A nurse is caring for a client who is dying.
One of the client's family members tells the nurse, "I need to help.
What can I do?" Which of the following actions should the nurse take?
Suggest that the family member contact a grief counselor.
Describe a personal experience with the death of a family member.
Include the family member in providing care for the client.
Ask if they have had prior experience with the death of a family member.
The Correct Answer is C
Choice A rationale
Suggesting that the family member contact a grief counselor may be helpful, but it does not address their immediate need to help. Involving the family member in care can provide emotional support and a sense of purpose.
Choice B rationale
Describing a personal experience with the death of a family member may offer empathy but can shift the focus away from the client's needs. It is essential to keep the conversation centered on the family member's desire to help.
Choice C rationale
Including the family member in providing care for the client is an appropriate action. It allows them to participate actively, provides emotional support, and can be comforting for both the client and the family member.
Choice D rationale
Asking if the family member has had prior experience with the death of a family member may be relevant but does not directly address their desire to help. It is more effective to involve them in the care process immediately. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Verifying the bilirubin level of the tube contents is not a standard or reliable method for checking the placement of a feeding tube. Bilirubin is a bile pigment found in the liver and bile ducts, and its levels are not indicative of tube placement in the gastrointestinal tract.
Choice B rationale
Checking the pH level of gastric contents can help determine if the tube is in the stomach, but it is not the most reliable method. Gastric pH is typically acidic (1.5-3.5), but the pH can vary, and this method does not rule out respiratory placement or other incorrect placements.
Choice C rationale
Auscultating for air insufflation involves listening for the sound of air injected through the tube into the stomach. However, this method is not reliable as it does not confirm the exact location of the tube and can give false positives if the tube is in the esophagus or respiratory tract.
Choice D rationale
Requesting a chest x-ray is the most reliable method for verifying feeding tube placement. It provides a clear visual confirmation of the tube's location, ensuring it is correctly positioned in the stomach or small intestine and not in the respiratory tract or other incorrect locations.
Correct Answer is ["7"]
Explanation
Step 1: mg/kg/day × 35 kg = 2800 mg/day
Step 2: 0 mg/day ÷ 4 doses/day = 700 mg/dose.
Step 3: mg ÷ (1 g/10 mL) = 700 mg ÷ (1000 mg/10 mL)
Step 4: mg ÷ 100 mg/mL = 7 mL.
The nurse should administer 7 mL per dose.
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