of 4 concepts that you learned from the focused review.
Advanced directives Nurse’s role
Providing written information regarding advance directives, Documenting the client’s advance
directives status, Ensuring that advance directives are current and reflective of the client’s
current decisions, Recognizing that the client’s choice takes priority when there is a conflict
between the client and family, or between the client and the provider, Informing all members of
the health care team of the client’s advance directives
Delegation
TO PNs
Monitoring findings (as input to the rn’s ongoing assessment), reinforcing client teaching from a
standard care plan, performing tracheostomy care, Suctioning Checking ng tube patency,
administering enteral feedings, inserting a urinary catheter, administering medication (excluding
iv medication in some states)
TO APs
activities of daily living (ADls), Bathing, grooming, Dressing, toileting, ambulating, Feeding
(without swallowing precautions), positioning, routine tasks, Bed making, Specimen collection,
intake and output, vital signs (for stable clients)
Tetralogy of Fallot
Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy,
Cyanosis at birth: progressive cyanosis over the first year of life, Systolic murmur
Episodes of acute cyanosis and hypoxia (blue or “Tet”spells)
Communicable disease during a Disaster
Anthrax, Botulism, Cholera, Congenital rubella syndrome (CRS), Diphtheria, Giardiasis,
Gonorrhea, Hepatitis A, B, C, HIV infection, Influenza-associated pediatric mortality,
Legionellosis/Legionnaires’ disease, Lyme disease, Malaria, Meningococcal disease, Mumps,
Pertussis (whooping cough), Poliomyelitis, paralytic, Poliovirus infection, nonparalytic, Rabies
(human or animal), Rubella (German measles), Salmonellosis, Severe acute respiratory
syndrome-associated coronavirus disease (SARS-CoV), Shigellosis, Smallpox, Syphilis,
Tetanus/C. tetani, Toxic shock syndrome (TSS) (other than Streptococcal), Tuberculosis (TB),
Typhoid fever, Vancomycin-intermediate and vancomycin-resistant Staphylococcus aureus
(VISA/VRSA)
Complete the following questions and review the suggested learning activities. Send me
your answers here.
A nurse is caring for a client who has an Advance Directive. Identify three (3) nursing
responsibilities associated with implementing care when a client has an Advance Directive.