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","D"]

Explanation

A. Contracture: Contracture refers to the permanent tightening of muscles or joints and is not directly related to neurocognitive disorders. It is a physical condition rather than a cause of cognitive impairment.

B. Cerebral trauma: Cerebral trauma, such as traumatic brain injury, can lead to secondary neurocognitive disorders due to direct damage to brain tissues and subsequent cognitive impairments.

C. Fever: Severe or prolonged fever can be associated with secondary neurocognitive disorders, especially if it leads to complications like encephalitis or severe metabolic disturbances.

D. Human Immunodeficiency Virus (HIV): HIV can lead to secondary neurocognitive disorders due to the direct effects of the virus on the brain and the resultant immune deficiency, which can allow opportunistic infections that affect cognitive function.

E. Huntington's disease: Huntington's disease is a primary neurodegenerative disorder characterized by the progressive breakdown of nerve cells in the brain. It directly causes neurocognitive decline due to genetic mutations and is considered a primary neurocognitive disorder rather than a secondary one. Secondary neurocognitive disorders are typically the result of another primary condition or external factor such as trauma or infection, rather than a primary neurodegenerative disease.

A. Medication side effects B. Hypothyroidism C. Vitamin B12 deficiency D. Multiple small brain infarcts

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

Explanation

A. Medication side effects: Certain medications can cause cognitive impairment that mimics dementia, but this condition is often reversible if the medication is adjusted or discontinued.

B. Hypothyroidism: Hypothyroidism can lead to cognitive impairment that may be reversible with appropriate thyroid hormone replacement therapy.

C. Vitamin B12 deficiency: Deficiency in vitamin B12 can cause cognitive deficits that are often reversible with supplementation.

D. Multiple small brain infarcts: This condition, often associated with vascular dementia, usually leads to permanent brain damage and is typically not reversible.

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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 is teaching a nursing student about secondary Neurocognitive Disorders. Which of the following are the causes of secondary Neurocognitive Disorders? Select all that apply.

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

Explanation

A new nurse is teaching a nursing student in the mental health unit. The nurse explains that an example of a treatable (reversible) form of Neurocognitive disorder is caused by which of the following? (Select all that apply)

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

Explanation

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