A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?

Encourage the client to gain 2.3 kg (5 lb) per week.

Monitor the client for 15 min after meals.

Weigh the client each morning after voiding.

Reinforce teaching about healthy eating during meals.

Answer and Explanation

The Correct Answer is C

A.   Encouraging the client to gain 2.3 kg (5 lb) per week is not appropriate for a client with anorexia nervosa. Rapid weight gain can lead to medical complications and may contribute to the client's anxiety and resistance to treatment.
B.   While monitoring the client for a period after meals may be appropriate to observe for signs of purging behaviors, weighing the client each morning after voiding is a more critical intervention for assessing changes in weight, which is often a key indicator of nutritional status and progress in treatment for anorexia nervosa.
C.   Weighing the client each morning after voiding allows for accurate monitoring of weight changes, which are crucial in assessing nutritional status and response to treatment in clients with anorexia nervosa.
D.   Reinforcing teaching about healthy eating during meals is important, but it is not the priority intervention in the acute phase of treatment for anorexia nervosa. Ensuring accurate and regular weight monitoring is more critical for assessing progress and determining the effectiveness of interventions.

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

Explanation

A. Pallor in the exposed portion of the left foot indicates a possible reduction in blood flow, which is a symptom of compartment syndrome.
B. Inability to move the left foot could suggest nerve damage or significant muscle dysfunction, which are potential consequences of compartment syndrome.
C. Increased warmth of the exposed portion of the left foot is not typically a symptom of compartment syndrome. This condition is more commonly associated with coolness due to impaired blood flow rather than increased warmth.
D. Ecchymosis in the exposed portion of the left foot may be indicative of underlying bleeding or bruising, which can increase compartmental pressure and is a symptom of compartment syndrome.
E. Paresthesia in the left foot, such as tingling or a burning sensation, can be a sign of nerve compression or damage, which is consistent with compartment syndrome.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Correct answers:

1. pulmonary edema

2. shallow rapid breaths

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A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse recommend to include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a long-leg cast on his left leg and reports severe pain. Which of the following findings should the nurse identify as an indication that the client might have compartment syndrome? (Select all that apply.)

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

Explanation

A nurse is preparing to care for a client on the medical unit. Exhibits Complete the following sentence by using the lists of options. The client is at risk for developing dropdown as evidenced by the client's dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

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A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?