An instructor overhears a student say, "That family seems to disagree more than agree. The family seems to be dysfunctional." To further assess the family's situation, which would be an appropriate instructor reply?
A. "Families who disagree can be a challenge to the treatment team."
B. "You seem very critical of the family. Do you believe that you are unable to help them?"
C. "Let's bring the family in for an educational session to improve their communication."
D. "What appears to trigger family disagreements?"
D
In the assessment phase of the nursing process, the nurse collects comprehensive health data that are pertinent to the client's health or situation. In this situation, prior to intervening with this family, the nurse needs further information about the cause of family conflicts.
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The optimal measurement of intravascular fluid status during the immediate fluid resuscitation phase of burn treatment is:
a. blood urea nitrogen. b. daily weight. c. hourly intake and urine output. d. serum potassium.
The mother of a 2-1/2-year old child who has had tonsillitis asks about the possibility of a tonsillectomy for the child. The nurse informs the mother that tonsillectomies are usually performed when the child is over 3 years old
The mother wants to know why children younger than 3 have to wait for a tonsillectomy. Which of the following is the nurse's best answer? a. "Surgery is too difficult on a younger child, because their mouths are so small, making it difficult to get to the tonsils." b. "It is too scary for younger children, and they don't understand what is happening." c. "Younger children are more prone to excessive blood loss and the tonsils growing back." d. "Separation from the parents or caregivers is much more difficult in the child under 3."
Angiotensin-converting enzyme inhibitors can limit the progression of some forms of renal disease by:
A. increasing intraglomerular pressure B. reducing efferent arteriolar resistance C. enhancing afferent arteriolar tone D. increasing urinary protein excretion
A nurse receives new prescriptions for a client with severe burn injuries who is receiving fluid resuscitation per the Parkland formula. The client's urine output continues to range from 0.2 to 0.25 mL/kg/hr. Which prescription should the nurse question?
a. Increase intravenous fluids by 100 mL/hr. b. Administer furosemide (Lasix) 40 mg IV push. c. Continue to monitor urine output hourly. d. Draw blood for serum electrolytes STAT.