NURSEREP

Newborn with Jaundice RN Case Study The laboring client is admitted to the labor and delivery unit. Her pregnancy is uncomplicated and she has received routine prenatal care starting at 8 weeks' gestation. After 14 hours of intense labor, she is physically and emotionally too exhausted to continue unassisted. The healthcare provider (HCP) uses low forceps to assist with the delivery of the infant. The client is relieved to have a vaginal delivery of an infant boy at 38 weeks' gestation who w...

Management of Surgical Unit The nurse manager is the charge nurse on a busy surgical unit in a major metropolitan hospital. The charge nurse is working with a team composed of registered nurses (RNs), practical nurses (PNs), and unlicensed assistive personnel (UAPs). The charge nurse for the previous night shift is giving verbal report to Ms. Hatch and the oncoming staff nurses. During the report, one of the UAPs interrupts to state that a client is vomiting. How should Ms. Hatch respond? Requ...

Management of an Oncology Unit RN Case Study This scenario demonstrates leadership and management on an oncology unit. Using effective leadership skills, the charge nurse demonstrates skill in priority setting, delegation, supervision, and client care assignments. Students on the oncology unit have the opportunity to observe effective communication and team collaboration resulting in the provision of safe client care. Ms. Young asks the nurse about the lab data and the nurse responds by saying ...

Management of a Pediatric Unit Which phone message requires the most immediate response by Ms. Sanku? 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. Which situation requires the most immediate follow-up by the nurse? A mother expressing concern that her baby refuses to take formula, stating that the infant's "soft spot" seems more sunken. Which child requires the most immediate ...

Management of a Medical Unit RN Case Study The nurse manager is the 7:00 a.m. to 7:00 p.m. charge nurse on a general medical unit that includes five telemetry-monitored rooms. The nursing staff includes experienced nurses, newly-licensed nurses, practical nurses (PNs), unlicensed assistive personnel (UAPs), and a unit secretary. Each newly-licensed nurse has an assigned staff nurse as a preceptor. In addition to the nursing staff, a respiratory therapist, case manager, and pharmacist are assigne...

Hypertension Meet the Client: George Thomas A group of nursing students is conducting blood pressure and cholesterol screenings outside a local home improvement store on Saturday morning for its community service project. George Thomas, a 52-year-old Caucasian male stops by the booth to have his blood pressure and cholesterol checked. He tells the students that he is a construction foreman. Assessment: George’s blood pressure is 189/110. His LDL Cholesterol is 200 mg/dL. He asks the stu...

The Emergent Care Clinic RN Case Study The Emergent Care Clinic is a fast-paced, 20-bed, free-standing, acute care facility. The Emergent Care interdisciplinary team includes registered nurses (RN), licensed practical nurses (LPN), unlicensed assistive personnel (UAP), physicians, advanced practice registered nurses (APRN), and other collaborative care team members. The facility is located in an urban area and is open for business 24 hours a day, 7 days a week. Which client should the charge ...

Med Surg Visual and Auditory Problems The nurse evaluates that wearing bifocals improved the patient's myopia and presbyopia by assessing for a. strength of the eye muscles. b. both near and distant vision. c. cloudiness in the eye lenses. d. intraocular pressure changes. ANS: B The lenses are prescribed to correct the patient's near and distant vision. The nurse may also assess for cloudiness of the lenses, increased intraocular pressure, and eye movement, but these data do not evaluate wheth...

HESI Med Surg Respiratory How does fever cause dehydration? D/t excessive fluid loss from diaphoresis. Increased temperature also increased metabolism and the demand for O2. Clients at high risk for pneumonia: ALOC, depressed or absent gag and cough reflex, susceptible to aspirating oropharyngeal secretions, including alcoholics, anesthetized patients, brain injury, drug overdose, stroke victim, immunocompromised, immobile, cigarette smokers, other neuro disorders, debilitated by accumulated...

Emergency and Disaster Nursing mes surg While performing triage in the ED, the nurse determines which patient should be seen first? A. A patient with burns on the face and chest; BP 120/80 mm Hg, HR 92, RR 24. B. A patient with a deformed leg indicating a fractured tibia; BP 110/60 mm Hg, HR 86, RR 18. C. A patient with type 1 diabetes in ketoacidosis; BP 100/60 mm Hg, HR 100 beats/min, RR 32. D. A patient with a respiratory infection with a cough productive of greenish sputum; BP 128/86 mm Hg,...