HESI Case Studies–Management-Management of a Surgical Unit (Linda Hatch) – Flashcards
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Request that a night shift staff RN go to the room to evaluate the situation
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1. During the report, one of the UAPs interrupts to state that a client who is 1 day post abd surgery is now vomiting large amounts of green fluid. How should Ms. Hatch respond to this situation?
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Your concern needs to be addressed with the unit manager
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2.
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An afebrile client who is 2 days postoperative with an abdominal incision and a Jackson-Pratt drain
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A client who is experiencing hypoactive bowel sounds on the second postoperative day after a colon resection
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Assign an additional client to each of the day shift staff nurses
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A postoperative client with a tracheostomy who has signs of a tracheoesophageal fistula
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Assess the client with the possible fistula while the PN assists the other client to the restroom
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While the RN manually irrigates the tubing, the UAP can empty the urine drainage bag
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Position the client as directed
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Obtain the client's vital signs and report the results to the nurse before the transfusion is started
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Hold the tray and contact the surgeon for clarification of the client's preoperative needs
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11.
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"Tell me what is making you feel uneasy."
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12.
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Dyspnea and a cough that produces frothy, white sputum
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A postoperative client who is needing an indwelling urinary catheter inserted after surgery
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14.
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Go with the PN to supervise the procedure
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Apply the client's antiembolism (TED) stockings
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16.
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"Let's work together to reapply the stockings while I talk to the client about the purpose of TEDs"
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Advise the primary nurse of the responsibility to review all vital signs obtained by the UAP
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18.
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Explain the need to implement this change in policy
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"I will bring your concern tot he attention of the wound care team."
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Consult with the primary nurse caring for the client
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"You are responsible for monitoring tasks delegated to the UAP."
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Encourage both staff members to practice effective communication with one another
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Knee surgery requiring continuous use of passive motion therapy
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The UAP can assist the PN in transferring the client to the skilled care unit while the RN admits the client awaiting emergency surgery
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