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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A.Lithium is excreted through the kidneys, and dehydration and sodium depletion increase the risk of lithium toxicity. A client who runs 4 miles outdoors every afternoon is at risk of excessive sweating and fluid loss, which can lead to dehydration and sodium depletion. This reduces lithium excretion, leading to toxic levels in the blood.

B. Anormal sodium intake helps maintain lithium balance. A low sodium intake increases lithium retention, but 2-3 grams/day is within the normal recommended range.

C. Adequate hydration helps prevent lithium toxicity. Clients on lithium should drink 2–3 liters of fluid daily to promote kidney function and lithium excretion.
D. Tyramine-rich foods (e.g., aged cheese, cured meats) are a concern for clients on monoamine oxidase inhibitors (MAOIs), not lithium. Tyramine does not affect lithium levels.

A. Low self-esteem B. Irritability C. Chronic pain D. Insomnia E. Euphoria

Correct Answer is ["A","B","C","D"]

Explanation

A. Low self-esteem is a risk factor for depression because negative self-perception and feelings of worthlessness can contribute to the development of depressive symptoms.

B. Irritability is associated with depression, especially in adolescents. It can manifest as a mood symptom and is often seen alongside other depressive features.

C. Chronic pain can be both a symptom and a risk factor for depression. Persistent pain can lead to changes in mood, behavior, and physical function, contributing to the development of depressive symptoms.

D. Insomnia, or difficulty sleeping, is a common symptom of depression and can also be a risk factor. Sleep disturbances are often seen in individuals with depression, and they can contribute to the severity of the condition.

E. Euphoria is not a risk factor for depression. In fact, it is more commonly associated with conditions like bipolar disorder, where individuals experience periods of elevated mood (mania or hypomania) alternating with periods of depression.

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A nurse assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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