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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. A WBC count of 5,000/mm3 is within the normal range (4,000-11,000/mm3) and is not a priority value to monitor in a client with HIV.
B. A platelet count of 150,000/mm3 is within the normal range (150,000-400,000/mm3) and is not a priority value to monitor in a client with HIV.
C. The CD4-T-cell count is a key indicator of the immune system's function in clients with HIV. A CD4-T-cell count of 180 cells/mm3 is significantly below the normal range (500-1,500 cells/mm3) and indicates a weakened immune system, which is a priority concern in clients with HIV.
D. A positive Western blot test confirms the diagnosis of HIV, but it does not provide information about the severity of the client's condition or their immune system function.

A. Decreased lung sounds B. Heart rate 110/min and regular C. Oxygen saturation of 95% D. Subcutaneous emphysema

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

Correct Answer is C

Explanation

immediate follow-up.)

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

Explanation

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