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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.

Answer and Explanation

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.

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Correct Answer is ["B","C","E","F"]

Explanation

A. Hemoglobin: Although an improvement in hemoglobin would be ideal, it may take more time to see a significant change after blood loss or transfusion. A rise in hemoglobin indicates that the body is recovering from blood loss, but it is not as immediate an indicator of improvement as other factors, such as heart rate or blood pressure stabilization.

B. Heart rate: A decrease in the heart rate toward the normal range (60-100 beats/min) indicates improvement in the client's condition. The initial heart rate of 120-128 beats/min (tachycardia) suggests the client may have been compensating for blood loss or pain. A more stable heart rate would suggest a response to treatment and improvement in their cardiovascular status.

C. Pain level: A reduction in pain score is an important indicator of recovery post-surgery. After an emergency cesarean birth, pain management is a critical aspect of recovery, and a reduction in pain intensity would suggest that the client is improving and responding well to pain management interventions.

D. Temperature: A normal temperature would suggest no infection or complications. However, temperature changes in the immediate postpartum period can be influenced by various factors (e.g., infection, hormonal changes, or recovery from surgery). It is not as immediate an indicator of recovery as heart rate or blood pressure.

E. Vaginal bleeding: A decrease in vaginal bleeding, especially after a cesarean, would indicate that bleeding is being effectively controlled and the uterus is contracting appropriately, reducing the risk of hemorrhage or complications like uterine atony.

F. Blood pressure: A return to normal blood pressure levels (e.g., closer to the pre-pregnancy baseline) would indicate that the client's circulatory status is stabilizing. The dropping blood pressure seen earlier (from 95/62 mm Hg to 85/48 mm Hg) indicated hypovolemic shock or a response to blood loss, so stabilization and an increase in blood pressure would be a positive sign.

A. A nurse experiences insulting comments directed at them by another nurse. B. A nurse submits a complaint about another department's handoff reporting. C. A nurse expresses concern that another shift works fewer holiday hours. D. A nurse has a personal difficulty with caring for clients who have HIV.

Correct Answer is A

Explanation

A. Interpersonal conflict occurs when there is a disagreement or negative interaction between two individuals. Insulting comments directed at a nurse by another nurse clearly represent an interpersonal conflict.

B. A complaint about handoff reporting is an issue between departments and may involve interdepartmental or communication problems, not interpersonal conflict.

C. A concern about holiday hours is a work scheduling issue and may relate to workload fairness rather than interpersonal conflict.

D. A personal difficulty with caring for clients who have HIV is an intrapersonal conflict, as it reflects the nurse’s internal struggle, not a conflict between two individuals.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client. Exhibits The nurse is caring for a client on the postpartum unit. The nurse is caring for the client following an emergency cesarean birth. Which of the following findings indicate an improvement in the client's condition? Select all that apply.

Correct Answer is ["B","C","E","F"]

Explanation

A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict?

Correct Answer is A

Explanation

A nurse is caring for a client who is in the active phase of labor and has decided to have a natural childbirth. Which of the following pain management techniques should the nurse suggest?

A nurse is preparing to administer three medications to a client who is receiving continuous enteral feeding through an NG tube. Which of the following actions is appropriate for the nurse to take?

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A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

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A nurse is assessing a client following an esophagogastroduodenoscopy. Which of the following findings should the nurse report to the provider?

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