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Exhibits

The nurse uses the Modified Caregiver Strain Index (MCIS) and determines that the daughter is under significant stress caused by the assumption of her mother's care. The nurse is planning to have a discussion with the daughter on decreasing the stress she is experiencing as a caregiver. Select the 3 statements that the nurse should include when discussing caregiver stress with the client's daughter.

Involve your mother in the decision making process.

Moving your mother into a care facility will show her that you do not love her

It is okay not to love or like your mother when you are caring for her.

You made a promise to your mother that you need to keep.

Take time for yourself and the other relationships that you care about.

Saying "no" to things involving the care of your mother is a selfish action.

Helping your mother should be easier than raising a child.

Answer and Explanation

Correct Answer : A,E,G

A. Involve your mother in the decision-making process.

Involving the client in decision-making can help maintain her autonomy, reduce feelings of

helplessness, and potentially decrease the daughter's caregiver burden by sharing responsibility.

B. Moving your mother into a care facility will show her that you do not love her.

This statement is incorrect and could exacerbate feelings of guilt and stress in the caregiver. Decisions about care facilities should be based on the best interests of both the client and the caregiver, not on guilt or misconceptions about love.
C. It is okay not to love or like your mother when you are caring for her.

This statement might be misunderstood and could increase feelings of guilt and stress. It's more helpful to acknowledge that caregiving can be challenging and that it's normal to have mixed emotions.
D. You made a promise to your mother that you need to keep.

This statement could increase stress by suggesting that the caregiver has no options or flexibility, potentially exacerbating feelings of obligation and guilt.
E. Take time for yourself and the other relationships that you care about.

Taking time for self-care and maintaining other relationships is crucial for reducing caregiver stress and preventing burnout.
F. Saying "no" to things involving the care of your mother is a selfish action.

This statement is incorrect and could increase feelings of guilt and stress. It's important for caregivers to set boundaries and understand that it's okay to say "no" sometimes to maintain their well-being.
G. Helping your mother should be easier than raising a child.

This statement is misleading. Caregiving for an elderly parent can be as demanding, if not more so, than raising a child. It's important to recognize and validate the challenges of caregiving to provide appropriate support.
H. Avoid discussion of negative situations that may occur in the future.

This statement is not advisable. Open and honest communication about potential challenges is important for planning and reducing stress through preparedness.

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Correct Answer is ["0.8"]

Explanation

Convert the client's weight from pounds to kilograms (kg).
Calculate the enoxaparin sodium dosage per day based on the client's weight and the prescribed dosage of 1.5 mg/kg/day.
Divide the enoxaparin sodium dosage by the concentration of the medication in the prefilled syringe (120 mg/0.8 mL) to determine the volume to administer.

Step 1: Convert weight from pounds to kilograms

- Client's weight in kg = Client's weight in pounds / 2.2
- Client's weight in kg = 176 pounds / 2.2 = 80 kg

Step 2: Calculate enoxaparin sodium dosage per day

- Enoxaparin sodium dosage (mg/day) = Client's weight (kg) × Prescribed dosage (mg/kg/day)
- Enoxaparin sodium dosage (mg/day) = 80 kg × 1.5 mg/kg/day = 120 mg/day

Step 3: Determine the volume to administer

- Volume to administer (mL) = Enoxaparin sodium dosage (mg/day) / Medication concentration (mg/mL)
- Volume to administer (mL) = 120 mg/day / (120 mg/0.8 mL) = 0.8 mL

Therefore, the nurse should administer 0.8 mL of enoxaparin sodium to the client.

A. Serum potassium. B. Urine ketones. C. Serum sodium. D. Blood urea nitrogen (BUN).

Correct Answer is A

Explanation

A. Serum potassium. Insulin therapy causes potassium to move into cells, which can lead to hypokalemia. Monitoring serum potassium is critical because significant drops can lead to cardiac arrhythmias and other complications.
B. Urine ketones. While monitoring ketones is important for assessing the resolution of DKA, it is not as immediately critical as monitoring potassium levels.
C. Serum sodium. Sodium levels are important but typically do not change as rapidly as potassium levels during DKA treatment.
D. Blood urea nitrogen (BUN). BUN levels provide information about kidney function and hydration status but are less immediately critical than potassium levels in the context of insulin therapy for DKA.

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Naxlex Comprehensive Predictor Exams

A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 mL prefilled syringe. How many mL should the nurse administer? (Enter numerical value only.)

Correct Answer is ["0.8"]

Explanation

Correct Answer is A

Explanation

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