PCC Exam 1 Highlights Sheet Questions & Answers

PCC Exam 1 Highlights Sheet Questions & Answers What are the three types of nursing organizations? 1. national/general organizations (National nurses assoc., etc.) 2. specialty groups (ex. acute care nurses) 3. special-interests (ex. cultural group, etc.) ____________ is a professional organization to advance and protect the profession of nursing. It started in 1896 as the Nurses Associated Alumnae. It offers professional education, liability insurance, and other benefits for nurses, regardless of specialty area. American Nurses Association Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More _______________ is a branch of the American Nurses Association that is "the voice of nurses in Florida". Florida Nurses Association is a national organization for faculty nurses and leaders in nurse education. It offers faculty development, networking opportunities, testing services, nursing research grants, and public policy initiatives to more than 40,000 individual and 1,200 education and associate members. National League for Nursing (NLN) _________ is the national voice for baccalaureate and graduate nursing education. American Association for Colleges in Nursing (AACN) is dedicated to fostering the professional development of nursing students, and has a Florida-specific branch. National Student Nurse's Association (NSNA), Florida Student Nurses Association (FNSA) National honor society for nursing is called _____________ and chapter at USF is called.. Sigma Theta Tau International Delta Beta at USF Role of nursing organizations Professional organizations and associations in nursing are critical for generating the energy, flow of ideas, and proactive work needed to maintain a healthy profession that advocates for the needs of its clients and nurses, and the trust of society. Allows for networking and in case of specialty or special-interest groups connects you with nurses of similar backgrounds and interests. Nightingale's contribution to nursing can be succintly described as the "__________ ____________ _____________" theory Clean Healthy Environment- Nightingale What was Nightingale's contribution to nursing? Nightingale made incredible reductions in the amount of infection present in war hospitals, simply by insisting on proper sanitation (bed linens being changed, wounds cleaned, hand-washing, clean food preparation, and clean water). How is nursing practice regulated? Which organization and at which level? At the state level- State Boards of Nursing define practice, establish criteria for licensure, scope of practice, and enforce rules that govern nursing. What are the different types of education RNs can have? RNs can have. 1. Diploma in nursing (very rare) 2. Associate degree in nursing 3. Baccalaureate degree in nursing Practical nursing and vocational nursing education programs are called... LPN and LVN programs What are the different degrees an advanced practice nurse can have? Research- PhD Nurse Practitioner, MSN, PhD CNS (certified nurse specialist) CNM (certified nurse-midwife) ___________ are a professional strategy to maintain current clinical knowledge for nurses and are required by 22 states for license renewal- includes programs offered at the work site and in-service education. Continuing education (CE) hours The licensure examination for nurses (both registered and practical) is called the.. which stands for NCLEX-RN or NCLEX-PN (national council licensure examination) AKA the boards Four aims of nursing 1. To promote health 2. To prevent illness 3. To restore health 4. To facilitate coping with a disability or death How do we regulate nursing practice? A. Meet state/national license and accreditation B. Quality improvement A. JCAHO & AHCA regulatory bodies to accreditate B. Quality improvement- hospital/unit based. QSEN competencies and new focus on EBP (evidence based practice). _____________ are the laws that regulate practice. Nurse Practice Acts __________________ define practice, establish criteria for licensure, scope of practice, and enforces rules that govern nursing. State boards of nursing Licensure of nursing occurs through the NCLEX- National Council Licensure Exam Professional standards/ standards of nursing practice are outlined by which 2 documents... ANA Standards, Code of Ethics NCLEX stands for National Council Licensure Exam Colostomy is a colon resectioning, named differently based on which part of colon- ileostomy, cecostomy, etc. Healthy stoma for an ostomy patient should appear... beefy and pink Care of the patient with ostomy includes assessing which five factors? 1. Assess stoma- healthy? 2. Assess output using COCA 3. Assess peri-stomal skin 4. Assess patient education needs 5. Assess psychosocial issues How do we assess the output from a stoma for an ostomy patient? COCA- color, odor, consistency, amount How do we assess the peristomal skin for an ostomy patient? It should appear as the rest of the skin on the body if healthy. What are the 3 types of psychosocial issues that ostomy patients at risk for? How can we address these? 1. Return to normal activities? 2. Disturbed body image 3. Sexuality Encourage them to return to normal activities and to attend ostomy support groups. Types of colostomy appliances include... one-piece (bag + wafer together, changed simultaneously) two-piece (bag separate from wafer, changed separately) Diarrhea is the increase in _________, __________ and ___________ of stools. Symptoms include stomach cramping, increased frequency, and gassiness. frequency, volume, looseness Which complication can result from diarrhea? What are two ways nurses can assess for this? Dehydration Monitor skin turgor and urine output How can the nurse address dehydration resulting from diarrhea? Be sure patient is consuming fluids- even non-water beverages are better than not consuming fluids at all. Get orders to replace fluids and electrolytes (PO or IV) 2 best diets for diarrhea and what foods to avoid regardless of chosen diet. Clear liquids or BRAT diet (banana, rice, apples, toast) Avoid dairy and sugar Diarrhea can be treated using ____________ for a bacterial infection causing diarrhea such as C.diff or anti-motility agents such as loperamide (______________) or Diphenoxylate/Atropine (____________). antibiotics; Imodium, Lomotil With diarrhea we need to make sure we assess our patient's ____________? skin integrity- because stooling is more frequent or may be incontinent, more at risk for skin breakdown Prevention of diarrhea includes routine ____________, avoiding _______ or ___________ foods, and unwashed.... handwashing, spicy/high-fat foods, unwashed fruits and vegetables __________ is instillation of a solution into the rectum. enema Enemas are done for several reasons: most commonly as bowel prep for diagnostic procedures, severe constipation, and _____________. medication administration Medications such as neomycin, kayexelate, and barium are often administered via enema Mechanism of action for cleansing enemas Cleansing enemas work by stimulating peristalsis __________________ enemas include soap suds enema, hypotonic tap water, normal saline, and sodium phosphate (Fleet). cleansing Sodium phosphate enemas are the most common in the hospital and are also known as _____________. They have a small volume about 100 mL. Fleet enemas ________________ are relatively rare in the hospital but the most common type of large volume enema. Don't put them on a bedpan or it will overflow. They have a large volume up to 1000 mL Soap suds enema Mechanism of action for retention enemas Work by lubricating rectum and colon- absorbed only by feces and make stool softer The contents of a ____________ enema are only absorbed by feces, making the stool softer and easier to pass. Instruct patient to retain enema as long as possible. retention ___________________ are a lubricating solution for constipation made of glycerin and mineral oil, usually the "first line of defense" for constipated patient. Suppositories/ glycerin suppositories _________ enemas have a local effect exerted on rectal mucosa. Medicated enemas Kayexalate is a sodium-potassium sulfonate enema (medicated large-volume enema), used to treat patients who have... high potassium