HESI Case Study: The Emergent Care Clinic with
complete solution
The Emergent Care Clinic is a fast-paced, 20-bed, free-standing, acute care
facility. The Emergent Care interdisciplinary team includes registered nurses
(RN), practical nurses (PN), 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.
Management of Care.
The first action of the charge nurse for the day shift in the Emergent Care Clinic is to
prepare the assignments for the day shift. In addition to the charge nurse, three RNs,
one PN, and two UAPs are scheduled from 7 am to 7 pm
Which client should the charge nurse assign to the PN?
A 20-year-old female who complains of pain to the right lower leg with swelling after
tripping on the sidewalk.
Mr. Jackson, the 45-year-old male client reporting left arm pain and
gastrointestinal upset, is assigned to an RN. It is most important for the RN to
admit Mr. Jackson to which room in the Emergent Care Clinic?
A room with a continuous cardiac telemetry monitor.
A room with a continuous cardiac telemetry monitor.
The UAP assists the RN in getting Mr. Jackson admitted.
Which tasks should the RN delegate to the UAP?
Enter the obtained vital signs in the medical record.
Place a bedside commode in the room.
Enter the obtained vital signs in the medical record.
Place a bedside commode in the room.
Which action should the RN delegate to the UAP next?
Apply a continuous pulse oximeter monitor to the client.
Apply a continuous pulse oximeter monitor to the client.
Mr. Jackson also reports dull, aching pain from his left shoulder radiating to his
left arm. He states the pain comes and goes, and he rates the pain as 5 on a pain
scale of 0 to 10. The RN applies electrodes form the ECG machine to obtain a
tracing of Mr. Jackson's heart function and then analyzes Mr. Jackson's ECG
strip, which shows a normal sinus rhythm.
Which prescription should the RN plan to implement first for Mr. Jackson?
Oxygen at 4 liters per nasal cannula.
, Which inquiry is most important for the RN to make first?
List of current prescription and over-the-counter medications.
After the RN receives Mr. Jackson's laboratory results, which data is most
important to report to the primary HCP?
Serum potassium 2.9 mEq/L
After the RN receives Mr. Jackson's laboratory results, which data is most
important to report to the primary healthcare provider (HCP)?
Serum potassium 3.0 mEq/L.
Finger-stick glucose 180 mg/dL.
The PCP prescribes a potassium supplement and sublingual nitro. Potassium
chloride 40 mEq PO Stat is prescribed. The suppis is potassium chloride 20 mEq
per tablet. The charge nurse notes that Mr. Jackson's primary RN has pulled four
tablets from the automated medication delivery system.
How many capsule(s) should the RN give? (Enter numerical value only. If
rounding is necessary, round to the whole number.)
2
D/H x V =X
40/20 x 1 tablet = X
2 capsules
The next day, the nurse manager of the clinic plans a staff meeting with the
nurses and UAPs to communicate some changes in the scheduling protocol for
the client.
Which method for scheduling the staff meeting allows for the best continuity of
care for the clients and the best communication between management and
employees?
Schedule two meeting times during the day to allow the nurses and UAPs to attend one
of the sessions and maintain continuity of care in the clinic.
The nurse manager conducts the meetings and presents two different protocols
for scheduling. The staff nurses and UAPs vote on the two different options.
The nurse manager demonstrates which type of leadership by allowing the
nurses and UAPs to vote on the staffing protocol?
Participant.
The participative style of leadership is usually the most effective, but there may
be times when other styles are more appropriate.
In which situations should a directive leadership style be used by the charge
nurse?
complete solution
The Emergent Care Clinic is a fast-paced, 20-bed, free-standing, acute care
facility. The Emergent Care interdisciplinary team includes registered nurses
(RN), practical nurses (PN), 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.
Management of Care.
The first action of the charge nurse for the day shift in the Emergent Care Clinic is to
prepare the assignments for the day shift. In addition to the charge nurse, three RNs,
one PN, and two UAPs are scheduled from 7 am to 7 pm
Which client should the charge nurse assign to the PN?
A 20-year-old female who complains of pain to the right lower leg with swelling after
tripping on the sidewalk.
Mr. Jackson, the 45-year-old male client reporting left arm pain and
gastrointestinal upset, is assigned to an RN. It is most important for the RN to
admit Mr. Jackson to which room in the Emergent Care Clinic?
A room with a continuous cardiac telemetry monitor.
A room with a continuous cardiac telemetry monitor.
The UAP assists the RN in getting Mr. Jackson admitted.
Which tasks should the RN delegate to the UAP?
Enter the obtained vital signs in the medical record.
Place a bedside commode in the room.
Enter the obtained vital signs in the medical record.
Place a bedside commode in the room.
Which action should the RN delegate to the UAP next?
Apply a continuous pulse oximeter monitor to the client.
Apply a continuous pulse oximeter monitor to the client.
Mr. Jackson also reports dull, aching pain from his left shoulder radiating to his
left arm. He states the pain comes and goes, and he rates the pain as 5 on a pain
scale of 0 to 10. The RN applies electrodes form the ECG machine to obtain a
tracing of Mr. Jackson's heart function and then analyzes Mr. Jackson's ECG
strip, which shows a normal sinus rhythm.
Which prescription should the RN plan to implement first for Mr. Jackson?
Oxygen at 4 liters per nasal cannula.
, Which inquiry is most important for the RN to make first?
List of current prescription and over-the-counter medications.
After the RN receives Mr. Jackson's laboratory results, which data is most
important to report to the primary HCP?
Serum potassium 2.9 mEq/L
After the RN receives Mr. Jackson's laboratory results, which data is most
important to report to the primary healthcare provider (HCP)?
Serum potassium 3.0 mEq/L.
Finger-stick glucose 180 mg/dL.
The PCP prescribes a potassium supplement and sublingual nitro. Potassium
chloride 40 mEq PO Stat is prescribed. The suppis is potassium chloride 20 mEq
per tablet. The charge nurse notes that Mr. Jackson's primary RN has pulled four
tablets from the automated medication delivery system.
How many capsule(s) should the RN give? (Enter numerical value only. If
rounding is necessary, round to the whole number.)
2
D/H x V =X
40/20 x 1 tablet = X
2 capsules
The next day, the nurse manager of the clinic plans a staff meeting with the
nurses and UAPs to communicate some changes in the scheduling protocol for
the client.
Which method for scheduling the staff meeting allows for the best continuity of
care for the clients and the best communication between management and
employees?
Schedule two meeting times during the day to allow the nurses and UAPs to attend one
of the sessions and maintain continuity of care in the clinic.
The nurse manager conducts the meetings and presents two different protocols
for scheduling. The staff nurses and UAPs vote on the two different options.
The nurse manager demonstrates which type of leadership by allowing the
nurses and UAPs to vote on the staffing protocol?
Participant.
The participative style of leadership is usually the most effective, but there may
be times when other styles are more appropriate.
In which situations should a directive leadership style be used by the charge
nurse?
