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. 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. Management of a surgical unit hesi case study quizlet. How Should Ms. Hatch respond to the nurse?
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. 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. Management of a surgical unit hesi case study finds. 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. The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours?
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. Join Our Community|. "nsult with the primary nurse caring for the client22.
The nurse can evaluate the UAPs ability to apply the stockingsas they work together. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. Ms. Hatch overhears the primary nurse assign the UAP to take the vital signs of the preop client and report back any problems. Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN). Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch) Flashcards. 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. This preoperative client is male. 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. You can ask any homework question and get expert homework help in as little as two hours. The UAP does not have the skill to evaluate the vital signs for problems. He questions his ability to meet this responsibility if a seperate team changes his clients surgical dressings. The PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client.
Obtain the client's vital signs and report the results to the nurse before the transfusion is started. Ask Nurse Alice Podcast - Listen Now! What action should the charge nurse implement? 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. With our help, your homework will never be the same! 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. Medical-Surgical Nursing Exam Sample Questions. The breakfast trays arrive on the unit with a tray for the preoperative client.
Request that a night shift staff RN go to the room to evaluate the situation. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. How should Ms. Hatch delegate tasks to respond to this situation? 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? Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. Biology Forums - Study Force © 2010-2023 | Sitemap. 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. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. The Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel. What is the best initial response by the nurse?
Click the card to flip 👆. Another client with a possible tracheoesophageal fistula has a oxygen of 80%. Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. 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. Who Has Accountability? The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. 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? "I will bring your concern tot he attention of the wound care team. Is not affiliated with any publisher.
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. You are now leaving the American Nurses Foundation. A female client is scheduled for surgery in 4 hours. The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack.
The primary nurse responds that UAP's should know when to remove packs, since that is one of their job responsibilities. The tray and contact the surgeon for clarification of the client's preoperative needs12. How should the charge nurse respond to this information? Book covers, title and author names appear for reference only. Sample Test Questions. The primary nurse notes that there is no prescription in the client's medical record regarding NPO status. Delegatee Own acts Accepting the delegation Appropriate notification and reporting Accomplishing the task. "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 postoperative client with which condition is most safe to transfer to the skilled care unit? A positive encouraging attitude promotes trust and respect. Go with the PN to supervise the procedure. After removing the pack, what action should Ms. Hatch take next? 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).
A new browser window will open, displaying your results, which you may print, if you wish. Biology Forums - Study Force is a free online homework help service catered towards college and high school students. 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. Dyspnea and a cough that produces frothy, white sputum14. 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?
The client's bladder is distended and reports having serve bladder pain. Hatch recognizes that this may anger many of the staff nurses. This proactive response acknowledges is a legitimate concern by the staff nurse. If we don't have your question, don't worry. In addition, the instruction to report any problems is too vague. "Tell me what is making you feel uneasy.
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