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 B
Explanation
A. Delegation is important but should follow after establishing goals.
B. Determining goals of the day is the first step in effective time management as it helps prioritize tasks and allocate resources efficiently.
C. Scheduling daily activities is essential but occurs after setting goals.
D. Developing an hourly time frame is a detailed planning step that comes later.
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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