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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Restraining the child's upper extremities is not recommended during a seizure as it can cause injury.
B. Placing a padded tongue blade in the mouth can lead to injury and is not recommended during a seizure.
C. Turning the child onto their back is appropriate to ensure a clear airway, but it should be done gently without forcing movements.
D. Correct. Placing a pillow under the child's head helps protect their head from injury during the seizure.
Correct Answer is B
Explanation
A. Incorrect. Over-the-counter topical ointments may worsen herpes simplex outbreaks.
B. Correct. Cleaning skin eruptions with povidone-iodine helps prevent secondary infection.
C. Incorrect. Antiviral medications, not antibiotics, are used to treat herpes simplex outbreaks.
D. Incorrect. Disposable thermometers are not directly related to herpes simplex outbreak management.
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