Fundamentals ATI RN 2023

Fundamentals ATI RN 2023 Telephone orders: best practice - CORRECT ANSWER -have a second RN listen in -repeat the prescription back -make sure the provider signs the prescription within 24 hr Information Security - CORRECT ANSWER -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 ANSWER communicates patient's wishes regarding medical treatment if patient becomes incapacitated. DPOA - CORRECT ANSWER durable power of attorney patient designates health care proxy to make medical decisions for them if they become incapacitated. Provider's orders - CORRECT ANSWER Prescription for DNR and/or AND Mandatory reporting for RN - CORRECT ANSWER -suspicion of abuse (child, elderly, domestic violence) -communicable diseases to local/state health department (mandated by state) informed consent: Provider responsibility - CORRECT ANSWER -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 ANSWER -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 ANSWER 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 ANSWER 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 ANSWER time from when the pathogen enters the body until the first symptom appears. prodromal stage - CORRECT ANSWER time from the onset of general symptoms (malaise, fatigue) to specific symptoms. illness stage - CORRECT ANSWER time when specific symptoms occur convalescence - CORRECT ANSWER time from when symptoms disappear to complete recovery (can take months) primary prevention - CORRECT ANSWER prevents initial occurrence of disease ex: education, immunizations, prenatal classes secondary prevention - CORRECT ANSWER focuses on early detection of disease, limiting severity of disease. ex: screenings, control of outbreaks tertiary prevention - CORRECT ANSWER maximize recovery after injury /illness ex: rehab, PT/OT, support groups active natural immunity - CORRECT ANSWER body produces antibodies in response to exposure to live pathogen active artificial immunity - CORRECT ANSWER body produces antibodies in response to vaccine passive natural immunity - CORRECT ANSWER antibodies are passed from the mom to her baby through the placenta or breast milk passive artificial immunity - CORRECT ANSWER immunoglobulins are administered to an individual after they have been exposed to a pathogen