Exam (elaborations)
TERM 4 exam notes
- Course
- VOCN
- Institution
- American Career College
These are notes that I used to study for the exam. I passed on the first try scoring in the 80's Pediatric exam was my final
[Show more]
1 review
By: aavila0164 • 2 weeks ago
Content preview
Exit Exam ReviewCoordinated Care
Advanced Directives
Legal Responsibilities: Reinforcing Teaching about Advance Directives
• Purpose is to communicate client’s wishes regarding end -of-life care
• Life saving measures
o resuscitation, intubation, artificial hydration, and nutrition
• There are two components of an advanced directive: Living Will and Durable Power of Attorney
• Living Will clients wish regarding medical treatment
• Durable Power of Attorney clients health care surrogate who can make their decisions when the client is
unable to.
• Nurse must provide written information and document the client’s decision
Advocacy
Legal Responsibilities: Client Advocacy
• Process where nurse assists clients to grow and develop toward self-actualization
• Supports clients by ensuring they are informed, have their rights respected, and ensure they are receiving
the proper level of care
• Caring, autonomy, respect, and empowerment
• Discuss identified treatment options with client and respect their decisions
• Ensure the client has the information needed to make decisions in HC
• Situations where nursing might need to advocate for clients or assist:
o end of life decisions
o Access to healthcare
o Informed consent
o Substandard practice
• Nurses are accountable for actions even if they are carrying out a providers Rx
Assignments/Delegation
Managing Client Care: Assigning Care of a Client Who Has restraints
• Obtain a Rx for the restraints
• Conduct Neurosensory checks every 2 hours (circulation, sensation, and mobility)
• Offer foods and fluids
• Provides with means for hygiene and elimination
• Monitor vital signs
• Provide ranger of motion of extremities
• Follow facility policies
• Remove or replace restraints frequently
• Pad bony prominences
• Use a quick release
• Must be able to fit two fingers in between the device and the client
• Regularly assess the need for restraints
• Never leave client unattended without the restraint
• Rx: 4 hours at a time but can be prescribed for 24 consecutive hours
Client Rights
,Cancer Treatment Options: Therapeutic
• Chemotherapy
• Surgical interventions
• Hormone therapy
• Radiation therapy
• Immunotherapy
Collaborations with Interdisciplinary Team
Basic Mental Health Nursing Concepts: Making Referrals Using the Interdisciplinary Team
• Make appropriate referrals
• Make referrals based on the clients need that can involve social worker, speech therapist, occupational
therapist
• Referrals can also be based on the needs a client may have such as a cane walker
Coordinating Client Care: Information to Include in an Inter-professional Meeting
• Setting priorities • Documentation
• Delegation • Consultations
• Conflict resolution • Transfers
• Problem solving • Discharge
Concepts of Management and Supervision
Managing Client Care: Intervention When Supervising an Assistive Personnel
• A licensed nurse is responsible for providing clear directions when a task is initially delegated
• Must provide supervision either directly or indirectly
• Monitor performance
• Intervene if unsafe
• Provide feed back
Bowel Elimination: Reinforcing Teaching about Ostomy Care
• Monitor for leakage
• Monitor skin integrity and appearance (should be pink and moist)
• Apply skin barrier and cream prior to attaching bag
• Observe stoma output (should be liquidly)
• Empty when its 1/3 to ½ full
• Monitor for fluid and electrolyte imbalances
• Determine if client can care for Ostomy
• Mint can be placed to keep odor under control
• Foods that cause odor & gas cruciferous vegetables, asparagus, fish, eggs, garlic, beans
Managing Client Care: Supervising an Assistive Personnel
• Direct, monitor, and evaluate the performance of tasks
• Delegation is based on individual client needs, facility policies, and job descriptions, state acts, and
professional standards
• Nurse is responsible for providing clear directions when a task is initially delegated and for periodic
reassessment and evaluation of the outcome of the tasks.
• Give AP a time frame to complete task
Confidentiality/Information Security
, Professional Responsibilities: Protecting Client Confidentiality
• Nurses must follow facility policies and procedures that are established to follow HIPAA regulations
• Only health care team members directly responsible for the client’s care are allowed to access to the clients’
records.
• Nurses cannot share the information with other clients or staff that are not involved in the care of the client
• Clients have the right to read or obtain a copy of their medical record
• No part of the client record can be copied except for the authorized exchange of the documents (transfer
from a hospital to an extended care facility, exchange of documents between general practitioner and
specialist)
• Client records must be kept in a secure area and password protected
• Cannot share information to the family
Continuity of Care
Arthroplasty: Reinforcing Discharge Teaching Following a Total Hip Arthroplasty
• Keep abductor pillow in place while in bed or while turning
• Do not flex hip more than 90 degrees
• Do not position the client on the operative site
• Use elevated seating and a raised toilet seat
• Use straight chairs with arms
• Externally rotate the toes
• Use extended handles on shoehorn and dressing sticks
• Avoid low chairs
• Do not cross legs for at least 3 months
• Do not internally rotate toes
• Follow exercise program at home
Information Technology: Change-of-Shift Report
• Describe current health status of the client
• Performed with nurse assuming responsibility for the client’s care
• Informs pertinent client care information (new medications, procedures, dressing changes)
• Should be given in private area
Medications Affecting Blood Pressure: Addressing Effects of an ACE inhibitor
• Ending in -pril
• Ace inhibitors reduce production of angiotensin II and increasing levels of bradykinin
• Can lead to vasodilation, excretion of sodium and water, and reduction in pathological changes in blood
vessels
• Complications:
• Orthostatic hypotension
• Cough
• Hyperkalemia
• Rash and Dysgeusia (altered taste)
• Angioedema
• Neutropenia
• Nonproductive cough
• Electrolyte imbalance
Establishing Priorities
Managing Client Care: Prioritizing Care for a Group of Clients
• Prioritize by:
o Systemic before local
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller revilladianaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78140 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now