Legal/Ethical
Wounds
Module 6
Mixture of Modules
100

When caring for a patient the nurse forgets to flush the NG tube after administering medications, what could the nurse be charged with?

Negligence 

100

What is the difference between a stage 1 and stage 2 pressure ulcers?

Stage 1-intact non-blanchable skin vs. stage 2 non-intact skin 

100

What is the difference between palliative and hospice care?

Hospice the patient has 6 months or less to live. 

100

A patient becomes lightheaded and weak when ambulating from lying down, what is the most common cause?

Orthostatic hypotension

200

Confidentiality prevents release of patient information to anyone except family members. T/F

False. Patient information can only be released to family after a patient has signed consent to do so.

200
Your patient has a drain and initially has serous drainage but it has now changed to pink watery, what type of drainage is this called?

Serosanguineous 

200

The nurse is monitoring a patient on hospice who has received morphine, the patient is not in any distress but has another dose of morphine ordered. What is the most appropriate action?

Give the morphine as ordered.

200

The nurse needs to collect a sputum sample, when is the best time to collect?

In the morning. 

300

What is the most important action for an employee to take to maintain a confidential health record?

Secure the computer and always lock or log off when leaving the computer.

300

What should the nurse monitor when a patient has a post op incision?

The wound edges, drainage amount, staple and sutures.

300

What are the differences in goals for a child who needs rehabilitation?

The rehab team will include developmental milestones and attempt to maintain normal time line of development. 
300

What are some interventions that can be performed instead of restraints?

Orientation to surroundings and reorientation, Frequent toileting, explain the routine and any procedures.

400

The governing body that determines scope of practice for RN's, LPN's and CNA's is?

The state board of nursing

400

What is the difference between evisceration and dehiscence? 

Evisceration protrusion of abdominal organs

Dehiscence opening of suture line

400

Where does the rehabilitation process begin?

In the hospital setting

400

Basic physiologic needs include: (based on Maslow's)

Nutrition, Elimination and Sexuality 

500

The purpose of a living will and advanced directives is....

provide care that aligns with the patient wishes. 

500

How often should patients be turned to prevent pressure ulcers?

every 2 hours

500

What is the most common type of home health nursing?

Skilled nursing

500

To maintain sterile technique after a surgical scrub hands should be....

above elbows. 

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