A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Agree on a desired outcome.

Collect the relevant facts.

Examine personal values.

Create a plan of action.

Answer and Explanation

The Correct Answer is B

A. Agree on a desired outcome:

Before agreeing on a desired outcome, it is important to collect relevant facts and information about the situation. Understanding the specifics of the case is crucial for making informed decisions.

B. Collect the relevant facts:

This is the correct answer. Gathering information and understanding the facts surrounding the situation is the initial step in addressing any ethical dilemma. This includes understanding the nature of the medical treatment, reasons for refusal, and potential consequences for the child.

C. Examine personal values:

While personal values are important to consider, examining personal values typically comes later in the ethical decision-making process. The nurse first needs to understand the facts and the context of the situation.

D. Create a plan of action:

Creating a plan of action should be based on a thorough understanding of the situation, including the relevant facts and considerations. It is a step that follows the collection of information.

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Correct Answer is ["0.7"]

Explanation

To calculate the volume (mL) that the nurse should administer, we can follow these steps:

Convert the weight from pounds to kilograms.

1 lb=0.453592 kg.

66 lb×0.453592 kg/lb≈29.937 kg

Calculate the total dose using the weight and prescribed dose:

Total Dose (mg)=Dose per kg×Weight (kg)

Total Dose=0.55 mg/kg×29.937 kg≈16.465 mg

Determine the volume using the concentration of the available solution:

Volume (mL) =Total Dose (mg)/Concentration (mg/mL)

Volume=16.465mg/25 mg/mL≈ 0.6586 mL

Therefore, the nurse should administer approximately 0.7 mL of chlorpromazine for the 0.55 mg/kg IM dose, rounded to the nearest tenth.

Correct Answer is ["3"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL) = Dose (mg)/Concentration (mg/mL)

In this case:

Volume = 30 mg/10 mg/mL
Volume=3mL

Therefore, the nurse should administer 3 mL of furosemide 30 mg IM.

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A nurse is assisting with the plan of care for a child whose parents refuse to accept the medical treatment prescribed by the provider. Which of the following actions should the nurse plan to take first to address this ethical dilemma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer chlorpromazine 0.55 mg/kg IM to a child who weighs 66 lb. Available is chlorpromazine 25 mg/mL for injection. How many mL should the nurse administer? (Round the answer to the nearest tenths. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.7"]

Explanation

A nurse is preparing to administer furosemide 30 mg IM to a client. Available is furosemide 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

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