A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
Encourage the family to assign specific tasks to individual family members.
Assist the family to establish a daily routine.
Refer the family to a grief support group.
Determine the roles of individual family members.
The Correct Answer is D
A. Assigning tasks is important but comes after understanding family dynamics.
B. Establishing a routine is beneficial but should follow assessment.
C. Referring to a support group is valuable but not the immediate first step.
D. Determining family roles helps the nurse assess coping strategies and dynamics, which is essential before planning interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fax the client's name and identifiable information to the rehabilitation facility: Faxing may be insecure and breach confidentiality.
B. Email the client's health information in an unencrypted file: Unencrypted emails are not secure.
C. Discuss the client's response to the transfer with another staff nurse: This is unnecessary and may breach confidentiality.
D. Provide a verbal report of the client's condition to the paramedic performing the transfer: A direct, verbal report ensures that only essential information is shared securely.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Answers: Hypoxemia; Oxygen saturation
Rationale:
Hypoxemia: The client’s oxygen saturation is 88% on room air, which is below the normal range (≥ 95%). Hypoxemia is the most immediate and life-threatening concern as it affects oxygen delivery to vital organs.
Oxygen saturation: Low oxygen saturation is a direct indicator of impaired gas exchange, commonly seen in conditions like pneumonia. The priority intervention is to improve oxygenation, as outlined in the provider's prescription to administer oxygen at 2 L/min via nasal cannula.
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