HESI Case Study - Management of a Surgical Unit | Questions with 100 % correct answers |Verified
How should Ms. Hatch respond to this situation? - Request that a night shift staff RN go to the room to evaluate the situation. The night charge nurse states "That UAP is incompetent." As the day shit charge nurse, how should Ms. Hatch respond? - Your concern needs to be addressed with the unit manager In making initial client care assignments, which client can be assigned to a PN, rather than an RN? - A 2-day postoperative client with an abdominal incision and a Jackson-Pratt drain. A day shift nurse will be 30min late. How should the nurse's client care assignments be manages until the nurse arrives? - Assign an additional client to each of the day shift staff nurses Which additional client should be assigned to the same PN? A client: - Experiencing hypo active bowel sounds on the second postoperative day after a colon resection. (As this is a expected finding.) When making initial rounds, the charge nurse should see which client first? - A postoperative client with a tracheostomy who has signs of a tracheoesophageal fistula. Client with syncope needs to go to bathroom, and... How should the charge nurse respond to this information? - Asses the client with the possible fistula while the PN assists the other client to the restroom The drainage bag for the client with continuous bladder irrigation is full, but there's no urine return in the tubing. The bladder is distended and client reports severe bladder pain. How should Ms. Hatch delegate tasks to respond to this situation? - While the RN manually irrigates the tubing, the UAP can empty the urine drainage bag.Preop client with prolonged PTT is lethargic with pale, diaphoretic skin. The client's BP is 70/40. When assisting the nurse to care for this client, the UAP should be assigned which task? - Position the client as directed. The HCP prescribes an immediate transfusion of packed RBCs. After the nurse obtains the first unit of blood, what task can be delegated to the UAP? - Obtain the client's vital signs and report the results to the nurse before the transfusion is started
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hesi case study management of a surgical unit
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