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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. A warming sensation or a feeling of warmth throughout the body is a common sensation experienced by patients during an intravenous pyelogram due to the contrast dye used.
B. Limiting fluid intake is not typically necessary after an intravenous pyelogram; in fact, increased fluid intake is often recommended to help flush the dye from the body.
C. A signed consent form is usually required for invasive procedures like an intravenous pyelogram.
D. Eating or drinking before the procedure might interfere with the test results, so it is generally not allowed.
Correct Answer is A
Explanation
A. Correct. Isosorbide dinitrate is a medication used to prevent angina. Headaches are a common side effect when starting the medication, but they often decrease over time as the body adjusts.
B. Incorrect. Swallowing the tablet whole will not necessarily minimize headaches associated with isosorbide dinitrate.
C. Incorrect. Taking the medication on an empty stomach is not typically necessary to prevent headaches.
D. Incorrect. Discontinuing the medication without consulting a healthcare provider is not recommended, as abrupt discontinuation could lead to worsening of symptoms.
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