A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?
Lower than normal expected reference range of body weight
Amenorrhea
Hyperkalemia
Dental decay
The Correct Answer is D
A. Clients with bulimia nervosa may have a normal or above-normal body weight, as bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting or excessive exercise.
B. Amenorrhea, or the absence of menstruation, is more commonly associated with anorexia nervosa rather than bulimia nervosa.
C. Hyperkalemia, or high levels of potassium in the blood, is not a common finding in clients with bulimia nervosa.
D. Frequent self-induced vomiting can lead to dental erosion and decay due to exposure of the teeth to stomach acid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. This may indicate a pneumothorax, which is a potential complication of thoracentesis.
B. A heart rate of 110/min may indicate tachycardia, which can be a sign of hypoxia or other complications.
C. While oxygen saturation of 95% is within the normal range, it is slightly lower than expected for a patient with respiratory distress.
D. This may indicate air leakage into the subcutaneous tissue, which can be a sign of a pneumothorax or other complications.
Correct Answer is A
Explanation
A. Albumin is a protein that is produced by the liver and is a good indicator of nutritional status. TPN is intended to provide adequate nutrition to the patient, so an increase in albumin levels would indicate that the treatment is effective.
B. Calcium levels are not directly related to the effectiveness of TPN. Calcium levels can be affected by a variety of factors and are not a specific marker for the effectiveness of TPN.
C. Hematocrit (Hct) measures the percentage of red blood cells in the blood. It is not directly related to the effectiveness of TPN.
D. White blood cell count (WBC) is a marker of immune function and is not directly related to the effectiveness of TPN.
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