HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch). 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. Management of a surgical unit hesi case study shows. Additionally, this assignment allows the report to continue without delay. The Foundation does not engage in political campaign activities or communications. The answers to the sample questions are provided after the last question. A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN).
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A postoperative client who is needing an indwelling urinary catheter inserted after surgery. Apply the client's antiembolism (TED) stockings. What action should the charge nurse implement? What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse? Medical-Surgical Nursing Exam Sample Questions.
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The nurse can evaluate the UAPs ability to apply the stockingsas they work together. How Should Ms. Hatch respond to the nurse? "Both staff members appear angry about the situation and continue to insist the other is at fault. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack. Book covers, title and author names appear for reference only. Management of a surgical unit hesi case study says. Hatch recognizes that this may anger many of the staff nurses. This open-ended statement encourages further verbalization by the client, allowing the nurse to determine if any further action is needed.
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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. In addition, the instruction to report any problems is too vague. Meet the Nurse Manager: Linda Hatch, RN. You can ask any homework question and get expert homework help in as little as two hours. Click the card to flip 👆. 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. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch) Flashcards. 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. 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. The UAP does not have the skill to evaluate the vital signs for problems. A positive encouraging attitude promotes trust and respect. After removing the pack, what action should Ms. Hatch take next? Then click the button corresponding to the best answer for each question.
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If we don't have your question, don't worry. "Tell me what is making you feel uneasy. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. Master your assignments quickly with thousands of step-by-step solutions to countless textbook questions asked and answered by our members. 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 group. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs". Another client with a possible tracheoesophageal fistula has a oxygen of 80%. The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP.
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You are now leaving the American Nurses Foundation. In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. What approach should Ms. Hatch use when introducing this change? Who Has Accountability? Request that a night shift staff RN go to the room to evaluate the situation. Ask Nurse Alice Podcast - Listen Now! 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. 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? 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 postoperative client who is needing an indwelling urinary catheter inserted after with the PN to supervise the the client's antiembolism (TED) stockings17. This proactive response acknowledges is a legitimate concern by the staff nurse.
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Biology Forums - Study Force © 2010-2023 | Sitemap. 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. When you are finished, click the "Evaluate" button at the bottom of the page. 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" the primary nurse of the responsibility to review all vital signs obtained by the UAP19. 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. 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. 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. As she worked her way …. "I will bring your concern tot he attention of the wound care team.
A female client is scheduled for surgery in 4 hours. The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The postoperative client with which condition is most safe to transfer to the skilled care unit? The assertive response by the nurse promotes team building. Sample Test Questions. 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. A new browser window will open, displaying your results, which you may print, if you wish. Encourage both staff members to practice effective communication with one another. 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 Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel. With our help, your homework will never be the same! Which task may be delegated to the UAP?
Advise the primary nurse of the responsibility to review all vital signs obtained by the UAP. Join Our Community|. Dyspnea and a cough that produces frothy, white sputum14. "You are responsible for monitoring tasks delegated to the UAP. Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. 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. 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. Explain the need to implement this change in policy20. 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. Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs).
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