A nurse is developing a care plan for a client who has schizophrenia and is taking chlorpromazine. Which of the following actions should the nurse include in the plan?

 

Choice A reason:

The statement “Please do not raise your voice at the children. I am the one who left the dishes in the sink.” is an example of effective communication. It demonstrates taking responsibility for one’s actions and addressing the issue calmly and directly. This approach helps to de-escalate potential conflict and promotes a respectful and constructive dialogue among family members. Effective communication in family therapy involves clear, honest, and respectful exchanges that foster understanding and resolution of issues.

Choice B reason:

The statement “If you keep saying that, I will tell everyone what you did last night.” is an example of ineffective communication. It is threatening and manipulative, which can escalate conflict and create a hostile environment. Such statements undermine trust and respect among family members, making it difficult to resolve issues constructively. Effective communication should avoid threats and focus on expressing feelings and concerns in a non-confrontational manner.

Choice C reason:

The statement “Can you tell me the reason you get upset each time I go to the mall?” is a step towards effective communication as it seeks to understand the other person’s feelings. However, it could be improved by using “I” statements to express personal feelings and concerns. For example, “I feel concerned when you get upset each time I go to the mall. Can we talk about it?” This approach reduces defensiveness and encourages open dialogue.

Choice D reason:

The statement “She is always bossing me around. Should she do that?” is an example of ineffective communication. It is accusatory and does not address the issue constructively. Effective communication should focus on specific behaviors and how they affect the individual, rather than making general accusations. For example, “I feel frustrated when I am told what to do. Can we discuss how we can share responsibilities more fairly?” This approach promotes understanding and cooperation.

Step 1: Convert the child’s weight from pounds to kilograms.

• Weight in pounds = 28 lb
• Conversion factor = 1 kg ÷ 2.2 lb
• Weight in kilograms = 28 lb ÷ 2.2
• Result: 12.727 kg (rounded to three decimal places)

Step 2: Calculate the dose of acetaminophen in mg.

• Dose required = 10 mg × Weight in kg
• Dose required = 10 mg × 12.727 kg
• Result: 127.27 mg (rounded to two decimal places)

Step 3: Determine the volume of acetaminophen solution needed in mL.

• Concentration of acetaminophen = 120 mg ÷ 5 mL
• Volume required (mL) = Dose required (mg) ÷ Concentration (mg/mL)
• Volume required (mL) = 127.27 mg ÷ (120 mg ÷ 5 mL)
• Result: 127.27 mg ÷ 24 mg/mL
• Result: 5.303 mL (rounded to three decimal places)

Step 4: Round the volume to the nearest tenth.

• Rounded result: 5.3 mL

Final Answer: The nurse should administer 5.3 mL of acetaminophen.