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Which client should be reassigned to the PN? 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. Which task may be delegated to the UAP? "You are responsible for monitoring tasks delegated to the UAP. Management of a surgical unit hesi case study abroad. The UAP does not have the skill to evaluate the vital signs for problems. The answers to the sample questions are provided after the last question. Click the card to flip 👆.

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The charge nurse must ensure that the primary nurse understands the responsibility to review all vital signs obtained by the UAP. This proactive decision by the nurse demonstrates effective client advocacy. This practice exam is not timed, and you may take it as many times as you wish. The tray and contact the surgeon for clarification of the client's preoperative needs12. What action should Ms. Hatch implement to aid in the resolution of the conflict between the UAP and the primary nurse? Once the immediate priorities are managed, Ms. Management of a surgical unit hesi case study quizlet. 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.

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Who Has Accountability? How should the nurse respond? Go with the PN to supervise the procedure. Get homework help and answers to your toughest questions in biology, chemistry, physics, mathematics, engineering, accounting, business, humanities, and more. A postoperative client who is needing an indwelling urinary catheter inserted after surgery. "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. Additionally, this assignment allows the report to continue without delay. Then click the button corresponding to the best answer for each question. Management of a surgical unit hesi case study finds. The UAP states, ¨I know I applied them correctly, he must have pulled them down while I was getting him a clean gown. 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. Request that a night shift staff RN go to the room to evaluate the situation. "I will bring your concern tot he attention of the wound care team.

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With our help, your homework will never be the same! A positive encouraging attitude promotes trust and respect. 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. HESI Case Studies--Management-Management of a Surgical Unit (Linda Hatch) Flashcards. The Foundation expressly disclaims any political views or communications published on or accessible from this ntinue Cancel. "Tell me what is making you feel uneasy.

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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. In addition, the instruction to report any problems is too vague. 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. How Should Ms. Hatch respond to the nurse? This preoperative client is male. "Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs". A female client is scheduled for surgery in 4 hours. You can ask any homework question and get expert homework help in as little as two hours. The postoperative client with which condition is most safe to transfer to the skilled care unit? The skin under the cold pack is pale, and the client reports the cold pack has been placed for more than 4 hours? The breakfast trays arrive on the unit with a tray for the preoperative client. 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. 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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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. 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. "nsult with the primary nurse caring for the client22. 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. Linda Hatch, RN, is the charge nurse on a busy surgical unit in a major metropolitan hospital. Dyspnea and a cough that produces frothy, white sputum14. Apply the client's antiembolism (TED) stockings. The Foundation does not engage in political campaign activities or communications.

Management Of A Surgical Unit Case Study Hesi

How should the charge nurse respond to this information? What action should the charge nurse implement? The UAP states that she was told to apply the cold pack but was not given instructions about removing the pack. How should Ms. Hatch delegate tasks to respond to this situation? Although the UAP can be assigned to obtain vital signs, the v/s data must be reviewed by the RN). How should Ms. Hatch respond? 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 PN tells Ms. Hatch that she has inserted several catheters in female clients, but she has never inserted one in a male client. What approach should Ms. Hatch use when introducing this change?

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Delegator Own acts Acts of delegation Acts of supervision Assessment of the situation Follow-up Intervention Corrective active. 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. 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. Biology Forums - Study Force © 2010-2023 | Sitemap. Obtain the client's vital signs and report the results to the nurse before the transfusion is started. When you are finished, click the "Evaluate" button at the bottom of the page.

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? 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. Meet the Nurse Manager: Linda Hatch, RN. Book covers, title and author names appear for reference only. Master your assignments quickly with thousands of step-by-step solutions to countless textbook questions asked and answered by our members. Delegatee Own acts Accepting the delegation Appropriate notification and reporting Accomplishing the task. The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery.

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. Encourage both staff members to practice effective communication with one another. 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. Ask Nurse Alice Podcast - Listen Now! The assertive response by the nurse promotes team building.

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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