A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
identify the client's nutritional status.
Provide a structured environment for the client.
Plan a therapeutic diet for the client
Request à mental health consult.
The Correct Answer is A
A. Identify the client's nutritional status.
Explanation:
Given the significant weight loss and the client's distorted belief about her body image (believing she is fat despite losing weight), it is crucial to assess the client's nutritional status first. Rapid weight loss and distorted body image are characteristic features of an eating disorder, such as anorexia nervosa. The nurse needs to determine the extent of malnutrition and potential medical complications related to inadequate nutrition. This assessment will guide the subsequent interventions.
Why the other choices are incorrect:
B. Provide a structured environment for the client.
While providing a structured environment can be important in managing eating disorders, such as anorexia nervosa, it is not the first priority. Understanding the client's nutritional status and medical condition takes precedence.
C. Plan a therapeutic diet for the client.
Planning a therapeutic diet may be part of the client's care plan, but without understanding the underlying nutritional status and potential eating disorder, creating a diet plan may not be effective or appropriate.
D. Request a mental health consult.
While a mental health consult is important for addressing the client's distorted body image and potential eating disorder, it should follow the assessment of nutritional status. The nutritional assessment provides critical information for both medical and psychological interventions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Informed consent typically pertains to medical treatments and interventions. Involuntary admissions involve clients who are admitted due to safety concerns, and they may not have the capacity to provide informed consent in the same way as clients in voluntary admissions.
B) "Clients should be given medications even if they refuse them."
While there might be cases where medications are administered to clients who are involuntarily admitted, this statement is not complete. Administration of medications to clients against their will usually involves a process that considers the individual's best interests and relevant legal requirements.
C) "The laws regarding restraints are different for clients who are admitted involuntarily."
Explanation:
Involuntary admissions involve individuals who are admitted to a mental health facility against their will due to the potential risk they pose to themselves or others. The laws regarding their care and rights may differ from those for voluntary admissions. One aspect where there might be differences is the use of restraints and seclusion.
Clients who are admitted involuntarily have specific legal rights and protections, and these rights vary depending on the jurisdiction and specific mental health laws in place. In many cases, there are regulations that govern the use of restraints and seclusion for clients who are involuntarily admitted. These regulations are in place to ensure the safety and dignity of the individuals while balancing the need for appropriate intervention.
D) "Clients who are admitted involuntarily can be hospitalized for as long as the provider deems necessary."
Involuntary admissions have a legal framework that includes specific criteria for continuing the hospitalization. Clients who are admitted involuntarily cannot be held indefinitely without a proper evaluation and review of their condition and treatment plan.
Correct Answer is ["0.5"]
Explanation
To calculate the amount of ziprasidone 10 mg IM from the available concentration of 20 mg/mL, you can use the formula:
Amount (mL) = Desired Dose (mg) / Concentration (mg/mL)
Amount (mL) = 10 mg / 20 mg/mL
Amount (Ml) = 0.5 mL
Therefore, the nurse should administer 0.5 mL of ziprasidone per dose.
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