A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?

Observe the client during and after meals.

Suggest that the client assist with meal planning.

Instruct the client about effective coping strategies.

Refer the client to a support group for clients who have eating disorders.

Answer and Explanation

The Correct Answer is A

A.   Correct. Observing the client during and after meals is a priority because clients with bulimia nervosa often engage in episodes of binge eating followed by purging behaviors. Monitoring the client's behavior during meals and immediately after can help assess for potential purging behaviors.
B.   Incorrect. While involving the client in meal planning might be helpful, it is not the first action to address potential purging behaviors.
C.   Incorrect. Instructing the client about effective coping strategies is important, but observing for potential purging behaviors is the initial action to address the client's immediate safety.
D.   Incorrect. Referring the client to a support group is beneficial, but it is not the first action to address the client's immediate risk of purging behaviors.

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Correct Answer is A

Explanation

A. Correct. Measuring abdominal girth daily is important to monitor for changes in ascites and fluid retention.
B. Restricting sodium intake is important for clients with ascites to manage fluid retention, but a specific limit of 3 g per day is not universally applicable.
C. Protein intake should not be significantly restricted for clients with ascites; protein is essential for maintaining adequate serum albumin levels.
D. Positioning the client supine with legs elevated might be uncomfortable and not directly related to managing ascites.

A. Loose stools B. Loss of taste C. Bladder infection D. Increased appetite

Correct Answer is B

Explanation

A. Loose stools are not a typical finding related to external radiation for throat cancer.
B. Correct. Loss of taste (dysgeusia. is a common side effect of radiation therapy, particularly in the treatment area?
C. Bladder infection is not a typical finding related to external radiation for throat cancer.
D. Increased appetite is not a common finding related to radiation therapy; it's more commonly associated with certain medications or hormonal changes.

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A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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