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Book covers, title and author names appear for reference only. Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. Meet the Nurse Manager: Linda Hatch, RN.
What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse? Before Ms. Management of a surgical unit hesi case study quizlet. 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. Which client should be reassigned to the PN? Apply the client's antiembolism (TED) stockings. "You are responsible for monitoring tasks delegated to the UAP.
This proactive decision by the nurse demonstrates effective client advocacy. Which task may be delegated to the UAP? The PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The nurse can evaluate the UAPs ability to apply the stockingsas they work together. Management of a surgical unit hesi case study center. The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. Additionally, this assignment allows the report to continue without delay. 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. Medical-Surgical Nursing Exam Sample Questions.
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? A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch) Flashcards. "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. What approach should Ms. Hatch use when introducing this change? When you are finished, click the "Evaluate" button at the bottom of the page.
Sample Test Questions. Dyspnea and a cough that produces frothy, white sputum14. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. These sample questions apply to all exams taken on or after October 25, 2014. How should the nurse respond? 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. 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 assertive response by the nurse promotes team building. Who Has Accountability? Click the card to flip 👆. Management of a surgical unit hesi case study finds. He questions his ability to meet this responsibility if a seperate team changes his clients surgical dressings. Master your assignments quickly with thousands of step-by-step solutions to countless textbook questions asked and answered by our members. 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.
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. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. Delegatee Own acts Accepting the delegation Appropriate notification and reporting Accomplishing the task. Encourage both staff members to practice effective communication with one another. This proactive response acknowledges is a legitimate concern by the staff nurse. In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. 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.
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. Biology Forums - Study Force © 2010-2023 | Sitemap. 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 new browser window will open, displaying your results, which you may print, if you wish. "Tell me what is making you feel uneasy. 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. How should Ms. Hatch delegate tasks to respond to this situation? "Both staff members appear angry about the situation and continue to insist the other is at fault. This preoperative client is male. The tray and contact the surgeon for clarification of the client's preoperative needs12. Another client with a possible tracheoesophageal fistula has a oxygen of 80%. As she worked her way …. How Should Ms. Hatch respond to the nurse?
The client's bladder is distended and reports having serve bladder pain. A female client is scheduled for surgery in 4 hours. The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours? A postoperative client who is needing an indwelling urinary catheter inserted after with the PN to supervise the the client's antiembolism (TED) stockings17.
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