HESI Case Studies–Management-Management of a Medical Unit (Sean Young) – Flashcards
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"What concerns do you have about your pregnancy and this client care situation?"
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5. The PN requests a change in assignment, stating that due to her pregnancy, she is concerned about entering isolation rooms. How should the charge nurse respond?
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Assign another PN to care for the client and reassign the pregnant PN to other clients
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6. 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?
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Osteoporosis scheduled for a bone mineral density test that day
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7. A client with which diagnosis and upcoming procedure can best be assigned to this PN, rather than an RN?
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-Deliver and prepare the meal tray of the client who is in isolation with MRSA-induced pneumonia -Assist an elderly client who is 3 days postoperative with a bath and change of gown
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8. Which tasks can be delegated to the UAP who is assisting the PN and RN in the care of these 4 clients? (Select all)
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increase the rate of oxygen being administered
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9.
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initiating a referral for durable medical equipment and home health care
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10.
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the RN who is acting as a preceptor for the newly licensed RN
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11.
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an insulin/potassium infusion to treat DKA
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12.
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a 56-yo female client with anemia
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13.
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7.5
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14.
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report any change in mental status, such as disorientation
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15.
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assist the client in returning to a supine position in the bed
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16.
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insufficient instruction and supervision by the RN
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17.
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sinus arrhythmia with rate fluctuation during respiration
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18.
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contact the healthcare provider (HCP) for a prescription to remove the telemetry and transfer the client
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19.
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interpretation of the cardiac rhythm
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20.
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because observation of the procedure will help you provide better care, I will manage our assigned clients while you go
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21.
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-Experiencing dysphagia following a cerebrovascular accident, which necessitates the use of total parenteral nutrition via a central line -recovering second day postoperatively from a total hip replacement surgery
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22.
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schedule time for each nurse on the unit to practice using the insulin pens
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23.
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offer to repeat a demonstration and allow the PN additional practice time
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24.
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go with the nurse to observe the difficulty that clients are experiencing with the pens
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25.
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all clients using insulin pens will measure an accurate dose 100% of the time
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26.
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The inability of these clients to measure an accurate dose with a syringe
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27.
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Unit pharmacist
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28.
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