A nurse is caring for a 40-year-old client who lives with her parents. The client has only a high school diploma and works at low-paying jobs. Her parents give her a weekly allowance to supplement her income
What kind of boundaries does the client appear to have relative to her parents?
A) Loose
B) Rigid
C) Flexible
D) Enmeshed
D
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A patient is being discharged from the hospital with wound care dressing changes. The nurse recommends a referral for home health nursing care. The nurse is using which standard of practice?
a. Assessment b. Diagnosis c. Planning d. Implementation
The nurse is caring for a patient with pneumonia. The nurse would expect to see which symptoms? (Select all that apply.)
A) Difficulty breathing B) Urinary retention C) Rash D) Fever E) Oxygen saturation of 88%
A patient diagnosed with Huntington's disease has been admitted to the hospital for treatment of malnutrition. What independent nursing actions should be implemented in the patient's plan of care?
A) Firmly redirect the patient's head when feeding. B) Administer phenothiazines with the patient's meal. C) Have the patient keep his or her feeding area clean. D) Apply deep gentle pressure around the patient's mouth to assist with swallowing.
A client tells the nurse that she had rheumatic heart disease as a child. For which of the following valvular disorders should this client be assessed?
1. Mitral valve prolapse 2. Mitral stenosis 3. Aortic regurgitation 4. Aortic stenosis