MEDSURG

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Jme
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MEDSURG
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2011-06-08 07:44:04
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  1. A civil wrong commmitted by a person against another person or property
    Tort
  2. The enforcement of duties and right amongst individuals independent of contractual agreements is
    Tort Laws
  3. The enforcement of agreements among private individuals
    Contract Law
  4. The three essential elements in a legal contract (under Contract Law) are?
    • Promise between two or more legally compotent individuals that state what each individual must do or not do.
    • Mutual understanding of the terms and obligations the contract imposes on each individual.
    • Compensation for lawful actions performed. (impose -force)
  5. A written contract can not be changed legally by an oral agreements. What kind of contract is this?
    Formal contract
  6. A ______ contract gives in writing, conditions and terms.
    Expressed contract
  7. ____contract acknowledges a relationship between parties for services.
    Implied contract
  8. Contract terms may be agreed in?
    Writing or orally
  9. Deals with individual 's relationship to the STATE?
    Public Law
  10. Deals with relationship amongst individuals?
    Civil Law
  11. Enacted by legislative bodies?
    Statutory Law
  12. Public laws are?
    • Constitutional - limits power of gov't
    • Criminal - beat pt
    • Aministrative - regulatory law, admin
    • Statutory - legislative bodies

    Think - CASE
  13. Gives state boards of nursing to make rules and regulations governing nursing as set forth by the nursing practice act is
    Administrative Law
  14. Civil law (automatic contract) are?

    (side note: Federal and State levels)
    • Contract law - agreement of private indiv
    • Protective/reportin- GoodSamaritan/ADA
    • Torts - civil wrong

    Think: CPT codes
  15. State board of Nursing disiplinary actions are?
    • Revocation and suspension of license
    • Fine

    Think: you getting "ReFriged"
  16. The responsibility of regulating nursing practice and setting educational guidelines for the programs is
    State Board of Nursing
  17. License through the educational guidelines includes?
    Graduating from a state approved program and passing the NCLEX.

    Means - National Council Licensure Exam
  18. When case if brought against a nurse, it is usually a civil action that falls under tort law. Torts can be?
    • Intentional
    • Unintentional
  19. Intentional torts are?
    • Assault - Telling him your gonna hit
    • Battery - You hit him (Nelly batter up)
    • Defamation - using words to harm
    • Think: ABcD
    • Libel - written
    • Slander - verbally
  20. More INtentional torts are?
    • Fraud - con
    • False imprisonment - take $, makes them stay home all the time

    • Invasion of Privacy
    • Privacy
    • Confidential
  21. Several factors must hold true for a nurse to be found guilty of malpractice, they are?
    • The nurse owed a special duty to the client; nurse-client relationship
    • The nurse failed to meet the standards of care
    • The injury occurred as a direct result of the nurse's action or inaction
    • Damage such as physicla or emotional pain, suffering , monetary losses, or medical expenses must be proved.
  22. i.e. rails were left down on a confused clent's bed or a puddle was not cleaned up is an example of?
    Negligence - careless
  23. Failure to properly assess the client is considered?
    Malpractice
  24. A nurse who leaves an inadequately staffed unit could be charged with?
    Client abandonment
  25. -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?
    Negligence
  26. -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?
    Malpractice
  27. The difference between Ethnics and Bioethnics is?
    • Knowledge rather then opinions - ethnics raises questions but does not provide easy answers (one's responsibilties).
    • Bioethnics - Ethnical practice more important in health care - every area of area.
  28. "I refuse these Meds" they are showing?
    Autonomy
  29. Health care researchers might risk the well being of the person participating in an experimental procedure?

    Think - performing the act
    Deontology
  30. Greatest positive benefit for the number of people involved is?

    Think: Consequences
    Teleology
  31. Client's Rights are?
    • R - review medical record
    • I - Inclusion in makeing decision to care
    • G - Given consent or decline participating
    • H - Have an advanced directive
    • T - Tx w/ respect to dignity
    • S - Sesitivity to cultural differences
  32. A risk management tool used to describe and report any unusual event that occurs to a client, visitor or staff member is?
    Incident report
  33. DO NOT put what you think or feel on an?
    Incident report
  34. Incident reports document what?
    • Falls
    • Forgotten tx
    • Injuries
    • Medication errors
  35. Incident report can also be called?
    Variance or Occurence report
  36. Incident reports should be charted in the client's?
    Medical record
  37. Incident report should include?
    • Date
    • Time
    • Assessment
    • Interventions
    • Time physician & family notified
  38. Punture sites for a LP are?
    L3-4, L4-5 or L5-S1
  39. How many cc's obtain from a lumbar puncture?
    1-2cc
  40. 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
    Contact Precautions
  41. 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.
    Droplet precautions
  42. 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
    Airborne precautions
  43. Measles
    Varicella
    Tuberculosis

    Think: MVP (T)
    Airborne
  44. Rubella

    Meningitis
    Adenovirus
    Diphtheria

    Pneumonia
    Influenza
    Mumps
    Parvovirus
    Scarlet fever

    Think: R-aging Mad Pimp
    Droplet
  45. INFECTIONS
    Skin, wound, GI, Respiratory, Viral hemorrhagic
    Skin = herpes, impetigo, abscesses, cellulitis, pressure ulcers, pediculosis, scabies, varicella (zoster)
    Contact
  46. Trying not to get an person infected, what room are they placed in?

    i.e. Burned patient
    Reverse isolation
  47. Banana, orange, Apricot, Cantaloupe , Dried fruit, Avocado, Raw Carrots, Baked potato, Spinach, milk, yogurt, Meat and Fish are examples of?
    Pottasium
  48. Milk, yogurt, cheese, tofu, soybeans, almonds, broccoli and spinach are examples of?
    Calcium
  49. Processed or prepareed canned foods are examples of?
    Sodium
  50. Flucuations of hydrogen ions indicates what?
    Change in pH level, acidosis and alkadosis
  51. Metabolic condition where there is not enough sodium in body fluids of cells is?
    HYPOatremia
  52. Subnormal sodium volumes are?
    HYPOatremia
  53. Causes of sodium deficit or water EXCESS is?

    Think: opposite
    HYPOatremia
  54. ____may be caused by prolonged vomiting, diarrhea, or gastric or intestitial suctioning.
    HYPOatremia
  55. Water moves out the vascular space, into the interstitial space, then to intracellular space causing edema?
    HYPOatremia
  56. An elevated serum level?
    HYPERatremia
  57. LOSS of water causes a rise in extracellular ostomotic pressure?

    Think: Opposite
    HYPERatremia
  58. Hyperatremia normal range?
    >145 mEq/L
  59. Hypoatremia normal range?
    <135 mEq/L
  60. Muscle twitching
    Tremors
    Restlessness
    Stupor
    Agitation
    HYPERatremia
  61. Hypotension
    Edema
    Headache
    Confusion
    Ab cramps
    HYPOatremia
  62. 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
    HYPOatremia
  63. Monitor serum sodium lab results, Limit foods and fluids high in sodium, Monitor I&Os
    HYPERatremia
  64. HYPERkalemia normal ranges?
    >5.3 mEq/L
  65. HYPOkalemia normal ranges?
    <3.5-5.3 mEq/L
  66. Signs and sx: axienty, irritability, ab cramps, D, EKG changes, cardiac arrest
    HYPERkalemia
  67. Signs& Sx: Muscle weakness, paralytic ileus, polyuria, EKG changes, Elevated glucose blood level
    HYPOkalemia
  68. Excess LOSS of gastric fluids
    Use of direutics
    HYPOkalemia
  69. Renal disease
    EXCESSIVE trauma
    Insulin deficiency
    HYPERkalemia
  70. Be prepared to administer Calcium gluconate
    May need to prepare dialysis or Kayexlate
    Monitor serum potassium & IOs
    Monitor heart rate, rhythm, EKG readings
    HYPERkalemia
  71. Teach client bout potassium foods
    Admin oral potassium replacement-order
    or IV - order, heart rhythm, EKG's, eat potassium rich foods and fluids
    HYPOkalemia
  72. Seasonal illnesses, such as pneumonia or influenza is an example of?
    Respiratory acidosis
  73. Diarrhea, diabetes mellitus, and direuritics are responsible for?
    Metabolic acidosis.
  74. Coma can be caused by what?
    Respiratory and Metabolic acidosis.
  75. Electrolyte shift is caused by?
    Metabolic acidosis
  76. If PaCO2 (high and lows) is?
    Respiratory
  77. If HCO3 is?
    Metabolic
  78. Between 7.35-7.45
    Metobolic
  79. <7.35 and >7.45 is?
    Respiratory
  80. To verify a prescription the nurse will?
    Contact the physician to confirm and clarify order.
  81. Implications involving restraints is?
    • Carefully assess situation
    • Include client or significant other
    • Physician's must order
  82. GI
    breaking down food into simple nutrients so that body can convert to energy
  83. Kidneys
    Manufacture urine
  84. Lungs
    O2 to the lungs and removal of CO2
  85. LIVER
    Largest glandular organ, RUQ ab, filters 1500 blood, produce Heparin, emulsifies fat, convert glucose to glycogen, metabolizes hormones
  86. Pa stands for?
    Partial pressure of Carbon Dioxide

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