Fundamentals ATI RN 2019

Fundamentals ATI RN 2019 Telephone orders: best practice - correct answers -have a second RN listen in -repeat the prescription back -make sure the provider signs the prescription within 24 hr Information Security - correct answers -HIPPA: ensures confidentiality of health info -Only those responsible for patient's care may access the medical record. -Do not use patient names on display boards -communication about the pt should happen in a private place or at the nurse's station -password protect electronic records. Do not share passwords. -Do not share pt information with unauthorized people. code system can be used. living will - correct answers communicates patient's wishes regarding medical treatment if patient becomes incapacitated. DPOA - correct answers durable power of attorney patient designates health care proxy to make medical decisions for them if they become incapacitated. Provider's orders - correct answers Prescription for DNR and/or AND Mandatory reporting for RN - correct answers -suspicion of abuse (child, elderly, domestic violence) -communicable diseases to local/state health department (mandated by state) informed consent: Provider responsibility - correct answers -communicate purpose of procedure, and complete description of procedure in the patient's primary language (use medical interpreter if needed) -explain risks vs. benefits -describe other options to treat the condition informed consent: RN responsibility - correct answers -ensure the provider gave the pt the above information -ensure pt is competent to give informed consent (adult, emancipated minor, not impaired) -have patient sign consent document -notify provider if pt has more questions or doesn't understand any information provided. nonspecific immunity - correct answers defense mechanisms (barriers) in the body that respond immediately to all antigens. Barriers include: skin, stomach acid, mucus, inflammatory response, phagocytic cells. specific adaptive immunity - correct answers body produces antibodies in response to a specific antigen through action of B and T lymphocytes. Requires more time, but the immune response against that antigen in the future is more efficient. incubation - correct answers time from when the pathogen enters the body until the first symptom appears. prodromal stage - correct answers time from the onset of general symptoms (malaise, fatigue) to specific symptoms. illness stage - correct answers time when specific symptoms occur convalescence - correct answers time from when symptoms disappear to complete recovery (can take months) primary prevention - correct answers prevents initial occurrence of disease ex: education, immunizations, prenatal classes secondary prevention - correct answers focuses on early detection of disease, limiting severity of disease. ex: screenings, control of outbreaks tertiary prevention - correct answers maximize recovery after injury /illness ex: rehab, PT/OT, support groups active natural immunity - correct answers body produces antibodies in response to exposure to live pathogen active artificial immunity - correct answers body produces antibodies in response to vaccine passive natural immunity - correct answers antibodies are passed from the mom to her baby through the placenta or breast milk passive artificial immunity - correct answers immunoglobulins are administered to an individual after they have been exposed to a pathogen ABCDE Principle - correct answers A (airway): ensure pt airway. Stabilize cervical spine if neck/head trauma is suspected B (breathing): assess for respirations C (circulation): check heart rate, blood pressure, and capillary refill D (disability): assess the patient's level of consciousness E (exposure): assess the patient's body for trauma, exposure to heat/cold