A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Hyperkalemia

Hyperglycemia

Lanugo

Swollen parotid glands

Answer and Explanation

The Correct Answer is C

A. Hyperkalemia. Clients with anorexia nervosa typically experience hypokalemia rather than hyperkalemia due to severe malnutrition, vomiting, and excessive diuretic or laxative use. Potassium depletion can lead to life-threatening cardiac complications.
B. Hyperglycemia. Anorexia nervosa is associated with hypoglycemia due to prolonged fasting, malnutrition, and depleted glycogen stores. Clients often have low blood glucose levels rather than elevated ones.
C. Lanugo. The development of fine, downy body hair (lanugo) is a classic sign of anorexia nervosa. This occurs as the body adapts to extreme weight loss and malnutrition by trying to conserve heat due to the lack of body fat.
D. Swollen parotid glands. While swollen parotid glands are common in bulimia nervosa due to frequent vomiting, they are not a defining feature of anorexia nervosa unless the client engages in purging behaviors.

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Free Nursing Study Resources

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

Explanation

A. "Smoking during pregnancy can place the child at an increased risk for developing anger and aggression." This statement reflects an understanding of how prenatal exposure to harmful substances can affect a child's development and increase the risk of aggressive behaviors later in life.
B. "Clients who live in areas of high pollution are at an increased risk for developing anger and aggression." Research indicates that environmental factors, including pollution, can have negative effects on mental health and behavior, potentially leading to increased aggression.
C. "Families who have financial hardships are at an increased risk for developing anger and aggression." Financial stress can contribute to increased tension and conflict within families, which can lead to higher levels of aggression.
D. "Clients who live in areas of high crime are at an increased risk for developing anger and aggression." Living in high-crime areas can create a sense of fear and instability, potentially leading to aggressive behaviors as a coping mechanism or a learned response to the environment.
E. "Clients who live in suburban areas are at an increased risk for developing anger and aggression." This statement does not accurately reflect evidence-based risk factors for aggression, as suburban areas are not generally associated with higher levels of aggression compared to urban or high-crime areas.
F. "Families who live in low-income housing are at an increased risk for developing anger and aggression." Economic stressors associated with low-income housing can lead to increased conflict and aggression within families, making this statement valid.

A. Nausea and vomiting B. Hallucinations and delusions C. Seizures and tremors D. Uncontrolled movements around the mouth

Correct Answer is D

Explanation

A. Nausea and vomiting. While some antipsychotic medications may cause gastrointestinal side effects, nausea and vomiting are not characteristic of tardive dyskinesia. Tardive dyskinesia specifically affects involuntary motor control.
B. Hallucinations and delusions. These are symptoms of psychotic disorders, not side effects of tardive dyskinesia. While some antipsychotic medications can cause paradoxical worsening of psychosis, tardive dyskinesia primarily involves involuntary movements rather than psychiatric symptoms.
C. Seizures and tremors. Some antipsychotics lower the seizure threshold, increasing seizure risk, while tremors are more associated with drug-induced parkinsonism. However, these are different from the repetitive, involuntary movements seen in tardive dyskinesia.
D. Uncontrolled movements around the mouth. Tardive dyskinesia is a serious side effect of long-term antipsychotic use, characterized by involuntary movements, especially around the mouth, tongue, and face (e.g., lip smacking, tongue protrusion, and grimacing). These movements can become permanent, making early detection and intervention crucial.

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A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?

Correct Answer is D

Explanation

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