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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Chronic pain: Depression can manifest as physical symptoms, including chronic pain, in adolescents.
B. Low self-esteem: This is a common feature of depression, where individuals may feel worthless or inadequate.
C. Euphoria: Euphoria is more associated with manic episodes, not depression.
D. Irritability: Depression in adolescents often presents with irritability rather than sadness.
E. Insomnia: Sleep disturbances, including insomnia, are common symptoms of depression.
Correct Answer is D
Explanation
A. Cultural considerations have no impact on abusive situations involving older adults: This is incorrect. Culture significantly influences how abuse is perceived and addressed.
B. Abusive behaviors are consistent across all cultures: This is incorrect. Abusive behaviors and their recognition can vary widely across different cultural contexts.
C. Cultural diversity does not play a role in elder abuse prevention efforts: This is incorrect. Understanding cultural differences is essential for effective prevention and intervention.
D. Cultural beliefs and practices can influence perceptions of abuse and help-seeking behaviors: Correct. Different cultures have varying definitions of abuse and different attitudes toward seeking help, which can affect how abuse is identified and addressed.
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