HESI: Delegation of Nursing Management Questions and correct detailed answers 2024 Update

3. The charge nurse checks the code cart and equipment for safety and function. Which inspections are necessary to ensure that the defibrillator is serviceable and ready for use during an emergency? -Answer- -Electrical cords are in good repair. (Electrical cords must be in good repair to avoid a safety hazard and for the defibrillator unit to be serviceable and ready for use during an emergency.) -Defibrillator passes a system check. (The defibrillator should pass a system check at the beginning of every shift to ensure that the defibrillator unit is serviceable and ready for use during an emergency.) -Defibrillator pads/paddles are available. (Defibrillator paddles or pads are required to deliver the electrical impulse to the client during an emergency.) 4. HESI: Delegation of Nursing Management Questions and correct detailed answers 2024 Update The charge nurse sees a staff member arriving late and walking off balance. Which action is the most important intervention for the charge nurse to take? - -Answer-Ask the staff member to join them in the nurse manager's office. (The charge nurse should get the manager involved with evaluating the staff member's condition. The charge nurse should also assist the manager with documenting evidence and confronting the staff member about the problem.) 5. Three police officers arrive at the Emergency Department (ED). One of the officers casually asks an experienced nurse, who the police officer knows, to collect a blood sample from a comatose client who arrived by ambulance from a major accident during the previous shift. The experienced ED staff nurse begins to gather the equipment necessary for the requested blood sample and prepares to draw the blood. Which action is most important for the charge nurse to take? - -Answer-Stop the staff nurse and ask the hospital supervisor about the blood sampling policy. (The police officer has not presented any legal grounds for collecting this client's blood, which should be found in the hospital policy. Many hospital policies include requiring consent by the client, requiring a legal warrant from a judge, or establishing that the client is under arrest. The charge nurse is a new to the position and should check with their resources before allowing collection of this blood sample by an outside agency without a healthcare provider prescription.) 6. The charge nurse tells the staff nurse and the police officers the conditions for blood sample collection and shows them a printed copy of the hospital policy. The staff nurse HESI: Delegation of Nursing Management Questions and correct detailed answers 2024 Update tells the charge nurse, that they do this all the time and it is no problem. The staff nurse then prepares to collect the blood sample as the police observe. Which is the best action for the charge nurse to take in this situation? - -Answer-Tell the nurse that this action is unethical, that it violates hospital policy, and that this procedure should stop. (The police officer has still not presented any legal basis for obtaining this blood sample and the experienced staff nurse is about to violate this comatose client's right to refuse this blood sampling as well as violate hospital policy. With this response, the charge nurse is using the evidence-based TeamSTEPPS® approach to address unsafe or unethical actions by applying the acronym CUSS (Concerned, Uncomfortable, Safety/Ethical issue, Stop).) 7. The experienced staff nurse stops immediately and a police officer calls a police supervisor. A judge provides a warrant and then the nurse collects the blood sample. Soon, an agitated older client with acute altered mental status arrives by ambulance. The emergency medical service (EMS) personnel have the client strapped to a gurney and are standing in the hall way waiting for instructions. The triage nurse asks the charge nurse which treatment room is available for an agitated older client with acute altered mental status. Which treatment room would be the most ideal place for this client? - -Answer-Room nearest the nurses' station. (This client has a higher safety risk and needs close supervision. The room nearest the nurses' station affords the entire unit to assist the nurse managing this client's care.)