Chapter 20
What type of environmental factors does the nurse control for the patient?
What is the obligation to do & cause no harm to others?
Nonmaleficence
When a nurse delegates a task, who has accountability for the task being completed - the nurse who delegated the task, or the delegatee who does the task?
The nurse who delegated the task
When it comes to chain of infection, give me examples of a reservoir.
Where germs live:
People, animals, wild animals, food, soil, water
How can we prevent the incidence of ventilator-associated pneumonia (VAP) in ventilated patients?
• Elevating the head of the patient’s bed
• Daily “sedation vacation”
• Prophylaxis (medication) to prevent peptic ulcer disease (PUD).
• Prophylaxis (medication) to prevent deep vein thrombosis (DVT).
• Daily oral care using chlorhexidine
What is the most important safety rule to remember about oxygen?
No smoking
No fire, flame, heat
What is respect for an individual's right to make their own decisions called?
Autonomy
In case of emergency, when consent has not been given, what do we do?
Consent is implied through emergency laws
What are some examples of airborne diseases?
Measles, tuberculosis, varicella
What does a Type C fire extinguisher do?
Extinguish electrical fires
What is the obligation to tell the truth called?
Veracity
In which situation may a minor give their own consent?
Pregnancy
The onset of general symptoms to more specific symptoms is called which stage of infection?
Prodromal
What are transmission based precautions for droplet diseases?
Private room
Wear surgical mask
Mask on client when they leave the room
What does RACE stand for?
What are important patient rights to consider?
Privacy
Considerate, respectful care
Be informed
Know the names and roles of caregivers
Consent or refuse treatment
Have an advance directive
Obtain their own medical records and results
What does the client need to know before signing any consent?
Risks and benefits of treatment
Treatments & procedures to be performed
Plan of care in layman's terms
When the acute symptoms disappear and other symptoms are waning, this is what stage of infection?
Convalescence
What are contact precautions?
Private room
Gloves & gown when entering room
What does PASS stand for?
What is HIPAA about?
Duty
Breach of duty
Harm
Causation
In what order do we don PPE?
Hand hygiene
Gown
Mask/Respirator
Goggles/Face shield
Gloves
What are examples of droplet diseases?
Influenza
Adenovirus
Meningitis
Mumps
Rubella
Pneumonia
Scarlet fever
Sepsis
Strep throat