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 C

Explanation

A. Assisting the client to the bathroom at regular intervals helps prevent falls due to toileting needs.

B. Locking the wheels on the bed prevents unwanted movement and reduces the risk of falls when the client is in bed.

C. Raising all four side rails is considered a restraint, which can increase the risk of falls or injury if the client tries to climb over them. Restraints should be avoided unless absolutely necessary and prescribed by a healthcare provider. In most cases, raising two side rails is sufficient to prevent the client from accidentally rolling out of bed while allowing them to safely exit the bed.

D. Clearing the path from obstacles and furniture reduces the risk of falls by providing a safe and unobstructed route to the bathroom.

A. Human papillomavirus B. Neisseria gonorrhoeae C. Impetigo contagious D. Sarcoptes scabiei

Correct Answer is B

Explanation

A. Incorrect. Human papillomavirus (HPV. is a common sexually transmitted infection, but it is not typically a reportable infection to the state health department.
B. Correct. Neisseria gonorrhoeae is a reportable sexually transmitted infection, and healthcare providers are required to report cases to the state health department for tracking and intervention purposes.
C. Incorrect. Impetigo contagiosa is a bacterial skin infection, but it is not typically a reportable infection to the state health department.
D. Incorrect. Sarcoptes scabiei is the parasite that causes scabies, a skin condition, but it is not typically a reportable infection to the state health department.

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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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