A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?

Evaluate liver function

Check for blood glucose levels

Assess for signs of infection

Monitor for electrolyte alterations

Answer and Explanation

The Correct Answer is D

A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.

B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.

C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.

D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.

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Correct Answer is ["B","C","E"]

Explanation

A. Increased metabolic rate: Anorexia typically results in a decreased metabolic rate due to malnutrition and a significant reduction in energy intake.

B. Decreased heart rate and blood pressure: Malnutrition and dehydration associated with anorexia can lead to bradycardia and hypotension.

C. Fear of weight gain: A hallmark of anorexia nervosa is an intense fear of gaining weight and a persistent behavior to avoid weight gain.

D. Excessive thirst and frequent urination: These symptoms are not typically associated with anorexia and are more characteristic of conditions such as diabetes.

E. Excessive weight loss: Significant weight loss is a primary feature of anorexia nervosa, often leading to severe underweight status and associated health complications.

A. Advising survivors to keep the assault a secret and not seek help from anyone. B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma. C. Encouraging survivors to blame themselves for the assault to regain a sense of control, D. Discussing the importance of seeking medical attention promptly after a sexual assault.

Correct Answer is D

Explanation

A. Advising survivors to keep the assault a secret and not seek help from anyone: This advice is harmful and can exacerbate the trauma experienced by survivors. It is not evidence-based and goes against promoting recovery and safety.

B. Suggesting that survivors should avoid reporting the assault to law enforcement to prevent further trauma: Reporting or not reporting to law enforcement is a personal decision and should be supported based on the survivor's needs and wishes. However, encouraging secrecy is not supportive.

C. Encouraging survivors to blame themselves for the assault to regain a sense of control: Self-blame is detrimental to recovery and is not evidence-based. It can worsen psychological distress and hinder healing.

D. Discussing the importance of seeking medical attention promptly after a sexual assault: This is evidence-based and crucial for survivors. Seeking medical attention allows for assessment and treatment of physical injuries, prevention of sexually transmitted infections (STIs), pregnancy prevention (if applicable), and collection of forensic evidence if the survivor wishes to report the assault later.

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A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","E"]

Explanation

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Explanation

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