Delegatee Own acts Accepting the delegation Appropriate notification and reporting Accomplishing the task. The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours? HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch). Ms. Hatch is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. The client's bladder is distended and reports having serve bladder pain. Evolve Case Study: Management of Surgical Unit - Biology Forums Resource Library. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. Join Our Community|. With our help, your homework will never be the same! Click the card to flip 👆. 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 nurse can evaluate the UAPs ability to apply the stockingsas they work together.
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Management Of A Surgical Unit Case Study Hesi
What is the best initial response by the nurse? 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? 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 PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. 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. A night shift staff nurse has the most recent experience with the client and is qualified to assess and respond to the situation. Management of a surgical unit hesi case study guide. This open-ended statement encourages further verbalization by the client, allowing the nurse to determine if any further action is needed. Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack.
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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. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. You can ask any homework question and get expert homework help in as little as two hours.
Management Of A Surgical Unit Hesi Case Study Guide
Meet the Nurse Manager: Linda Hatch, RN. The charge nurse demonstrates respect for the nurse by taking action in response to his concern)After the staff meeting, Ms. Management of a surgical unit hesi case study shows. Hatch makes afternoon rounds on the unit and observes a postoperative client with a cold pack. 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. Then click the button corresponding to the best answer for each question.
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Hatch recognizes that this may anger many of the staff nurses. A positive encouraging attitude promotes trust and respect. The tray and contact the surgeon for clarification of the client's preoperative needs12. A new browser window will open, displaying your results, which you may print, if you wish. 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. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery. How should Ms. Hatch delegate tasks to respond to this situation? 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 primary nurse responds that UAP's should know when to remove packs, since that is one of their job responsibilities. 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. Encourage both staff members to practice effective communication with one another. Which client should be reassigned to the PN?
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This proactive decision by the nurse demonstrates effective client advocacy. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. Dyspnea and a cough that produces frothy, white sputum14. "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. Biology Forums - Study Force is a free online homework help service catered towards college and high school students. When you are finished, click the "Evaluate" button at the bottom of the page.
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As she worked her way …. How should Ms. Hatch respond? "Both staff members appear angry about the situation and continue to insist the other is at fault. How Should Ms. Hatch respond to the nurse? The breakfast trays arrive on the unit with a tray for the preoperative client. Obtain the client's vital signs and report the results to the nurse before the transfusion is started. Who Has Accountability? What action should the charge nurse implement? 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. Request that a night shift staff RN go to the room to evaluate the situation. This proactive response acknowledges is a legitimate concern by the staff nurse.
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The American Nurses Foundation is a separate charitable organization under Section 501(c)(3) of the Internal Revenue Code. The UAP does not have the skill to evaluate the vital signs for problems. This practice exam is not timed, and you may take it as many times as you wish. "Tell me what is making you feel uneasy. The Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel.
Which task may be delegated to the UAP? 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 primary nurse notes that there is no prescription in the client's medical record regarding NPO status. 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. Is not affiliated with any publisher. What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse? Additionally, this assignment allows the report to continue without delay. These sample questions apply to all exams taken on or after October 25, 2014. 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 charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. Another client with a possible tracheoesophageal fistula has a oxygen of 80%. Apply the client's antiembolism (TED) stockings. A female client is scheduled for surgery in 4 hours. 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.
Biology Forums - Study Force © 2010-2023 | Sitemap. Book covers, title and author names appear for reference only. This preoperative client is male. In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. Sample Test Questions. How should the nurse respond? 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). The Foundation does not engage in political campaign activities or communications. "nsult with the primary nurse caring for the client22. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. "You are responsible for monitoring tasks delegated to the UAP. Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN).
A postoperative client who is needing an indwelling urinary catheter inserted after with the PN to supervise the the client's antiembolism (TED) stockings17. 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. Go with the PN to supervise the procedure. The postoperative client with which condition is most safe to transfer to the skilled care unit? He questions his ability to meet this responsibility if a seperate team changes his clients surgical dressings. 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? Explain the need to implement this change in policy20.
Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. In addition, the instruction to report any problems is too vague. Ask Nurse Alice Podcast - Listen Now! What approach should Ms. Hatch use when introducing this change?
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