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Concepts 2
FINAL
| Question | Answer |
|---|---|
| What is managed care? | system designed to control health care costs and improve quality (e.g., HMO, PPO). |
| Outpatient vs Inpatient? | Outpatient = no overnight stay. Inpatient = admitted to hospital. |
| Role of PT, OT, RT? | PT = mobility; OT = ADLs; RT = breathing treatments. |
| What can UAPs NOT do? | No assessments, teaching, or giving meds. |
| Difference between LPN and RN? | LPN = basic care, some meds, wound care. RN = full scope, assessment, planning, teaching, delegating. |
| Medicare is? | Given to people over 65 |
| HMO is ? | HMO = needs PCP/referral, cheaper. |
| PPO is? | PPO = more freedom, higher cost. |
| Medicaid | Governmental assistance for low income |
| What is SBAR? | Situation Background Assessment Recommendation |
| Hospice is? | end-of-life comfort, ≤6 months life expectancy. |
| Palliative is? | symptom relief at any stage. |
| Physical signs of dying? | : Mottling, ↓ BP, irregular breathing, ↓ LOC. |
| If it wasn’t documented, what does it mean? | It wasn’t done. |
| What does SOAP charting stand for? | SOAP = Subjective, Objective, Assessment, Plan |
| What does PIE charting stand for? | PIE = Problem, Intervention, Evaluation |
| Subjective data? | Subjective = patient’s words |
| Objective data? | Objective = measurable/observable. |
| What’s the #1 priority in patient care? | Safety, ABCs (Airway, Breathing, Circulation) |
| Incident reports go in the chart? | NO—never document that an incident report was filed. |
| Can goals be “partially met”? | Yes, then revise care plan. |
| What is disaster nursing? | Providing care when resources are overwhelmed, often triage. |
| Who is a mandated reporter? | Nurse legally required to report abuse/neglect (child, elder, vulnerable). |
| Intended vs Adverse vs Toxic med effects? | Intended = desired. Adverse = harmful/unexpected. Toxic = overdose/organ damage. |
| Systemic is where | Systemic = whole body effect |
| Local is where | Local = site of application. |
| TB test positive result? | Raised induration, size depends on risk group |
| 3 Checks of Med Admin? | Before removing, before preparing, at bedside |
| Rights of Med Admin? | Right patient, drug, dose, route, time, documentation, reason, response. |
| Which meds can’t be crushed? | Enteric-coated, sustained-release, capsules |
| BID | BID = 2x/day |
| TID | , TID = 3x/day |
| QID | QID = 4x/day. |
| Fastest to slowest absorption route? | IV → IM → SubQ → Oral. |
| What to do if wrong med given? | Report, monitor patient, notify provider. |
| Enteral vs Parenteral? | Enteral = GI tract (oral, NG). Parenteral = outside GI (IV, IM, SubQ). |
| What is holism? | Caring for whole person (mind, body, spirit). |
| Complementary therapies | Complementary = in addition to standard care. |
| Signs of stress? | ↑ HR, ↑ BP, sweating, restlessness. |
| Normal stoma finding? | Pink, moist |
| Hypo sounds? | Hypo = slow/constipation. |
| Hyper bowel sounds | Hyper = fast/diarrhea |
| Occult blood? | Hidden blood in stool |
| Breastfed stool looks like? | Breastfed = yellow/seedy |
| Formula fed stool looks like? | Formula = tan/pasty |
| Signs of dehydration? | Dry mucous membranes, ↓ skin turgor, ↓ urine, ↑ HR |
| What to increase with fiber? | Water prevents constipation. |
| Stool w/ GI bleed? | Black and tarry |
| Rectal prolapse? | Rectum protruding from anus. |
| Q: Which herbs ↑ bleeding risk? | Garlic, ginkgo, ginger |
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