NUR 2050: Final exam study guide!!

What is a never event, and what are some examples of a never event? - -shocking medical errors that should never occur -adverse events that are unambiguous -leads to serious disability or death -usually preventable. EX: CAUTI, DVT, stage 3/4 pressure injuries nosocomial Who qualifies for Medicare and what are the 3 parts of it? - - 65 years +- younger but disabled after receiving SSDI for 2 years -person who has end-stage renal disease or ALS. Medicare part A: "hospital insurance", limited home healthcare, and hospice care Medicare part B: covers doctors visits, medical equipment, home health care, labs, xray, preventative services Medicare part D: drug coverage What is Medicaid and who is eligible for it? - -created to meet healthcare needs of poor -eligibility is income based What is HIPPA? What can the nurse do to make sure patient privacy is not breeched. - HIPPA is a law put in place to protect patients personal protected information. -Nurses should not share passwords -log off of computers after leaving -do not discuss patients using identifying information in the hallways/open areas What is orthostatic hypotension? What should be done to prevent this? - decreased ability to equalize blood supply when moving from a lying to standing position -results is a drop of 20+ in systolic pressure OR a drop of 10+ in diastolic pressure. -treat underlying cause such as dehydration -try to ambulate patient slowly Nursing interventions to prevent pressure ulcers and DVT? - DVT Prevention: -TED hoses-sequential compression device, ambulation/range of motion Pressure injuries: Repositioning every 2 hours, use of wedges/pillows under bony prominences, preventative dressings over bony prominences. What are sequential compression devices? - Inflatable sleeves that wrap around the legs that inflate with air one at a time to mimic walking. These are used to prevent DVT's. Antidote for coumadin and heparin - -Coumadin: vitamin K -Heparin: protamine sulfate What should a nurse monitor for after an Esophagogastroduodenoscopy (EGD)? - -Monitor vital signs (blood pressure, pulse, respiration) - as ordered Give the client throat lozenges or analgesics for throat discomfort.