Which behaviors by the nurse indicate therapeutic nurse-family boundaries? (Select all that apply.)

Correct Answer: B

Rationale: House rules are negotiated: In maintaining therapeutic nurse-family boundaries, it is important for the nurse to establish clear and appropriate boundaries by involving the family in negotiating house rules. This helps to define roles and responsibilities, promoting mutual respect and understanding between the nurse and the family. By negotiating house rules, the nurse can create a structured environment that supports the well-being of the family.

Correct Answer: B

Rationale: The principle of fluid balance in the body dictates that fluid intake should be approximately equal to the urine output, under normal circumstances. This balance ensures that the body maintains proper hydration levels and that the kidneys are functioning effectively in filtering and excreting waste products. Significant deviations between fluid intake and urine output can indicate potential issues with hydration status or kidney function, making it essential for healthcare professionals like Nurse Jeremy to closely monitor and evaluate these values.

Correct Answer: C

Rationale: Regular follow-up care is crucial after a thyroidectomy for Grave's disease to monitor the patient's thyroid hormone levels, assess for signs of complications such as hypothyroidism or hypoparathyroidism, and ensure appropriate management of any related conditions. Routine follow-up visits with healthcare providers allow for ongoing assessment and adjustment of medications, as well as addressing any concerns the patient may have post-surgery. By emphasizing the importance of regular follow-up care, the healthcare team can provide necessary support and guidance to the patient throughout their recovery process.

Correct Answer: B

Rationale: Renal transplantation is considered the preferred means of renal replacement therapy in children with end-stage renal disease. This is because transplantation offers the best long-term outcomes and quality of life for children compared to other forms of renal replacement therapy such as dialysis. Children who undergo successful renal transplantation tend to have improved growth, development, and overall health compared to those who remain on dialysis. Transplantation can provide children with the opportunity to live a relatively normal and healthy life, making it the preferred treatment option in pediatric patients with end-stage renal disease.

Correct Answer: B

Rationale: The patient is displaying signs of hypokalemia (low potassium levels) due to severe vomiting. Symptoms of hypokalemia can include weakness, fatigue, and ECG changes such as flat T waves and ST segment depression. The potassium level that is most likely associated with these symptoms is 2.0mEq/L. Severe vomiting can lead to significant loss of potassium from the body, causing these abnormalities. It is important to address and correct the potassium imbalance to prevent further complications.