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. Stand directly in front of the client when talking. Standing directly in front of a client with a history of anger and aggression can be perceived as confrontational and may escalate the situation. It's better to stand at an angle and maintain an open posture to appear less threatening. Therefore, this choice is incorrect.

B. Avoid wearing necklaces during client care. Wearing necklaces or other loose jewelry can pose a safety risk if a client becomes aggressive and grabs them. Avoiding such items is a precaution to prevent potential harm. This choice is correct.

C. Provide immediate verbal feedback for escalating behavior. Providing immediate verbal feedback is important to de-escalate aggressive behavior by addressing it promptly and setting clear boundaries. This helps in managing the client's behavior effectively. This choice is correct.

D. Bring security with you for all client interactions. While bringing security can be necessary in certain high-risk situations, it is not appropriate or practical for all interactions and can increase the client's anxiety or aggression. Instead, security should be involved based on risk assessment and the specific context. Therefore, this choice is incorrect.

E. Review the layout of the facility. Knowing the layout of the facility is important for ensuring safety and planning escape routes if a situation becomes unsafe. It helps staff navigate the environment efficiently in case of an emergency. This choice is correct.

A. A patient who does not have a support system at home. B. A patient who is refusing to go to group therapy. C. A patient with major depressive disorder and stopped taking his medication. D. A patient who is unable to leave home without assistance.

Correct Answer is D

Explanation

A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.

B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.

C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.

D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.

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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

A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following Information should the nurse manager include in the teaching? (Select all that apply.)

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

Explanation

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Correct Answer is D

Explanation

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