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1. hypoxia: low oxygen
2. dyspnea: difficulty breathing
3. full consciousness: awake and alert
4. lethargic: sleeps frequently but awakens easily
5. obtunded: extreme drowsiness, requires vigorous stimulation to waken
6. stupor: minimal movement, responds inappropriately. is awake briefly with vigorous stimulation
or painful stimuli
7. comatose: does not respond to verbal and tactile stimuli. may respond appropriately to painful
stimuli
8. Seizure precautions: - pad side rails
- oral wall suction
- oxygen available
- bed lowest position
- describing level on consciousness
,9. fall risk: - adaptation to the environment - minimization of psychoactive medications
- attention to postural hypotension
- management of foot problems and footwear
- exercises that emphasize balance, strength, and gait training
10. conducting a cultural assessment: - meaning of the illness to the patient, expectations the patient
has regarding treatment and care, and the patient's perception of the process
- patient history includes many questions that link to a patient's cultural perspectives and
preference
- nurse should observe the patient's behavior, clothing, and presence of articles as cues for
additional or clarifying questions
11. HIPAA: Health Insurance Portability and Accountability Act
12. what is HIPAA: law protecting the right to privacy for clients. it regulates how a clients
personal health information
13. key factors to HIPAA: 1. only share client info with other team members directly
involved with care
2. never discuss client info in the hallway, elevator, public area, or outside the hospital
3. do not access charts or information that is not needed directly for work
4. computer charting: no password sharing, always log off
, 5. no taking info home
6. information releases: yes clients have a right to receive a copy of their health records. no sharing
information with a family or friend without client's permission 7. report any breach of confidentiality
violations
14 a nurse has shared his computer username and password with a student nurse... possible
consequences?: the nurses can be prosecuted
15. husband is requesting lab results for his wife, how should you respond?-
: "let me check if you have permission?"
16. 19 year old female asks for a prescription for oral contraception, she is under her
parents insurance but does not want her parents to know, according to HIPAA, which of the
following should the provider tell the patient?: "the clients parents may not view the medical
record but may learn about it from their insurance billing receipts
17. autonomy: the clients right to make their own healthcare decisions (ex. right to refuse)
18. Metaethics: the study of the meaning and logical structure of moral beliefs
19. advocacy: to protect the clients rights, health, and safety
(ex. reporting critical changes in the clients condition)
20. beneficence: doing and promoting good
(ex. calling the family of a client to tell them "critically ill and we are caring for their needs")