A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).
Bradycardia.
Russell's sign.
Lanugo.
Hypotension.
Diarrhea.
Correct Answer : A,B,C,D
A. Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.
B. Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.
C. Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.
D. Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.
E. Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
No explanation
Correct Answer is C
Explanation
The correct answer is c. Recent head injury.
Rationale for choice c:
- Bupropion lowers the seizure threshold.
- Individuals with a history of head injury have an increased risk of seizures.
- Administration of bupropion to a client with a recent head injury could significantly elevate the risk of seizure activity.
- It's crucial for the provider to be aware of this risk and make an informed decision about whether to prescribe bupropion or consider alternative smoking cessation therapies.
Rationale for choice a:
- Hepatitis B infection does not generally contraindicate the use of bupropion.
- However,it's important to inform the provider of any underlying medical conditions for comprehensive assessment and management.
Rationale for choice b:
- Knee arthroplasty 1 month ago is not a contraindication for bupropion use.
- While pain management following surgery might be a consideration,bupropion is not known to interact with common analgesics used post-operatively.
Rationale for choice d:
- Hypothyroidism also does not contraindicate bupropion use.
- However,thyroid hormone levels should be monitored as bupropion may potentially impact thyroid function in some individuals.
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