The breakfast trays arrive on the unit with a tray for the preoperative client. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. Biology Forums - Study Force is a free online homework help service catered towards college and high school students. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch). 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. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. 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. Explain the need to implement this change in policy20. When you are finished, click the "Evaluate" button at the bottom of the page. The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours? What is the best initial response by the nurse? How should Ms. Management of a surgical unit case study hesi. Hatch respond? As she worked her way ….
Advise the primary nurse of 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? You are now leaving the American Nurses Foundation. How should the charge nurse respond to this information? "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs". After removing the pack, what action should Ms. Hatch take next? Sample Test Questions. In addition, the instruction to report any problems is too vague. Meet the Nurse Manager: Linda Hatch, RN. Evolve Case Study: Management of Surgical Unit - Biology Forums Resource Library. The postoperative client with which condition is most safe to transfer to the skilled care unit? The primary nurse responds that UAP's should know when to remove packs, since that is one of their job responsibilities. "Both staff members appear angry about the situation and continue to insist the other is at fault. 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. "I will bring your concern tot he attention of the wound care team.
Additionally, this assignment allows the report to continue without delay. The PN tells Ms. Management of a surgical unit hesi case study quizlet. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. 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. 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.
This proactive response acknowledges is a legitimate concern by the staff nurse. This proactive decision by the nurse demonstrates effective client advocacy. The Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel. How should Ms. Hatch delegate tasks to respond to this situation? Management of a surgical unit hesi case study abroad. 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? Join Our Community|. Request that a night shift staff RN go to the room to evaluate the situation.
These sample questions apply to all exams taken on or after October 25, 2014. The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. "nsult with the primary nurse caring for the client22. In addition, to the charge nurse and Pn, a UAP assigned to work with the PN is also available. 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. 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 UAP does not have the skill to evaluate the vital signs for problems. 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. A new browser window will open, displaying your results, which you may print, if you wish.
Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. You can ask any homework question and get expert homework help in as little as two hours. "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. 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. 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). "You are responsible for monitoring tasks delegated to the UAP. Encourage both staff members to practice effective communication with one another. Then click the button corresponding to the best answer for each question. Hatch recognizes that this may anger many of the staff nurses.
Dyspnea and a cough that produces frothy, white sputum14. 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. Obtain the client's vital signs and report the results to the nurse before the transfusion is started. Which client should be reassigned to the PN? The client's bladder is distended and reports having serve bladder pain. The nurse can evaluate the UAPs ability to apply the stockingsas they work together. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination.
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. How Should Ms. Hatch respond to the nurse? Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Who Has Accountability? Book covers, title and author names appear for reference only.
This open-ended statement encourages further verbalization by the client, allowing the nurse to determine if any further action is needed. Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. With our help, your homework will never be the same! Apply the client's antiembolism (TED) stockings. 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. Biology Forums - Study Force © 2010-2023 | Sitemap. What action should the charge nurse implement?
Ms. Hatch overhears the primary nurse assign the UAP to take the vital signs of the preop client and report back any problems. He questions his ability to meet this responsibility if a seperate team changes his clients surgical dressings. The primary nurse notes that there is no prescription in the client's medical record regarding NPO status. The tray and contact the surgeon for clarification of the client's preoperative needs12. This practice exam is not timed, and you may take it as many times as you wish. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client 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.
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