A nurse assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?
Dental erosion
Hyperactive bowel sounds
Hypertension
Bradycardia
The Correct Answer is D
A. Dental erosion can occur due to conditions like gastroesophageal reflux disease (GERD) or frequent vomiting, but it is not a characteristic feature of anorexia nervosa.
B. Hyperactive bowel sounds are not specific to anorexia nervosa and may be seen in various gastrointestinal disorders.
C. Hypertension is not a common finding in individuals with anorexia nervosa. In fact, hypotension (low blood pressure) is more commonly observed due to decreased cardiac output related to malnutrition and electrolyte imbalances.
D. bradycardia in a client with a new diagnosis of anorexia nervosa. Bradycardia (abnormally slow heart rate) is a common cardiovascular manifestation in individuals with anorexia nervosa. It is often a result of the body's adaptive response to conserve energy due to severe malnutrition and reduced caloric intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "How long has this been going on?":
While this question is important for gathering more information, it may come across as more investigative or less empathetic at this initial stage of the conversation.
B. "Why do you think you are so anxious?":
While it's important to understand the client's perspective, this response might come across as confrontational or judgmental. It's better to create an open and non-judgmental environment for the client to share their feelings.
C. "Have you talked to your parents about this yet?":
This response assumes that the client has parents to talk to and may not be relevant for all clients. It's also important to establish trust and rapport with the client before asking about their support network.
D. "It sounds like you're having a difficult time.":
This response is empathetic and validating. It acknowledges the client's feelings without making assumptions or demands, creating a supportive environment for further discussion.
Correct Answer is ["A","D","E"]
Explanation
A. Nystagmus: Nystagmus is a rapid, involuntary movement of the eyes, which can occur during alcohol withdrawal due to disruption of the central nervous system. This can be a symptom of alcohol withdrawal.
D. Tremors: Tremors, also known as "the shakes," are a common physical manifestation of alcohol withdrawal. These tremors usually affect the hands and can be an early sign of withdrawal.
E. Seizures: Seizures can occur during alcohol withdrawal, particularly in severe cases. This is a serious complication that requires medical attention.
Incorrect answers:
B. Muscles: The term "muscles" is not specific enough to indicate a particular manifestation of alcohol withdrawal. Tremors or muscle spasms could be more specific symptoms to include.
C. Polyphagia: Polyphagia refers to excessive hunger and increased food intake. While alcohol withdrawal can lead to changes in appetite, it typically does not result in polyphagia. Instead, loss of appetite or nausea may be more common.
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