COMPLETE SOLUTIONS.
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Definition
"The nurse, through individual and collective effort, establishes,
maintains, and improves the ethical environment of the work setting and
conditions of employment that are conducive to safe, quality
health care."
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ANA Code of Ethics Provision
ANA Code of Ethics Provision 4
6
, ANA Code of Ethics Provision ANA Code of Ethics Provision 5
7
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2 of 77
Definition
• Clear- or full-liquid diets for more than 3 days without
nutrient supplementation or inappropriate or insufficient
nutrient supplementation
• Intravenous feeding (dextrose or saline) or NPO for more than
3 days without supplementation
• Low intakes of prescribed diet or tube feedings
• Weight 20% above or 10% below desirable body
weight (accounting for edema)
• Pregnancy weight gain deviating from normal patterns
• Diagnoses that increase nutritional needs or decrease
nutrient intake (or both): cancer, malabsorption, diarrhea,
hyperthyroidism, excessive inflammation, postoperative status,
hemorrhage, infected or draining wounds, burns, infection, major
trauma
• Chronic use of drugs, especially alcohol, that affect
nutritional intake
• Alterations in chewing, swallowing, appetite, taste, and smell
, • Body temperature consistently above 37° C (98.6° F) for
more than 2 days
• Hematocrit: <43% in men, <37% in women; hemoglobin <14 g/dL
in men, <12 g/dL in women
Absolute decrease in lymphocyte count (<1500 cells/mm3)
• Elevated (>250 mg/dL) or decreased (<130 mg/dL) total
plasma cholesterol
Serum albumin <3 g/dL in patients without renal or liver disease,
generalized dermatitis, overhydration.
· Remaining NPO (nothing by mouth)
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care for a gastrotomy or Risk Factors for Nutritional
jejunostomy tube Problems
Criteria Be familiar with a Suprapubic
for Dysphagia Referral
Catheter
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3 of 77
Term
Be familiar with the tracheotomy care procedure.
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, •Should be performed every 12- •Should be performed
16 hours. every 4-8 hours.
•Should be performed only when
necessary. • Should be performed once a day.
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4 of 77
Definition
-Are the spaces between the nurse's power and the patient's
vulnerability.
-Crossings are brief excursions across professional lines of behavior
that may be inadvertent, thoughtless or even purposeful, while
attempting to meet a special therapeutic need of the patient.
-Violations can result when there is confusion between the needs of
the nurse and those of the patient.
-Professional sexual misconduct is an extreme form of violation and
includes any behavior that is seductive, sexually demeaning,
harassing or reasonably interpreted as sexual by the patient.
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indications for Professional Boundaries in
discontinuing suctioning Nursing
Causes of Dysphagia Criteria for Dysphagia Referral