Leadership/Management Exit HESI
Finding a client sitting on the floor, nurse calls for help from UAP
Get a BP cuff
Assigning a UAP to assist client with personal care
Prescribed activity level
The ICU is full and short staffed, so nursing super informs charge nurse in the med dept that one nurse
must float to the ICU
Staff nurse who was cross-trained to work in the critical care dept
Charge nurse developing guidelines for a coronary care unit
The scope of standards of practice from the American nurses association
Which patient should be assigned to a nurse that is floated from maternity unit
Post op hysterectomy
There has been a major disaster. Triage nurse should give which patient priority
Cut over eye
Delegate to LPN
Dressing change
Move which patient to medical surgical unit
Patient with ABNL liver levels
One open bed in ICU but reserved for patient coming from PACU with respiratory problems, what to do
Take patient to ICU and arrange for respiratory patient to stay in PACU
UAP giving complete bath-which patient is more concern
Patient with dyspnea (SOB when lying flat)
Which one shows nurse manager being _____ (means no team work)
?
ER nurse getting moved to L&D, what patient should leader assign
Patient with episiotomy infection
DNR
Notify the family
Against medical Advice (AMA)with and IV
RN removes IV, sign the document AMA form
Prescriptions-telephone
repeat order back to doctor to make sure it is correct
, Confidentiality-emergency department
don’t give out information about patient, don’t talk about patients condition in front of people, keep
records safe
Malpractice
negligence by professional personnel
Ex: buring client with hot heating pad, ignoring s/s of bleeding, giving wrong medication
Patient bill of rights
show pt there bill of rights, they have the right to see their chart and anything regarding their care
Assign PN-scope of practice
No assessments, teaching (newly DX'd), IV's, blood transfusions, no suicide patients, no critical
patients
Assignments-new grad
graduate nurse supervised by RN, what pt to give? Infusing antibiotic or choosing catheter port
Unsafe nurse
after nurse goes through rehab she can do her job regularly
Brain death-organ donation
if person is organ donor and is brain dead, organs can be donated
Critical lab value
high levels or low levels (know levels) potassium is a priority lab value
Fibromyalgia assistance
provide uninterrupted sleep and refer to pain specialist
RN role-assess
RN’s assess not LPN or UAP
Med error- action
assess pt, incident report, notify doctor, document amt prescribed, and dosage given
Know rules for Immunization permission
Priority care
Management
Ethical
Assign least care to UAP
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