned up is an example of?

Failure to properly assess the client is considered?

A nurse who leaves an inadequately staffed unit could be charged with?

-Client's property is lost
A medication error occurs
-Client burned from improper use of equip
-Change in client's condition is not observed or reported
-Inaccurate count of sponges in the operating room is taken
These are examples of?

-Inaccurate nursing diagnosis is made and wrong tx was implemented
-Physcian's orders are not followed
-Physician clearly erroneous order is not questioned. Are examples of?

The difference between Ethnics and Bioethnics is?

"I refuse these Meds" they are showing?

Health care researchers might risk the well being of the person participating in an experimental procedure?

Think - performing the act

Greatest positive benefit for the number of people involved is?

Think: Consequences

Client's Rights are?

A risk management tool used to describe and report any unusual event that occurs to a client, visitor or staff member is?

DO NOT put what you think or feel on an?

Incident reports document what?

Incident report can also be called?

Incident reports should be charted in the client's?

Incident report should include?

Punture sites for a LP are?

How many cc's obtain from a lumbar puncture?

VISITORS REPORT TO THE NURSE
1. Gloves entering room
2. Gloves when touching
3. Remove gloves before leaving
4. Hand Hygiene
5. Gown entering room
6. Remove gown exit and wash hands
7. Limit pt transport
8. Ensure that infected areas are covered
9. Remove and dispose/hand hygeine of PPE before transport
10. Use disposable equipment. Are examples of

VISITORS REPORT TO THE NURSE
1. Mask
2. Hand hygiene
3. Private room - 3ft away from others
4. Limit transport - instruct client to wear mask when transporting. Transporters do not need.

VISITORS REPORT TO NURSE
1. Airborne infection isolation room
2. Keep door closed
3. Limit transport - wear surgical mask
4. Hand hygeine
5. PPE N95

Measles
Varicella
Tuberculosis

Think: MVP (T)

Rubella

Meningitis
Adenovirus
Diphtheria

Pneumonia
Influenza
Mumps
Parvovirus
Scarlet fever

Think: R-aging Mad Pimp

INFECTIONS
Skin, wound, GI, Respiratory, Viral hemorrhagic
Skin = herpes, impetigo, abscesses, cellulitis, pressure ulcers, pediculosis, scabies, varicella (zoster)

Trying not to get an person infected, what room are they placed in?

i.e. Burned patient

Banana, orange, Apricot, Cantaloupe , Dried fruit, Avocado, Raw Carrots, Baked potato, Spinach, milk, yogurt, Meat and Fish are examples of?

Milk, yogurt, cheese, tofu, soybeans, almonds, broccoli and spinach are examples of?

Processed or prepareed canned foods are examples of?

Flucuations of hydrogen ions indicates what?

Metabolic condition where there is not enough sodium in body fluids of cells is?

Subnormal sodium volumes are?

Causes of sodium deficit or water EXCESS is?

Think: opposite

____may be caused by prolonged vomiting, diarrhea, or gastric or intestitial suctioning.

Water moves out the vascular space, into the interstitial space, then to intracellular space causing edema?

An elevated serum level?

LOSS of water causes a rise in extracellular ostomotic pressure?

Think: Opposite

Hyperatremia normal range?

Hypoatremia normal range?

Muscle twitching
Tremors
Restlessness
Stupor
Agitation

Hypotension
Edema
Headache
Confusion
Ab cramps

Monitor serum sodium amts, Assess phy. manisfestations (existence), encourage food and fluids high in sodium, monitor I&O, teach clients sodium rich foods, admin. IV if ordered are examples of

Monitor serum sodium lab results, Limit foods and fluids high in sodium, Monitor I&Os

HYPERkalemia normal ranges?

HYPOkalemia normal ranges?

Signs and sx: axienty, irritability, ab cramps, D, EKG changes, cardiac arrest

Signs& Sx: Muscle weakness, paralytic ileus, polyuria, EKG changes, Elevated glucose blood level

Excess LOSS of gastric fluids
Use of direutics

Renal disease
EXCESSIVE trauma
Insulin deficiency

Be prepared to administer Calcium gluconate
May need to prepare dialysis or Kayexlate
Monitor serum potassium & IOs
Monitor heart rate, rhythm, EKG readings

Teach client bout potassium foods
Admin oral potassium replacement-order
or IV - order, heart rhythm, EKG's, eat potassium rich foods and fluids

Seasonal illnesses, such as pneumonia or influenza is an example of?

Diarrhea, diabetes mellitus, and direuritics are responsible for?

Coma can be caused by what?

Electrolyte shift is caused by?

If PaCO2 (high and lows) is?

If HCO3 is?

Between 7.35-7.45

<7.35 and >7.45 is?

To verify a prescription the nurse will?

Implications involving restraints is?

GI

Kidneys

Lungs

LIVER

Pa stands for?