The Nurse Practice Act is intended to protect?

What agency is responsible?

-The Public

-State Board of Nursing

-whole grains

-dried beans & peas

-canned sardines

-age

-wt & ht

-growth periods

-activity

-health status

build, maintain and repair tissue

-blood regeneration

True or False?

-High-density lipoproteing(HDL) is referred to as "bad cholesterol"

False

HDL= Good cholesterol

Why is Potassium needed in our daily dietary mineral requirements?

-What foods are rich in potassium?

-Potassium is needed for maintenance of electrolyte balance, neuromuscular activity, enzyme reactions

-potatoes, oranges, bananas

eliminated with body fluids; req. daily replacement

Examples of influences on eating habits?

-food preferences

-established meal patterns

-income level

-cultural/religious beliefs

provides numeric data to compare a person's size in relation to established norms for the adult population

-calculated using ht. & wt.

helps to determine skeletal muscle mass

-combined with other body measurements it helps to assess a client's nutritional status

aids in estimating the amt. of subcutaneous fat deposits

-relates to total body fat

True or False?

Obese people usually have a higher incidence of heart & vascular disease, hypertension, & diabetes?

progressive or prolonged wt. loss resulting in a BMI < 16/m2 can have serious consequences

-excessive leanness

loss of appetite

-assoc. with multiple factors such as: illness, altered taste & smell , oral problems, tension, & depression

* NEVER IGNORE A CLIENT THATS NOT EATING

may feel faint or weak,dizzy,perspiring,pale skin,rapid pulse rate, headache

-once relieved, resume with fluid intake & nourishment

-begin gradually with clear liquids then progress to soft bland foods

loss of stomach contents through the mouth

-usually accompanies nauses

substance that is vomited

-visible

retching

bringing the stomach contents to the throat & mouth without the effort of vomiting

-common among infants

True or False?

A client on a low sodium diet can have Baked chicken, tossed salad w/ olive oil, fresh fruit, ice tea

2000mg or less

2000mg=2mg

-choose more fresh foods

-eat less processed foods

-use herbs & spices to season foods during cooking & at the table

-no added sugar

-limited sweets

-or more specific such as 1200 calories, 1800 calories, 2000 calories etc

act that legally defines the unique role of the nurse

-differentiates it from other health care practitioners

act that protects the public receiving nursing care within the state

-responsible for suspending & revoking licenses

-reviewing applications asking for reciprocity; license in one state does not give a person a right to automatic licensure in another

penal codes that protect all citizens from people who pose a threat to the public good

-prosecutes those who commit a crime

minor criminal offense

-usually pays small fine or short period of time in jail or both

misdemeanor

serious criminal offense

-lengthy prison term or execution

protect personal freedoms & rights

-involves disputes b/n individual citizens

interference with a person's freedom to move about at will without legal authority to do so

- if a person chooses to leave a health care facility-needs to sign an AMA form

failure to leave people & their property alone

-client's medical records & info. should be kept confidential

- use privacy curtains when giving care

harm that results b/c a person didnt act resonably

-jury decides whether any other person would have acted  differently than the defendant, given the same circumstances.

professional negligence

-holds professionals to a higher standard of accountability

-jury decides whether a health care worker acted in a manner comparable to that of their peers

contract b/n a person or corporation & a company willing to provide legal services & financial assistance when the policy holder is involved in a malpractice lawsuit.

* all nurses should carry their own

list of written statements describing ideal behavior

-model for personal conduct

use & relationship of space to communicate

-varies among ppl from different cultural backgrounds

-understand the clients comfort zone-some clients misinterpret physical nearness & touching within intimate & personal space

1 chemical name

2. generic

3.official

4.trade or brand name

-written in ink

-include name,address of pt. & DEA # of the DR

-Cant be filled more that 6 months after written

-cant be refilled more that 5 times

8-12 hrs

*any discrepancies, they must be investigated and explained immediately

-route of absorption

-solubility of drug

-presence of certain body conditions

First Pass effect

protein binding

-blood flow

-solubility

alteration in cellular function

alteration in cellular environment

genetically determined abnormal responses to normal doeses of a drug

-inherited traits cause abnormal metabolism of drugs

usually begin after more than one dose of the drug is given but could occur with just one dose; body views drug as antigen(foreign substance)

-Could occur immediately,hours or days later

occurs shortly after admin. of drug, can be fatal

-treat with epinephrine and other meds, IV fluids, antihistamines, bronchodilators.

unusual,abnormal reaction to drug; diff from expected reaction

ex. drug has opposit effect on pt. sleeping pill makes pt anxious and excited)

drug is administered in large dosages, blood concentration levels exceed therapeutic levels.

-occurs b/c too much of drug is given or kidneys do not excrete it properly

sometime drug toxicity can be reversed, to reverse drug toxicity administer another drug as antidote;monitor drugs with low safety margin

EXAMPLES of antidotes?

one drug interferes with action of another; neutralization/decrease in effect of one drug

ex; pt given demerol and versed to sedate for a procedure, once procedure is over, Narcan given to reverse the sedation caused by Demerol and Versed

not necessarily safe,can still have side effects

pain that lasts less than 3-6 months 

(sunburn,post op)

-salicylates

-nonsalicylates

-non-steroidal anti-inflammatory drugs (NSAID's)

-decrease the risk of a MI in both sexes

-decreases risk of TIA or strokes in men

-helps in high risk pregnancies when there is poor uterine-placental blood flow

pain due to osteoarthritis,RA,& other musculoskeletal disorders

-mild to moderate pain

-menstural cramps

-fever

-DR

-dentist

-PA

-Advanced practice nurse

-monitor the therapeutic response

-report adverse reactions

-teach the patient and family members

1. pt's name

2. date and time oder was written

3. drug name

4. dose to be administered

5. route of administration

6. frequence of administration

7. signature of person ordering the drug

nurse must repeat/read the order back to the dr and have him verify it is correct

-dr must sign the order within 24 hrs

per established and approved for use by nurses and other professionals under specific conditions in the abscence of a healthcare provider.

 ex: laxative order in nursing home; nausea order in hospice; pre op meds for surgery

1.right patient

2. right drug

3. right dose

4. right route

5. right time

6. right documentation

date 

time of admin

name of med

dose

route

site of admin

-6 rights

-confirm any questionable orders

-verify calculations with another nurse

-listen to the pt

-concentrate on only one task at a time

intradermal

-SQ

IM

intrathecal/epidural

1. trauma at puncture site

2. possibility of infection

3.chance of allergic reaction

4. injury to issue, nerves, veins, and other vessels

5. needle could break off while in pt

6.failure to aspirate before an injection could cause a SQ or IM med to be given IV

7. the needle could strike a bone in a geriatric, peds, or very thin person as a result of improper selection of needle size.