HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch). Which task may be delegated to the UAP? Dyspnea and a cough that produces frothy, white sputum14. Biology Forums - Study Force is a free online homework help service catered towards college and high school students. "nsult with the primary nurse caring for the client22. Management of a surgical unit hesi case study quizlet. Is not affiliated with any publisher. "Tell me what is making you feel uneasy. Which client should be reassigned to the PN? Advise the primary nurse of the responsibility to review all vital signs obtained by the UAP. The breakfast trays arrive on the unit with a tray for the preoperative client.
The charge nurse should offer a constructive approach such as practicing effective communication to help resolve the conflict)Since the surgical unit is full, Ms. Hatch must make arrangements for a client to be transferred to the skilled to the skilled care unit so there will be a bed available for an acutely ill client who is awaiting emergency surgery. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. As she worked her way …. Evolve Case Study: Management of Surgical Unit - Biology Forums Resource Library. Medical-Surgical Nursing Exam Sample Questions. Biology Forums - Study Force © 2010-2023 | Sitemap. The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP.
The primary nurse notes that there is no prescription in the client's medical record regarding NPO status. How should the nurse respond? Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN). Management of a surgical unit hesi case study shows. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. With our help, your homework will never be the same!
The client's bladder is distended and reports having serve bladder pain. These are manifestations of pulmonary edema, a medical emergency requiring the immediate expertise of the RN)Since the RN will assume care of this additional patient, Ms. Hatch selects another client for the PN. In performing a skill for the first time, the PN requires support and supervision to ensure correct skill performance and effective learning)Further preoperative preparation is needed after the urinary catheter is inserted. This proactive response acknowledges is a legitimate concern by the staff nurse. "Both staff members appear angry about the situation and continue to insist the other is at fault. The charge nurse demonstrates respect for the nurse by taking action in response to his concern)After the staff meeting, Ms. Hatch makes afternoon rounds on the unit and observes a postoperative client with a cold pack. Management of a surgical unit hesi case study center. You are now leaving the American Nurses Foundation. What is the best initial response by the nurse?
Apply the client's antiembolism (TED) stockings. Request that a night shift staff RN go to the room to evaluate the situation. The nurse can evaluate the UAPs ability to apply the stockingsas they work together. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. Adults respond more positively to change when the reason for the change is understood)When Ms. Hatch introduces the new policy at a staff meeting, one of the nurses expresses concern that as a primary nurse, he has the responsibility to observe his client's surgical sites.
The postoperative client with which condition is most safe to transfer to the skilled care unit? This proactive decision by the nurse demonstrates effective client advocacy. This practice exam is not timed, and you may take it as many times as you wish. He questions his ability to meet this responsibility if a seperate team changes his clients surgical dressings. This open-ended statement encourages further verbalization by the client, allowing the nurse to determine if any further action is needed. How should Ms. Hatch delegate tasks to respond to this situation? Before Ms. Hatch is able to begin making bedside rounds, she learns from the PN that the client with a history of syncope is threatening to get out of bed alone to go the restroom. In this podcast, Nurse Alice Benjamin, MSN, APRN, ACNS-BC, FNP-C, combines no-nonsense advice with thought-provoking interviews featuring top health experts, celebrity guests, and frontline nurses. Book covers, title and author names appear for reference only. If we don't have your question, don't worry.
A postoperative client who is needing an indwelling urinary catheter inserted after surgery. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs" the primary nurse of the responsibility to review all vital signs obtained by the UAP19. The tray and contact the surgeon for clarification of the client's preoperative needs12. This is a good client to assign to the PN, because this routine skill does not require as high a level of expertise as do the skills in the other client situations)The PN is reassigned to care for the preoperative client and obtains the supplies necessary for the insertion of a urinary catheter. The PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs".
An Agency-wide policy will be instituted regarding wound care management, with all initial post operative dressings to be changed by a wound care team rather than the unit nursing staff. How Should Ms. Hatch respond to the nurse? Click the card to flip 👆. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. "I will bring your concern tot he attention of the wound care team. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results).
Sample Test Questions. Recognizing that it may be unsafe for the client to eat, the nurse should confirm the surgeon's directions before taking the tray to the room)After the meal situation is resolved, the client reports to the primary nurse that she feels uneasy about the procedure. Explain the need to implement this change in policy20. What approach should Ms. Hatch use when introducing this change? Before making assumptions about the situation, the charge nurse should first gather all the needed information, starting with a consultation with the primary nurse responsible for the care of the client)Ms. Hatch meets with the primary nurse and the UAP involved in the situation. Obtain the client's vital signs and report the results to the nurse before the transfusion is started. Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. The primary nurse responds that UAP's should know when to remove packs, since that is one of their job responsibilities. Join Our Community|. What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse?
Ms. Hatch overhears the primary nurse assign the UAP to take the vital signs of the preop client and report back any problems. Master your assignments quickly with thousands of step-by-step solutions to countless textbook questions asked and answered by our members. Encourage both staff members to practice effective communication with one surgery requiring continuous use of passive motion UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. The UAP does not have the skill to evaluate the vital signs for problems. The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. Then click the button corresponding to the best answer for each question. Once the immediate priorities are managed, Ms. Hatch assesses the client with continuous bladder irrigation and notes that the drainage bag is full, but there is no urine in the return tubing. During the report, one of the UAPs interrupts to state that a client who is 1 day post abd surgery is now vomiting large amounts of green fluid. A new browser window will open, displaying your results, which you may print, if you wish. Additionally, this assignment allows the report to continue without delay. Encourage both staff members to practice effective communication with one another. This preoperative client is male. These sample questions apply to all exams taken on or after October 25, 2014.
Go with the PN to supervise the procedure. Ask Nurse Alice Podcast - Listen Now! The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack. When you are finished, click the "Evaluate" button at the bottom of the page. After removing the pack, what action should Ms. Hatch take next? In addition, the instruction to report any problems is too vague. What action should the charge nurse implement? A positive encouraging attitude promotes trust and respect. Who Has Accountability?
"You are responsible for monitoring tasks delegated to the UAP. Hatch recognizes that this may anger many of the staff nurses. A female client is scheduled for surgery in 4 hours. A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Meet the Nurse Manager: Linda Hatch, RN. Our extensive online study community is made up of college and high school students, teachers, professors, parents and subject enthusiasts who contribute to our vast collection of study resources: textbook solutions, study guides, practice tests, practice problems, lecture notes, equation sheets and more. The answers to the sample questions are provided after the last question.
The assertive response by the nurse promotes team building. The Foundation does not engage in political campaign activities or communications. Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs).
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