HESI Case Study- Management of a Medical Unit – Flashcards
Unlock all answers in this set
Unlock answersquestion
Which client situation requires the most immediate intervention by the charge nurse?
answer
New onset ST segment elevation is observed on the telemetry monitor of a client admitted with angina.
question
What action should Mr. Young take?
answer
Request that another staff RN obtain the report.
question
How should the charge nurse respond to this situation?
answer
Remain with he client who has angina and assign a PN to monitor the confused client while the UAP obtains a bed alarm.
question
Who should the charge nurse assign to care for this client?
answer
The newly licensed nurse and staff nurse preceptor.
question
How should the charge nurse respond?
answer
What concerns do you have about your pregnancy and this client care situation?
question
When adhering to the ethic of caring in a leadership role while still maintaining client safety, what is the best action for the charge nurse to implement?
answer
Assign another PN to care for the client and reassign the pregnant PN to other clients.
question
Which diagnosis and upcoming procedure can best be assigned to this PN, rather than an RN? A client with:
answer
Osteoporosis scheduled for a bone mineral density test that day.
question
Which task can be delegated to the UAP who is assisting the PN and RN in the care of these 4 clients?
answer
Deliver and prepare the meal tray of the client who is in isolation with MRSA-induced pneumonia.
question
Which action should the respiratory therapist take?
answer
Increase the rate of oxygen being administered.
question
Mr. Young consults with the case manager about which aspect of the client's care?
answer
Initiating a referral for durable medical equipment and home health care.
question
It is best for the newly licensed RN to collaborate with which team member to ensure that the dosage is adjusted correctly?
answer
The RN who is precepting the newly licensed nurse.
question
When changing client care assignments, Mr. Young knows that it is important to assign the client on which medication/solution to the care and expertise of another RN rather than a PN?
answer
An insulin/potassium infusion to treat diabetic ketoacidosis (DKA)
question
Which one of the RN's cients can best be assigned to the PN?
answer
A 56-year-old female client with anemia due to long-term chronic renal failure who is scheduled for a hemodialysis treatment that afternoon.
question
How many mL should be added to the 500 mL bag?
answer
7.5 mL
question
Which instruction should the nurse convey to the UAP?
answer
Report any changes in mental status, such as disorientation.
question
Which action should the nurse implement?
answer
Assist the client in returning to a supine position in the bed.
question
In reviewing the situation with the UAP and RN assigned to the client, Mr. Young needs to emphasize which problem?
answer
Insufficient instruction and supervision by the RN.
question
The client with which telemetry pattern is best to consider for transfer?
answer
Sinus arrhythmia with rate fluctuation during respiration.
question
After identifying the client that is the safest to transfer from the telemetry area, what action should Mr. Young take next?
answer
Contact the healthcare provider for a prescription to remove the telemetry and transfer the client.
question
It is most important for the preceptor to supervise which nursing intervention performed by the newly licensed RN?
answer
Interpretation of the cardiac rhythm.
question
What is the best response by the preceptor?
answer
Because observation of the procedure will help you provide better care, I will manage our assigned clients while you go.
question
In planing a cient care assignment independent of the preceptor for the next day, which client is best to assign to the new RN?
answer
Experiencing dysphagia following a CVA, which necessitates the use of total parenteral nutrition via a central line.
question
To ensure that all the staff are competent in the use of the new equipment, which action is most important for Mr. Young to implement?
answer
Schedule time for each nurse on the unit to practice using the insulin pens.
question
How should Mr. Young respond?
answer
Offer to repeat a demonstration and allow the PN additional practice time.
question
Which action should MR. Young implement first?
answer
Go with the nurse to observe the difficulty the clients are experiencing with the pens.
question
In preparing a study of this problem, which goal statement is best for the team to identify?
answer
All clients using insulin pens will measure an accurate dose 100% of the time.
question
What additional information is most important for the quality improvement team presenting a recommendation to the administration about teaching clients how to use insulin pens?
answer
The inability of these clients to measure an accurate dose with a syringe.
question
In preparing the recommendation, it is most valuable to obtain input from which member of the healthcare team?
answer
Unit pharmacist.
question
In preparing the recommendation, it is most valuable to obtain input from which member of the healthcare team?
answer
Unit pharmacist.
question
In preparing the recommendation, it is most valuable to obtain input from which member of the healthcare team?
answer
Unit pharmacist.
question
In preparing the recommendation, it is most valuable to obtain input from which member of the healthcare team?
answer
Unit pharmacist.
