Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

HESI RN EXIT CASE STUDY - POSTPARTUM, Exams of Medicine

1. HESI case studies exam preparation tips 2. How to pass HESI case studies exam 3. HESI case studies exam practice questions 4. HESI case studies exam study guide pdf 5. Best resources for HESI case studies exam 6. HESI case studies exam scoring system explained 7. HESI case studies exam time management strategies 8. Common mistakes to avoid on HESI case studies exam 9. HESI case studies exam review course online 10. HESI case studies exam sample questions with answers 11. HESI case studies exam difficulty level 12. How to improve critical thinking for HESI case studies exam 13. HESI case studies exam retake policy 14. HESI case studies exam vs NCLEX comparison 15. HESI case studies exam format and structure 16. HESI case studies exam success stories 17. HESI case studies exam study group near me 18. HESI case studies exam last-minute revision tips 19. HESI case studies exam for nursing students 20. HESI case studies exam pass rate statistics

Typology: Exams

2024/2025

Available from 07/02/2025

stacey-studyguide
stacey-studyguide 🇺🇸

482 documents

1 / 7

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1 / 4
HESI RN EXIT CASE STUDY - POSTPARTUM
1. 1. Prior to discontinuing the IV oxytocin, which assessment is most impor- tant for the nurse to
obtain
ANS: Uterine firmness.
2. 2. The postpartum client has minimal sensation in her lower extremities, due to the effects of the
epidural anesthesia. What is the priority nursing concern for this client
ANS: Fall risk.
3. 3. What is the priority nursing action to address the client's needs related to her repaired 4th
degree perineal laceration
ANS: Apply perineal ice packs consis- tently for the first 24 hours.
4. 4. The nurse performs the first assessment upon the client's arrival to the postpartum unit. Where
would the nurse expect to palpate the fundus
ANS: 1 cm above the umbilicus.
5. Fifteen minutes after the initial assessment, the nurse finds the client disori- ented and lying on her
back in a pool of vaginal blood, with the sheets beneath her saturated with blood.
5. Which action is most important for the nurse to implement immediately
ANS: -
Massage the fundus.
6. 6. What is the best method for the nurse to use to obtain immediate assis- tance
ANS: Activate the priority call light from the bedside.
pf3
pf4
pf5

Partial preview of the text

Download HESI RN EXIT CASE STUDY - POSTPARTUM and more Exams Medicine in PDF only on Docsity!

HESI RN EXIT CASE STUDY - POSTPARTUM

1. 1. Prior to discontinuing the IV oxytocin, which assessment is most impor- tant for the nurse to

obtain ANS: Uterine firmness.

2. 2. The postpartum client has minimal sensation in her lower extremities, due to the effects of the

epidural anesthesia. What is the priority nursing concern for this client ANS: Fall risk.

3. 3. What is the priority nursing action to address the client's needs related to her repaired 4th

degree perineal laceration ANS: Apply perineal ice packs consis- tently for the first 24 hours.

4. 4. The nurse performs the first assessment upon the client's arrival to the postpartum unit. Where

would the nurse expect to palpate the fundus ANS: 1 cm above the umbilicus.

5. Fifteen minutes after the initial assessment, the nurse finds the client disori- ented and lying on her

back in a pool of vaginal blood, with the sheets beneath her saturated with blood.

  1. Which action is most important for the nurse to implement immediately ANS: - Massage the fundus.
    1. What is the best method for the nurse to use to obtain immediate assis- tance ANS: Activate the priority call light from the bedside.
    1. The nurse has requested assistance and personnel are on their way. While waiting for help to arrive, what is the next priority action ANS: Assess for bladder distention.
    1. The charge nurse, two staff nurses, and an unlicensed assistive personnel (UAP) rush in to assist the nurse with the client. Which task is best delegated to the UAP during this crisis ANS: Obtain the vital signs and O2 saturation.
    1. The HCP is notified that the client is hemorrhaging and has an estimated blood loss of 1,200 mL since delivery. Her blood pressure is 70/40 mmHg, pulse 120 beats/min, respirations 28 breaths/min, and O2 saturation 73%. The HCP's prescription includes stat oxytocin 10 units in each liter of normal saline to infuse at 40 milliunits (mU)/minute. How many mL of oxytocin should the nurse draw up in the syringe to inject into the 1000 mL bag of normal saline? (Enter numerical value only. If rounding is necessary, round to the tenth.): 1
    1. The HCP prescribed 0.2 mg of methylergonovine, and the vial contains 0.8 mg/mL. How many mL of methylergonovine should the nurse draw up in the syringe? (Enter numerical value only. If rounding is necessary, round to the hundredth.): 0.
    1. The oxytocin has been infusing at the prescribed rate for 20 minutes. The nurse reassesses the client.
  1. Which finding is most indicative that the medication is reaching a thera- peutic level ANS: Firm fundus.

Oral 720 mL IV 500 mL Blood 300 mL Total Intake 1,520 mLOUTPUT: Urine 500 mL (catheterized 4 hours ago just prior to birth) Bleeding 1,600 mL

Total Output 2,120 mL

  1. What is the difference in the client's intake and output? (Enter numerical value only. If rounding is necessary, round to the whole number.): 600
    1. The client uses the call system to notify the nurse that she would like to ambulate to the bathroom. Which nursing intervention would be most appropriate at this time ANS: Tell the client the nurse will come to assist her to the bedside commode.
    1. Considering the client's history, what would be the most likely cause of her headache ANS: Epidural anesthesia.
    1. Considering the client's history and acuity level, which is the best nurse to assign to her care ANS: Labor and delivery nurse with 12 years of experience, who was called in to work for 4 hours until 2300.
    1. Who is the best person to speak with the client's HCP ANS: The client's nurse, who has already given the shift report and is preparing to clock out and go home to sleep.
    1. Which task is best for the nurse to delegate to the UAP ANS: Obtain and document the client's vital signs, reporting results to the nurse.
    1. Prior to administering the medications to the client, which informa- tion should the nurse include about caffeine and sodium benzoate ANS: Caffeine and sodium benzoate will constrict the cerebral blood vessels and decrease the headache.
  2. While the client is resting, the blood bank calls and tells the nurse that her infant's blood type is A positive, and the blood drawn from the client after delivery indicates that she is indirect Coombs' negative and non-sensitized.
  3. Based on this information, what is the correct nursing action ANS: Allow the client to rest and administer the RhoGam as prescribed at a later time.
    1. The client's spouse comes to the nursing station and asks for an update on her condition. The nurse explains that the client is resting while receiving her second unit of blood and that her fundus is firm, her vital signs are stable, and she was able to use the bedpan to void. She tells the spouse that when the client sat up to void, she developed a severe migraine and is now being treated for PDPH. The nurse explains this disorder and the necessary treatment. The spouse becomes frustrated and storms off the unit shouting, that he can't believe how incompetent the people are here at this hospital. The spouse states that the staff almost let his wife bleed to death, and the provider who put in the epidural catheter didn't know what he was doing and that someone is going to pay for this. The spouse goes into the client's room where she

carrying the infant. Which priority action should the nurse implement

ANS: Notify the security personnel and direct all staff to report to their assigned exit in the hospital.