Final_Exam_Review_Fundies - Legal/Ethics Malpractice...

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Legal/Ethics Malpractice – “professional negligence”, that is, negligence that occurred while the person was performing as a professional. Malpractice applies to physicians, dentists, lawyers, and generally includes nurses. 6 Elements must be present for a case of nursing malpractice to be proven. Duty Breach of Duty Forseeability Causation Harm or injury Damages Negligence – misconduct or practice that is below the standard expected of an ordinary, reasonable, and prudent person. Veracity – telling the truth. Beneficence – means “doing good” Assault – Attempt or threat to touch another person unjustifiably Battery – the willful touching of a person (or the person’s clothes or even something the person’s carrying) that may or may not cause harm. Nursing Process Assessment – systematic and continuous collection, organization, validation, and documentation of data (information) Purpose: to establish a database about the client’s response to health concerns or illness and the ability to manage health care needs. Activities Establish a database Obtain a nursing health history
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Conduct a physical assessment Review client records Consult support persons Consult health professionals Update as needed Organize data Validate data Communicate/document data Diagnosing – the process of making a clinical judgment (nursing diagnosis) about a client’s potential or actual health problems. Purpose: to identify client strengths and health problems that can be prevented or resolved by collaborative and independent nursing interventions. To develop a list of nursing and collaborative problems. Activities: Interpret and analyze data Compare data against standards Cluster or group data Identify gaps and inconsistencies Determine client’s strengths, risks, diagnoses, and problems. Formulate nursing diagnoses and collaborative problem statements Document nursing diagnoses on the care plan. Parts of the Nursing Process Assessment – Collecting Data Diagnosing (Drawing A Conclusion) Planning Implementing (Formulating a Plan)
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Evaluating (Determining effectiveness) Sodium (Natremia) Normal Values: 135-145 mEq/L Function Maintains ECF Transmits nerve impulses Helps with muscle contractions S&S Hypo Lethargy, confusion, apprehension Muscle twitching Abdominal cramps Anorexia, nausea, vomiting Headache Seizures/Coma Hyper Thirst Dry, sticky mucous membranes Tongue, red, dry, swollen Weakness Potassium (Kalemia) Normal Values: 3.5-5.0 mEq/L Function
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Electrical impulses Muscle impulses Acid/Base balance Hypo Muscle weakness, leg cramps Fatigue, lethargy Anorexia, nausea, vomiting Decreased bowel sounds Cardiac dysrhythimas
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Final_Exam_Review_Fundies - Legal/Ethics Malpractice...

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