NURSING 335 (PEDIATIRIC UNIT) HESI CASE STUDY WEEK 7
WELL AND PERFECTLY ANSWERED!!
Meet the Nurse Manager: Odetta SankuOdetta Sanku is the nurse manager of a
medical center satellite walk-in pediatric clinic in a low-income neighborhood of a
major metropolitan area. The clinic provides services to a nearby day care facility
for children of homeless families. The clinic is staffed by registered nurses (RNs),
licensed practical nurses (LPNs), unlicensed assistive personnel (UAPs), a
physician, and a pediatric nurse practitioner.
At the start of the day, there are several phone messages awaiting attention by the
nurse manager.
Which phone message requires the most immediate response by Ms. Sanku?
Answers :A school social worker who is reporting that a local teenager who often
hangs out around the clinic has made death threats and expressed thoughts of
suicide
The nurse needs additional information as quickly as possible in order to attempt to
deter possible harm to the teenager or others in the area. This situation has highest
priority since the teenager has threatened harm to self and others..
After Ms. Sanku responds to the telephone messages, a staff RN consults with Ms.
Sanku regarding several additional telephone messages from clients
Which situation requires the most immediate follow-up by the nurse?
Answers :A mother expressing concern that her baby refuses to take formula,
stating that the infant's "soft spot" seems more sunken.
The situation indicates the infant is probably dehydrated, and dehydration can lead
to a rapid loss of physiologic integrity in an infant. The nurse should respond to
this situation first.
, After advising the nurse regarding the phone calls, Ms. Sanku learns that initial
histories have been obtained by the intake nurse for several children who have
arrived at the clinic and are waiting with their parents.
Which child requires the most immediate follow-up by a nurse?
Answers :a 9-year-old who got hit on the head with a baseball bad and has a bruise
behind his ear and clear nasal discharge.
Bruising behind the ear following a head injury is referred to as a Battle sign,
which is an indication of a basilar skull fracture. Because the clear nasal drainage
may be cerebrospinal fluid, this child needs the most immediate assessment to
determine the severity of the head injuries. Each of the children is seen by one of
the healthcare providers in order of priority, and the prescribed treatment plans are
initiated.
The nurse is planning care for the teen with a possible fracture of the foot.
Which task(s) can be assigned to the UAP assisting the nurse?
Answers :-Apply a cold pack to the teenager's foot
-Take the teen's vial signs
This nursing skill may be delegated to the UAP with sufficient instruction and
supervision.
Taking vital signs is a common task delegated to a UAP when a life-threatening
complication has not occurred.
When Ms. Sanku enters the room of the fussy 10-month-old, she observes the UAP
calming the infant while the LPN assigned to care for the baby is writing in the
baby's medical record.
What action should Ms. Sanku take?
WELL AND PERFECTLY ANSWERED!!
Meet the Nurse Manager: Odetta SankuOdetta Sanku is the nurse manager of a
medical center satellite walk-in pediatric clinic in a low-income neighborhood of a
major metropolitan area. The clinic provides services to a nearby day care facility
for children of homeless families. The clinic is staffed by registered nurses (RNs),
licensed practical nurses (LPNs), unlicensed assistive personnel (UAPs), a
physician, and a pediatric nurse practitioner.
At the start of the day, there are several phone messages awaiting attention by the
nurse manager.
Which phone message requires the most immediate response by Ms. Sanku?
Answers :A school social worker who is reporting that a local teenager who often
hangs out around the clinic has made death threats and expressed thoughts of
suicide
The nurse needs additional information as quickly as possible in order to attempt to
deter possible harm to the teenager or others in the area. This situation has highest
priority since the teenager has threatened harm to self and others..
After Ms. Sanku responds to the telephone messages, a staff RN consults with Ms.
Sanku regarding several additional telephone messages from clients
Which situation requires the most immediate follow-up by the nurse?
Answers :A mother expressing concern that her baby refuses to take formula,
stating that the infant's "soft spot" seems more sunken.
The situation indicates the infant is probably dehydrated, and dehydration can lead
to a rapid loss of physiologic integrity in an infant. The nurse should respond to
this situation first.
, After advising the nurse regarding the phone calls, Ms. Sanku learns that initial
histories have been obtained by the intake nurse for several children who have
arrived at the clinic and are waiting with their parents.
Which child requires the most immediate follow-up by a nurse?
Answers :a 9-year-old who got hit on the head with a baseball bad and has a bruise
behind his ear and clear nasal discharge.
Bruising behind the ear following a head injury is referred to as a Battle sign,
which is an indication of a basilar skull fracture. Because the clear nasal drainage
may be cerebrospinal fluid, this child needs the most immediate assessment to
determine the severity of the head injuries. Each of the children is seen by one of
the healthcare providers in order of priority, and the prescribed treatment plans are
initiated.
The nurse is planning care for the teen with a possible fracture of the foot.
Which task(s) can be assigned to the UAP assisting the nurse?
Answers :-Apply a cold pack to the teenager's foot
-Take the teen's vial signs
This nursing skill may be delegated to the UAP with sufficient instruction and
supervision.
Taking vital signs is a common task delegated to a UAP when a life-threatening
complication has not occurred.
When Ms. Sanku enters the room of the fussy 10-month-old, she observes the UAP
calming the infant while the LPN assigned to care for the baby is writing in the
baby's medical record.
What action should Ms. Sanku take?
