A nurse is preparing to administer amoxicillin 350 mg PO. Amoxicillin 250 mg/5 mL is available. How many mL should the nurse administer? mL

A.Evaluation is the final step of the nursing process, where the nurse compares the client's current status against the previously established goals. This step determines if the interventions were successful or if the plan of care needs modification. It occurs after the implementation phase and is not the stage where goals are initially formulated.

B.Planning is the phase of the nursing process where the nurse develops a care plan based on the assessment data and nursing diagnoses. A primary component of this stage is the formulation of measurable, client-centered goals and expected outcomes. These goals serve as the blueprint for selecting nursing interventions and provide the criteria for the later evaluation of the patient's progress.

C.Assessment is the first step of the nursing process, involving the systematic collection of subjective and objective data about the client's health status. While this data informs the entire process, the actual creation of goals does not occur until the data has been analyzed. Goal setting follows the identification of specific nursing diagnoses derived from this initial assessment.

D.Implementation is the action-oriented phase where the nurse carries out the interventions identified during the planning stage. This involves performing clinical tasks, providing education, and coordinating care to help the client meet their goals. While implementation is the application of the plan, it is not the stage where the goals themselves are designed.

A.According to Maslow's hierarchy, physiological needs such as food, water, and shelter are the most basic requirements for human survival. Losing a home in a fire immediately threatens the clients' access to safe shelter, which is a primary physiological necessity. The nurse must prioritize addressing these foundational needs before moving on to higher-level psychosocial or emotional concerns.

B.Psychosocial needs, including love and belonging, are higher-level needs that become the focus once physiological and safety requirements are met. While the couple certainly has psychosocial needs following a trauma, their immediate lack of housing is a more urgent priority. Maslow’s framework dictates that lower-level survival needs must be satisfied before the individual can address social or emotional goals.

C.Self-actualization represents the highest level of Maslow's hierarchy, focusing on personal growth and achieving one's full potential. This stage is only attainable when all other deficiency needs, including physiological and safety needs, have been adequately fulfilled. In a crisis situation where basic survival is at risk, self-actualization is not the priority for the nurse’s assessment or intervention.

D.Esteem needs involve the desire for respect, self-confidence, and a sense of accomplishment. These are important for long-term psychological health but are not the primary concern for a couple who has just lost their physical residence. The nurse must focus on the immediate physiological threat of homelessness before addressing the impact the event may have on the clients' self-esteem.