Ethics & Legal Responsibilities
The right to make one's own personal decisions, even when those decisions might not be in that person's own best interest.
Autonomy
Assessment
PPE minimally necessitating surgical mask
Droplet Isolation Precautions
Normal findings of auscultating an abdomen.
Bowel sounds are active in all 4 quadrants
Sodium Level of 160 mEq/L
Hypernatremia
A commitment to tell the truth
Veracity
In this step, the nurse determines the effectiveness of the nursing care plan. The nurse collects data based on the outcome criteria then compare what actually happened with the planned outcomes.
Evaluation
On the chain of infection, this includes bacteria, virus, fungus, prions, and parasites.
Causative Agent
Irregular respirations characterized by a cyclical pattern of shallow breaths that progress to a normal pattern, slows down, ends with an apneic period and cycles again.
Cheyne-Stokes Respirations
Symptoms include tetany, and positive Chvostek's Sign & Trousseau's Sign
Hypocalcemia
A nurse questions a medication prescription as too extreme in light of the client's advanced age and unstable status. The nurse understands that this action is an example of this ethical principle.
Nonmaleficence
A newly licensed nurse assesses a client who reports 4 out 10 pain. The nurse notes in the client's MAR an analgesic that may be given every 4 hr PRN for pain. The nurse administering the medication is an example of this part of the nursing process.
Implementation
Immunity developed by infants through ingestion of maternal breastmilk
Naturally Acquired Passive Immunity
Integument finding where there is loss of color that may be indicative of anemia, shock, or lack of blood flow.
Pallor
Imbalance causing EKG changes, showing peaked T waves, widened PR and QRS.
Hyperkalemia
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP tells the client that diapers will be used next time the urinal is used improperly. The nurse understands the AP's action is an example of this tort.
Assault
Diagnosis
A client experiencing an onset of specific symptoms such as fever, malaise, cough, congestion, and rhinorrhea is on this stage of an infection.
Illness Stage
The degree of edema, characterized by a depth of severe pitting, 8mm deep, with a prolonged skin response
4+ Pitting Edema
Excessive sodium intake from IV fluids, diet, or medications and age-related changes in cardiovascular and kidney function are risk factors for this imbalance.
Fluid volume excess / Overhydration / Hypervolemia
A document in which clients designate a health care proxy to make health care decisions for them if they are unable to do so. The proxy can be any competent adult the client chooses.
Power of Attorney for Health Care
The assessment of vital signs and data collected through observation and examination such as grimacing, guarding, frowning.
Objective Data
Initiated when providing care for a client with active Varicella infection.
Airborne Isolation Precautions
Assessment finding of a "normal" functioning CN II and CN III
PERRLA
Increased hemoconcentration, increased BUN and an increased specific gravity are indicative of this imbalance
Hypovolemia / Fluid Volume Deficit / Dehydration