Correct Answer: 5

Rationale:
Correct
Answer: 5. The nurse should set the infusion pump to deliver 5 mL/hr.


Rationale:
To calculate the rate, we use the formula: (Desired dose * Volume) / Concentration. In this case, (500 units/hr * 1 hr) / 25000 units = 0.02 mL/hr. Since the concentration is 25000 units per 250 mL, we need 0.02 mL/hr * 250 mL = 5 mL/hr. This is the correct rate at which the nurse should set the infusion pump.

Summary of Other

Choices:
A: Incorrect. This choice does not reflect the correct calculation based on the given information.
B-G: Irrelevant as they do not provide the necessary calculation steps to determine the correct infusion rate.

Correct Answer: C

Rationale: The correct answer is C because the client showing signs of physical abuse and being accompanied by a controlling individual are red flags for human trafficking. Physical abuse is a common tactic used by traffickers to control their victims. The presence of a controlling individual could indicate that the client is being coerced or manipulated. This situation aligns with the typical characteristics of human trafficking where victims are often isolated, controlled, and abused. The other choices do not directly suggest human trafficking.
Choice A could indicate a potential red flag, but alone it is not enough to suspect human trafficking.
Choice B could be due to various reasons unrelated to human trafficking.
Choice D could suggest other issues such as memory problems or mental health issues.

Correct Answer: D

Rationale: The correct answer is D: Administering thiamine supplements as prescribed. Thiamine deficiency is a common cause of Korsakoff's syndrome in individuals with alcohol use disorder. Thiamine (vitamin B1) is essential for proper brain function and metabolism. By administering thiamine supplements, the nurse can help prevent or treat thiamine deficiency, reducing the risk of developing Korsakoff's syndrome. Encouraging the client to consume foods high in vitamin B1 (
A) is beneficial but may not be sufficient to meet the increased demand in individuals with alcohol use disorder. Implementing strict bed rest (
B) is not indicated for preventing Korsakoff's syndrome. Restricting fluid intake (
C) does not address the underlying cause of Korsakoff's syndrome.

Correct Answer: A C D

Rationale: The correct answers are A, C, and D.
A: Expressing suicidal ideation is common in major depressive disorder.
C: Feelings of worthlessness and self-blame are typical symptoms of depression.
D: Belief in the transient nature of the depressive episode is a sign of hope and recovery.
B: Ignoring feelings is not a healthy coping mechanism for depression.
E: While determination is positive, fighting through depression may not be as effective as seeking professional help.

Correct Answer: A

Rationale: The correct answer is A because strong negative feelings can cloud the nurse's assessment and judgment when working with a family experiencing domestic violence. It is crucial for the nurse to remain objective and focused on the needs of the family in order to provide appropriate care and support. Being aware of their own feelings allows the nurse to manage them effectively and maintain professionalism.

Choices B, C, and D are incorrect because they do not directly address the impact of negative feelings on the nurse's ability to effectively work with the family experiencing domestic violence.
Choice B focuses on mental health,
Choice C on sympathy development, and
Choice D on positive feelings leading to underinvolvement, none of which directly relate to the importance of managing negative feelings in this specific situation.