A nurse is caring for a young client who is actively dying of renal failure.
What should the nurse do when caring for the dying client's family members?

Step 1: Identify the desired dose: 165 mg.

Step 2: Identify the concentration of the medication: 105 mg in 5 mL.

Step 3: Set up a proportion to find the required volume (x mL):
105 mg / 5 mL = 165 mg / x mL

Step 4: Solve for x:
105 × x = 165 × 5

Step 5:
105x = 825

Step 6:
x = 825 ÷ 105

Step 7:
x ≈ 7.857 mL

Final Answer: The nurse should give approximately 7.9 mL.

Choice A rationale

While reporting communicable diseases is a public health responsibility, it is typically mandated by law and health regulations, not specifically a requirement that nurses *always* report to the Board of Nursing in Texas. Reporting protocols usually involve health departments.

Choice B rationale

Parents declining treatment for a child can raise ethical and legal concerns, potentially involving child protective services or the legal system, but it is not always a direct reporting requirement to the Texas Board of Nursing unless it involves professional misconduct by a nurse.

Choice C rationale

A patient's decision to leave against medical advice is a matter of patient autonomy. While nurses document this and ensure the patient understands the risks, it is not typically a mandatory reporting situation to the Texas Board of Nursing unless there are specific concerns about the nurse's conduct related to the discharge.

Choice D rationale

Abuse of older adults by another nurse directly involves the professional conduct and potential harm caused by a licensed nurse. The Texas Board of Nursing is responsible for regulating nursing practice and ensuring patient safety, making it mandatory for nurses to report such instances of misconduct by a colleague.