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Which client should be reassigned to the PN? Dyspnea and a cough that produces frothy, white sputum14. This proactive decision by the nurse demonstrates effective client advocacy. Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. 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. Is not affiliated with any publisher. A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. How should the nurse respond? The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. Management of a surgical unit case study hesi. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. The UAP does not have the skill to evaluate the vital signs for problems. This open-ended statement encourages further verbalization by the client, allowing the nurse to determine if any further action is needed. 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.
If we don't have your question, don't worry. After removing the pack, what action should Ms. Hatch take next? Biology Forums - Study Force © 2010-2023 | Sitemap. Meet the Nurse Manager: Linda Hatch, RN.
Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The breakfast trays arrive on the unit with a tray for the preoperative client. 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? Go with the PN to supervise the procedure. The client's bladder is distended and reports having serve bladder pain. With our help, your homework will never be the same! The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs". Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. What action should Ms. Management of a surgical unit hesi case study quizlet. 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. Biology Forums - Study Force is a free online homework help service catered towards college and high school students.
Another client with a possible tracheoesophageal fistula has a oxygen of 80%. The assertive response by the nurse promotes team building. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. 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. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch) Flashcards. The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack. Explain the need to implement this change in policy20. In addition, the instruction to report any problems is too vague.
"nsult with the primary nurse caring for the client22. The tray and contact the surgeon for clarification of the client's preoperative needs12. Management of a surgical unit hesi case study published. The Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel. 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.
Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. This proactive response acknowledges is a legitimate concern by the staff nurse. A postoperative client who is needing an indwelling urinary catheter inserted after with the PN to supervise the the client's antiembolism (TED) stockings17. "Both staff members appear angry about the situation and continue to insist the other is at fault. Advise the primary nurse of the responsibility to review all vital signs obtained by the UAP. "You are responsible for monitoring tasks delegated to the UAP. 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. Medical-Surgical Nursing Exam Sample Questions. 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. Sample Test Questions. How should Ms. Hatch delegate tasks to respond to this situation? 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. 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.
A new browser window will open, displaying your results, which you may print, if you wish. The primary nurse notes that there is no prescription in the client's medical record regarding NPO status. 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. A positive encouraging attitude promotes trust and respect. 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? "I will bring your concern tot he attention of the wound care team. 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. Encourage both staff members to practice effective communication with one another. 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. Obtain the client's vital signs and report the results to the nurse before the transfusion is started. The PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. 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 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.
"Tell me what is making you feel uneasy. Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN). What is the best initial response by the nurse? 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.
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