A nurse is caring for a client who has bulimia nervosa.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"E"}
Cardiovascular abnormalities are a serious risk in clients with bulimia nervosa due to electrolyte imbalances, especially hypokalemia, which can lead to arrhythmias, weakened heart muscles, and potential heart failure. The conditions listed as incorrect choices, such as hyponatremia, hypoglycemia, and hypernatremia, while potentially related to eating disorders in broader contexts, are not the primary cardiovascular concerns in bulimia nervosa. Dehydration and hypotension might occur but do not directly equate to the specific cardiovascular abnormalities linked with electrolyte disturbances.
Metabolic alkalosis is a condition resulting from excessive loss of stomach acid, typically through vomiting, which is common in bulimia nervosa. The conditions listed as incorrect choices, such as metabolic acidosis and hyperkalemia, are associated with different physiological mechanisms. Hypochloremia may occur alongside metabolic alkalosis but is not the primary issue in this context. Hyponatremia, hypernatremia, and hypoglycemia are not specific consequences of vomiting-induced metabolic alkalosis in bulimia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason:
Acetaminophen is a safer choice for pain relief in clients with cholelithiasis because it does not have significant effects on the gallbladder or biliary system. It can provide effective pain relief without exacerbating the underlying condition.
Choice B reason:
Omeprazole Omeprazole should not administer because it is a proton pump inhibitor (PPI) used to reduce stomach acid production and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It is not indicated for the treatment of pain and discomfort associated with cholelithiasis.
Choice C reason
Should not be administered
Metoclopramide Metoclopramide should not be administered because it is a medication used to treat gastrointestinal issues such as nausea, vomiting, and gastroparesis. It is not indicated for the treatment of pain associated with cholelithiasis.
Choice D reason:
Ketorolac Ketorolac should not be administered because it is an NSAID used for moderate to severe pain. However, it should be avoided in clients with cholelithiasis due to its potential adverse effects on the gallbladder and biliary system.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"}}
No explanation
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