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 {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
|
Potential prescription |
Anticipated |
Contraindicated |
|
Bupropion 100 mg PO three times daily |
✓ |
|
|
Levomilnacipran 20 mg PO daily |
✓ |
|
|
Citalopram 20 mg PO daily |
✓ |
|
|
Fluoxetine 20 mg PO daily |
✓ |
Rationale
- Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
- Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
- Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
- Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.
Correct Answer is ["6"]
Explanation
Step 1: Calculate the desired dose per minute.
Desired dose = 4 mcg/kg/min * 80 kg = 320 mcg/min
Step 2: Convert mcg/min to mg/hr.
320 mcg/min * 60 min/hr = 19200 mcg/hr = 19.2 mg/hr
Step 3: Calculate the concentration of dopamine in the solution.
Concentration = 800 mg / 250 mL = 3.2 mg/mL
Step 4: Calculate the volume to be infused per hour.
Volume/hr = Dose rate (mg/hr) / Concentration (mg/mL)
Volume/hr = 19.2 mg/hr / 3.2 mg/mL = 6 mL/hr
Therefore, the nurse should set the IV infusion to deliver 6 mL/hr.
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