Healthcare Systems/Policy
Which healthcare reimbursement is provided by the state for low income individuals?
Medicaid
Name assessment findings associated with constipation
Distended abdomen
Hard, ball like stool
abdominal tenderness
Unable to pass a stool for several days
Wear gloves
DEFLATE BALLOON
What are the landmarks for placing a NG?
Nose to earlobe to xiphoid process
Which nursing model is task oriented?
Functional nursing model
Which healthcare reimbursement is provided by the federal government for senior citizens?
Medicare
Name assessment findings for fecal/ bowel impaction
Hyperactive bowel sounds above, hypo below
Abdominal distention
No bowel movement for several days
Vomiting
Small, scant, frequent soiling around fecal mass
Hestitancy, dribbling urine, starting and stopping of flow, nocturia
Referral to MD for medication
What is the BEST way to verify placement of a feeding tube?
Abdominal xray
True or False: Medicaid provides the same benefits in every state
False
Which healthcare law prevents the "dumping" of patients prior to their stabilization or assurance of equal level of care?
EMTALA
Impaction
What are age related changes to the urinary system?
Decreased bladder size and tone
Increased risk for stones due to less hydration and more concentrated urine
What is an appropriate treatment for hypoglycemia?
4 oz juice
2 glucose tabs
Fast acting sugar like honey, regular soda
What healthcare institution is responsible for investigating, treating, and guiding communicable disease response?
Public health/ Local health department
What are benefits to the team nursing model?
Effectively use staff available
If you suspect a bowel impaction what should be your first thought?
Check institution policy on digital impaction assessment
What is a normal urinary specific gravity?
What does high mean? Low?
1.005 to 1.030
High means concentrated (likely dark urine and dehydrated)
Low means over hydrated (likely clear urine)
Name high fiber foods
30g
Beans, whole grains, vegetables, fruits
What patient might use the hospice institution?
less than 6 months to live, no longer focused on curative but supportive, not acutely ill
What is the primary nursing model?
Nurse does all care- total care of client
Who is at risk for adverse effects from the Valsalva manuever?
Cardiac patients
What are the major functions of the kidney?
Maintain fluid/ water status
Maintain electrolye/ mineral balance
Assist in pH (acid/ base balance)
Production of red blood cells
Name components of heart healthy diet
Low sodium (less than 1500)
Reduce red meat
Reduce trans fats
Reduce caffeine
Define advocacy
Defending another's rights and interests (our client)