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HESI MANAGEMENT OF CARE QUESTIONS & ANSWERS

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HESI MANAGEMENT OF CARE QUESTIONS & ANSWERS

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HESI MANAGEMENT OF CARE QUESTIONS &
ANSWERS

Which are the priority nursing actions after the completion of the secondary survey
when providing care for a trauma client with a penetrating wound? Select all that apply.
1
Documenting the client's care
2
Formulating the client's plan of care
3
Reassessing the client's level of consciousness
4
Administering tetanus prophylaxis to the client
5
Transferring the client to the general medical unit - Answer -Documenting the client's
care
Administering tetanus prophylaxis to the client

The priority nursing actions after completion of the secondary survey during the
emergency assessment include documenting all client care and administering tetanus
prophylaxis. Formulating the client's plan of care, reassessing level of consciousness,
and transferring the client to the general medical unit are nursing actions implemented
once the client is stable.

The registered nurse is teaching a group of nursing students about leadership
principles. Which statement made by a nursing student indicates the need for further
teaching?
1
"A leader has a formal position."
2
"A leader intervenes with courage."
3
"A leader organizes a group of colleagues."
4
"A leader is a specific management position after promotion." - Answer -"A leader has a
formal position."

A leader does not necessarily have a formal position to indicate that he or she is a
leader; rather, leadership refers to the performance. Leaders are those medical
professionals who can intervene with courage when needed. Leaders are also able to
organize a group of colleagues to solve an organizational problem. A nursing medical
professional becomes a leader after promotion.

, A client says, "None of the medications will work on me because I am away from my
holy land." What course of action should the nurse take to comply with teamwork and
collaboration competency according to the Quality and Safety Education for Nurses
(QSEN)?
1
Provide care to the client with respect to his or her diversity, values and beliefs
2
Approach the agency chaplain to discuss the spiritual needs of the client
3
Conduct thorough research on the effect of emotional distress on the client's health
4
Use the flow chart data to provide the best care and monitor the outcome of care
processes - Answer -Approach the agency chaplain to discuss the spiritual needs of
the client

According to Quality and Safety Education for Nurses (QSEN) competency, the nurse
complies with teamwork and collaboration competency to function effectively within the
nursing and interprofessional teams. In the given scenario, the nurse should collaborate
with the agency chaplain to discuss the client's spiritual needs. The nurse complies with
the patient-centered care competency by providing care to the client with respect to his
or her diversity, values, and beliefs. The nurse complies with the evidence-based
practice competency by conducting thorough research on the effect of emotional
distress on the client's health. The nurse complies with the quality improvement
competency by using the flow chart data to provide the best possible care and monitor
the outcome of care processes.

A nursing student is listing the instructions that clients require before leaving a
healthcare facility. Which instruction listed by the nursing student indicates a need for
more education?
1
Provide instruction about accessing available and appropriate community resources.
2
Provide instruction about the safe and effective use of medications and medical
equipment.
3
Provide instructions about all the legislation and guidelines that protect the interests of a
client.
4
Provide instructions about notifying the primary healthcare provider of any changes in
function or new symptoms. - Answer -Provide instructions about all the legislation and
guidelines that protect the interests of a client.

The client does not need to know about legislation and guidelines that protect his or her
interests before leaving a healthcare facility. Before leaving a healthcare facility, the
client requires access to available and appropriate community resources, information
about the safe and effective use of medications and medical equipment, and

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