How Should Ms. Hatch respond to the nurse? Biology Forums - Study Force © 2010-2023 | Sitemap. Management of a surgical unit hesi case study finds. This practice exam is not timed, and you may take it as many times as you wish. The PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. You are now leaving the American Nurses Foundation. 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. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch).
Encourage both staff members to practice effective communication with one another. 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 addition, the instruction to report any problems is too vague. Evolve Case Study: Management of Surgical Unit - Biology Forums Resource Library. Additionally, this assignment allows the report to continue without delay. Book covers, title and author names appear for reference only.
"nsult with the primary nurse caring for the client22. Another client with a possible tracheoesophageal fistula has a oxygen of 80%. After removing the pack, what action should Ms. Hatch take next? In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. Management of a surgical unit hesi case study guide. What action should the charge nurse implement? A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. 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. The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours? Master your assignments quickly with thousands of step-by-step solutions to countless textbook questions asked and answered by our members. Dyspnea and a cough that produces frothy, white sputum14. Medical-Surgical Nursing Exam Sample Questions.
Go with the PN to supervise the procedure. Then click the button corresponding to the best answer for each question. 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. "You are responsible for monitoring tasks delegated to the UAP. 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 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. Meet the Nurse Manager: Linda Hatch, RN. 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. This requires the expertise of the nurse)Later in the day, the unit manager advises Ms. Hatch about the increasing incidents of postoperative infections throughout the medical center. Join Our Community|.
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. The assertive response by the nurse promotes team building. 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. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. With our help, your homework will never be the same! 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. Apply the client's antiembolism (TED) stockings. 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 postoperative client with which condition is most safe to transfer to the skilled care unit? The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. 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. A female client is scheduled for surgery in 4 hours. How should the charge nurse respond to this information? Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more.
Delegatee Own acts Accepting the delegation Appropriate notification and reporting Accomplishing the task. Task can be safely performed by the UAP)The primary nurse enters the client's room and observes that his TED stockings are down below his knees. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs". The tray and contact the surgeon for clarification of the client's preoperative needs12. How should Ms. Hatch delegate tasks to respond to this situation? 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. The client's bladder is distended and reports having serve bladder pain. The primary nurse notes that there is no prescription in the client's medical record regarding NPO status. Which finding in a postoperative client warrants an immediate change in care assignments, so that an RN assumes care of that client rather than the PN who was assigned initially? "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. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. The Foundation does not engage in political campaign activities or communications.
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. What approach should Ms. Hatch use when introducing this change? Request that a night shift staff RN go to the room to evaluate the situation. Knee surgery requiring continuous use of passive motion therapyHow should the charge nurse best utilize available staff during the process of transferring one client to the skilled care unit while admitting another client awaiting emergency surgery? Which task may be delegated to the UAP? The UAP does not have the skill to evaluate the vital signs for problems. The primary nurse responds that UAP's should know when to remove packs, since that is one of their job responsibilities. Which client should be reassigned to the PN? A new browser window will open, displaying your results, which you may print, if you wish. What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse? These sample questions apply to all exams taken on or after October 25, 2014. "Both staff members appear angry about the situation and continue to insist the other is at fault. Biology Forums - Study Force is a free online homework help service catered towards college and high school students.
How should the nurse respond? When you are finished, click the "Evaluate" button at the bottom of the page. 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. Ms. Hatch overhears the primary nurse assign the UAP to take the vital signs of the preop client and report back any problems. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. 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). This preoperative client is male. Click the card to flip 👆. Who Has Accountability?
Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN). The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack. As she worked her way …. The answers to the sample questions are provided after the last question. Is not affiliated with any publisher. What is the best initial response by the nurse?
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