Unhealthy personal boundaries are a product of dysfunctional families and a lack of positive role models. Unhealthy boundaries may also be a result of:
A. structured limit setting.
B. supportive environment.
C. abuse and neglect.
D. direction and attention.
Answer: C. abuse and neglect.
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A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:
1. Train all members of the family to take part in the child's care. 2. Plan for a home health nurse to visit the child four times a day to provide the medical treatment. 3. Determine with the family which family members may be trained to provide care for the child. 4. Evaluate the size of the child's room for therapy.
Because vitamin K is malabsorbed in the presence of cirrhosis, which laboratory value would be elevated?
a. Hemoglobin b. Hematocrit c. Prothrombin time d. White blood cell count
The nurse is planning care for a client. Which intervention would be appropriate to reduce the risk of infection?
1. Assess vital signs only once daily. 2. Raise the temperature in the client's room. 3. Wash hands. 4. Wear a mask for all client care.
The nurse is assessing a client for systemic inflammatory response syndrome (SIRS). Which of the following disease processes are associated with this syndrome? (Select all that apply.)
1. Infection 2. Pancreatitis 3. Ischemia 4. Trauma 5. Massive transfusions 6. Heart failure