2024–2025 Version) – Complete Actual
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Telephone orders: best practice - ANSWER--have a second RN
listen in
-repeat the prescription back
-make sure the provider signs the prescription within 24 hr
Information Security - ANSWER--HIPPA: ensures confidentiality
of health info
-Only those responsible for patient's care may access the
medical record.
-Do not use patient names on display boards
-communication about the pt should happen in a private place or
at the nurse's station
-password protect electronic records. Do not share passwords.
-Do not share pt information with unauthorized people.
code system can be used.
,living will - ANSWER-communicates patient's wishes regarding
medical treatment if patient becomes incapacitated.
DPOA - ANSWER-durable power of attorney
patient designates health care proxy to make medical decisions
for them if they become incapacitated.
Provider's orders - ANSWER-Prescription for DNR and/or AND
Mandatory reporting for RN - ANSWER--suspicion of abuse
(child, elderly, domestic violence)
-communicable diseases to local/state health department
(mandated by state)
informed consent: Provider responsibility - ANSWER--communicate
purpose of procedure, and complete description of procedure in
the patient's primary language (use medical interpreter if needed)
-explain risks vs. benefits
-describe other options to treat the condition
informed consent: RN responsibility - ANSWER--ensure the
provider gave the pt the above information
-ensure pt is competent to give informed consent
(adult, emancipated minor, not impaired)
-have patient sign consent document
,-notify provider if pt has more questions or doesn't understand
any information provided.
nonspecific immunity - ANSWER-defense mechanisms (barriers) in
the body that respond immediately to all antigens. Barriers include:
skin, stomach acid, mucus, inflammatory response, phagocytic cells.
specific adaptive immunity - ANSWER-body produces antibodies in
response to a specific antigen through action of B and T lymphocytes.
Requires more time, but the immune response against that antigen
in the future is more efficient.
incubation - ANSWER-time from when the pathogen enters the
body until the first symptom appears.
prodromal stage - ANSWER-time from the onset of general
symptoms (malaise, fatigue) to specific symptoms.
illness stage - ANSWER-time when specific symptoms occur
convalescence - ANSWER-time from when symptoms disappear
to complete recovery (can take months)
primary prevention - ANSWER-prevents initial occurrence of
disease ex: education, immunizations, prenatal classes
, secondary prevention - ANSWER-focuses on early detection
of disease, limiting severity of disease.
ex: screenings, control of outbreaks
tertiary prevention - ANSWER-maximize recovery after injury
/illness ex: rehab, PT/OT, support groups
active natural immunity - ANSWER-body produces antibodies
in response to exposure to live pathogen
active artificial immunity - ANSWER-body produces antibodies
in response to vaccine
passive natural immunity - ANSWER-antibodies are passed from
the mom to her baby through the placenta or breast milk
passive artificial immunity - ANSWER-immunoglobulins are
administered to an individual after they have been exposed to
a pathogen
ABCDE Principle - ANSWER-A (airway): ensure pt airway.
Stabilize cervical spine if neck/head trauma is suspected
B (breathing): assess for respirations
C (circulation): check heart rate, blood pressure, and capillary refill
D (disability): assess the patient's level of consciousness