Documentation
3.5 to 5.0
What describes and defines the legal boundaries of nursing practice in each state?
Nurse Practice Acts
Reduces, and in some cases prevents, the transmission of disease from person to person. As a nurse, it is your responsibility to educate parents.
Immunizations
Most common in in patient setting. Intravenous access inserted into large veins such as the subclavian, jugular, or femoral veins in the center of the body
Central venous catheter (CVC)
Documentation takes place during which phase process of
Implementation
Which intervention would be the best choice to monitor fluid and electrolyte balance?
Assess daily weight
Who or what develops standards for nursing practice, policy statements, and similar resolutions. These standards outline the scope, function, and role of the nurse in practice?
American Nurses Association (ANA)
An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
Sentinel event
Administration of nutrients other than through the GI tract
Parenteral nutrition
Why are computers considered a benefit in regards to documentation?
Efficiency and legibility
A client is hyponatremic and the cause is thought to be fluid overload. When this is the etiology, what would be the intervention of choice?
Restrict oral fluids
Who or what holds the legal authority for nursing practice and regulated nursing practice?
State Board of Nursing
An event that results in unintended harm to the patient by an act of commission or omission rather than by the condition of the patient.
Adverse effect
How often should vital signs be taken with parenteral nutrition?
Every 4 to 8 hours
What is the best defense against malpractice?
accurate documentation
A patient developed a bowel obstruction after surgery and a nasogastric tube was inserted. The most common electrolyte imbalances secondary to gastric suctioning is what?
Hyponatremia / hypokalemia
Who requires accredited hospitals to have written nursing policies and procedures. These internal standards of care are specific to the agency and need to be accessible on all nursing units?
The Joint Commission (TJC)
Developed to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the health-care systems within which they work.
Quality and Safety Education for Nurses (QSEN)
How would the nurse assess for complications of total parenteral nutrition?
Assess IV site frequently
Charting by exception was developed to
eliminate the need for lengthy, repetitious charting
A patient is diagnosed with severe hyponatremia. The nurse realizes this patient will mostly likely need which precaution implemented?
Seizure
Enacted in 1991 requires health care institutions to provide written information to patients concerning their rights under state law to make decisions, including the right to refuse treatment and formulate advance directives.
Patient Self-Determination Act (PSDA)
What is the biggest threat related to an older adults safety frequently related to?
Risk for falls increases with age
What would you do if you went to change a central line dressing and you noted purulent drainage at the site?
Notify physician of possible infection, check labs, culture drainage