NURSING 335 (CASE STUDY MANAGEMENT MED UNIT) WEEK
5 HESI STUDY GUIDE WITH COMPLETE SOLUTION!!
Meet the Nurse Manager: Sean Young, RNMr. Sean Young, RN, is the 7:00 am to
7:00 pm charge nurse on a general medical unit that includes five telemetry-
monitored rooms. The nursing staff includes experienced registered nurses (RNs),
newly licensed RNs, licensed practical nurses (LPNs), unlicensed assistive
personnel (UAPs), and a unit secretary. Each newly licensed RN has an assigned
staff RN as a preceptor. In addition to the nursing staff, a respiratory therapist, case
manager, and pharmacist are assigned to the unit.
1. Your first answer is the one that counts towards your score, but you'll be
prompted to try again if you get the wrong answer. When you get the right answer,
you'll go to the next section.
2. If you choose to re-take a Case Study, you will no longer be able to see your
previous score.
At the beginning of his shift, Mr. Young identifies several problems that need
attention.
Which client situation r
Answers :New onset ST segment elevation is observed on the telemetry monitor of
a Client admitted with angina
This electrocardiogram (ECG) finding indicates ischemic changes that require
immediate client assessment and management to prevent myocardial damage.
As he enters the client's room, Mr. Young hears his name paged over the intercom.
He learns that the emergency department needs to give report on a client to be
admitted to the medical unit as soon as possible.
What action should Mr. Young take?
, Answers :Request that another staff RN obtain the report
Another RN can obtain the report, while the charge nurse gives his full attention to
assessment of the unstable client.
While Mr. Young is assessing the client with ECG changes, the client reports that
he just experienced an episode of chest pain and took a dose of nitroglycerine that
he brought from home. The UAP enters the room and informs Mr. Young that the
confused client with hyponatremia is attempting to climb over the bedrails.
How should the charge nurse respond to this situation?
Answers :Remain with the client who has angina and assign a PN to monitor the
confused client while the UAP obtains a bed alarm
The client with angina and ECG changes remains unstable and requires the
expertise of the charge nurse to assess and manage his care. The PN, assisted by
the UAP, can safely monitor a confused client to prevent injury.
A newly licensed RN who is assigned to the unit obtains the vital signs of the client
with cellulitis whose WBC count has increased from 8,000 to 15,000 mm3. The
RN reports the vital signs to Mr. Young as T 102° F, P 112, R 28, and BP 84/42.
Who should the charge nurse assign to care for this client?
Answers :The newly licensed RN and the staff RN preceptor
The client is exhibiting manifestations of septic shock, a potentially fatal problem.
The newly licensed RN does not yet have the expertise to respond to this situation
independently and will best obtain the needed experience by working closely with
the staff nurse preceptor.
5 HESI STUDY GUIDE WITH COMPLETE SOLUTION!!
Meet the Nurse Manager: Sean Young, RNMr. Sean Young, RN, is the 7:00 am to
7:00 pm charge nurse on a general medical unit that includes five telemetry-
monitored rooms. The nursing staff includes experienced registered nurses (RNs),
newly licensed RNs, licensed practical nurses (LPNs), unlicensed assistive
personnel (UAPs), and a unit secretary. Each newly licensed RN has an assigned
staff RN as a preceptor. In addition to the nursing staff, a respiratory therapist, case
manager, and pharmacist are assigned to the unit.
1. Your first answer is the one that counts towards your score, but you'll be
prompted to try again if you get the wrong answer. When you get the right answer,
you'll go to the next section.
2. If you choose to re-take a Case Study, you will no longer be able to see your
previous score.
At the beginning of his shift, Mr. Young identifies several problems that need
attention.
Which client situation r
Answers :New onset ST segment elevation is observed on the telemetry monitor of
a Client admitted with angina
This electrocardiogram (ECG) finding indicates ischemic changes that require
immediate client assessment and management to prevent myocardial damage.
As he enters the client's room, Mr. Young hears his name paged over the intercom.
He learns that the emergency department needs to give report on a client to be
admitted to the medical unit as soon as possible.
What action should Mr. Young take?
, Answers :Request that another staff RN obtain the report
Another RN can obtain the report, while the charge nurse gives his full attention to
assessment of the unstable client.
While Mr. Young is assessing the client with ECG changes, the client reports that
he just experienced an episode of chest pain and took a dose of nitroglycerine that
he brought from home. The UAP enters the room and informs Mr. Young that the
confused client with hyponatremia is attempting to climb over the bedrails.
How should the charge nurse respond to this situation?
Answers :Remain with the client who has angina and assign a PN to monitor the
confused client while the UAP obtains a bed alarm
The client with angina and ECG changes remains unstable and requires the
expertise of the charge nurse to assess and manage his care. The PN, assisted by
the UAP, can safely monitor a confused client to prevent injury.
A newly licensed RN who is assigned to the unit obtains the vital signs of the client
with cellulitis whose WBC count has increased from 8,000 to 15,000 mm3. The
RN reports the vital signs to Mr. Young as T 102° F, P 112, R 28, and BP 84/42.
Who should the charge nurse assign to care for this client?
Answers :The newly licensed RN and the staff RN preceptor
The client is exhibiting manifestations of septic shock, a potentially fatal problem.
The newly licensed RN does not yet have the expertise to respond to this situation
independently and will best obtain the needed experience by working closely with
the staff nurse preceptor.
