A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)

Hypotension

Bradycardia

Diarrhea

Lanugo

Russell's sign

Answer and Explanation

Correct Answer : A,B,D,E

Hypotension, bradycardia, lanugo, and Russell's sign. Rationale: Hypotension and bradycardia are common manifestations of anorexia nervosa due to dehydration, electrolyte imbalance, and decreased cardiac output. Lanugo is fine hair that covers the body as a result of decreased body fat and thermoregulation. Russell's sign is calluses or scars on the knuckles or hands from self-induced vomiting. Diarrhea is not a typical finding of anorexia nervosa.

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Correct Answer is D

Explanation

Rationalization is a defense mechanism that involves making excuses or justifying one's behavior or failures. The client who blames their boss for not getting a promotion is using rationalization to avoid accepting responsibility or acknowledging their shortcomings. The other examples are not related to rationalization, but to other defense mechanisms, such as somatization, denial, and procrastination.

A. The client has decreased euphoric mood. B. The client reports absence of auditory hallucinations C. The client reports improved short-term memory. D. The client has decreased anxiety.

Correct Answer is A

Explanation

Valproic acid is an anticonvulsant medication that is also used to treat bipolar disorder. It can help stabilize the mood and prevent manic episodes, which are characterized by elevated or euphoric mood, increased energy, and decreased need for sleep. The other options are not expected outcomes of valproic acid, as it does not have significant effects on anxiety, memory, or psychosis.

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A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

Correct Answer is D

Explanation

A nurse is caring for a client who has been taking valproic acid. Which of the following is an expected outcome of the medication?

Correct Answer is A

Explanation

A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?

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