A father of a family was killed in a motor vehicle crash. Which ...

[nramada]

A father of a family was killed in a motor vehicle crash. Which of the following outcomes would the nurse consider a normal reaction to this event?
 
  1. Family disorganization may occur.
   2. Family members may become detached from extended family.
   3. The family feels that their place in the community has been eliminated.
   4. The family withdraws into seclusion during the grief process.

Question 2

A client is prescribed intravenous dopamine as part of treatment for shock. Which of the following medications should be available to the nurse when administering this medication?
 
  1. Epinephrine (Adrenalin)
   2. Naltrexone (Revia)
   3. Phentolamine (Regitine)
   4. Flumazenil (Romazicon)

[trog]

Answer to Question 1

1. Family disorganization may occur.

Rationale:
The death of a family member often has a profound effect on the whole familyespecially if the deceased, as in this situation, was the head of the family. Family disorganization would be common, but as the family begins to recover, a new sense of normalcy develops and the family reintegrates its roles and functions. Families need support from extended family members, their community, and spiritual advisers. The other options are not considered normal patterns of family grieving, and the nurse should be alert for problems that may develop if these are present.

Answer to Question 2

3. Phentolamine (Regitine)

Rationale:
Extravasation of dopamine can cause severe, localized vasoconstriction resulting in tissue necrosis. The antidote for this is phentolamine (Regitine). Epinephrine (Adrenalin) is used for anaphylaxis. Naltrexone (Revia) is used for opiate overdose. Flumazenil (Romazicon) is used for benzodiazepine overdose.

[nramada]

Excellent

[Liddy]

TYSM