NUR 172 Exam 1/140 Questions &
Answers
5 Steps of Nursing Process (ADPIE) - - 1. Assessment
2. Diagnosis
3. Planning
4. Implementation
5. Evaluation
- LPNs in Ohio carry out the nursing care plan at the direction of - - RN,
physician, dentist, etc.
- 2021 National Patient Safety Goals - - 1. Identify patients correctly
2. Improve staff communication
3. Use medications safely
4. Use alarms safely
5. Prevent infection
6. Identify patient safety risks
7. Prevent mistakes in surgery
- Informed consent generally includes: - - 1. Benefits of the procedure
2. Risks of the procedure
3. Alternative procedures and the associate risks and benefits of those
4. Qualifications of the provider
- Sentinel event definition: - - Involves death, permanent harm, or severe
harm and intervention is required to sustain life.
- When must a root cause analysis be done? - - If there is a sentinel event
- What are the four elements of malpractice? - - 1. Duty
2. Breach of Duty
3. Injury
4. Causation
- Duty: - - the nurse has a duty to care for the patient
- Breach of Duty: - - the nurse did NOT care for the patient
- Injury: - - Actual harm or injury happens to the patient
- Causation: - - the breach of care that causes the injury
, - How do you reduce the risk of malpractice? - - 1. Maintain clinical
competency
2. Assess and monitor patient
3. Prevent infections
4. Use equipment properly
5. Protect the patient from harm
- What kind of role does the LPN have in Ohio? - - a dependent role directed
by a RN, physician, physician's assistant, dentist, podiatrist, optometrist or
chiropractor
- Autonomy: - - right to self-determination
- Beneficience: - - promote good and do whats best for the patient
- Nonmaleficence - - duty to do no harm
- Veracity: - - truthfulness
- Fidelity: - - faithfulness
- Justice: - - fairness
- Lactated Ringers (LR) - - isotonic
- There is no major fluid shift with: - - isotonic solutions
- What are isotonic solutions used for? - - To expand the ECF compartment;
to HYDRATE patient
(hypotension, hypovolemia/ dehydration)
- D5W (5% dextrose in water) - - isotonic
- hypotonic solutions are used to - - hydrate cells; make cells swell; bp
DROPS; minimum bp 90/50; nursing interventions stop fluid or decrease rate
- Hypotonic solutions should never be given to a patient with: - - increased
ICP
- Normal Saline (0.9% NaCl) - - isotonic
- Hypertonic solutions cause - - cause cells to shrink; commonly given for
peripheral edema; used for TPN and PRC
- Hypertonic solutions will cause the bp to: - - increase
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