A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Encourage the client to gain 2.3 kg (5 lb) per week.
Weigh the client once per week throughout hospitalization.
Monitor the client for 1 hr after meals.
Allow the client to choose meal times.
The Correct Answer is C
A. Encouraging the client to gain 2.3 kg (5 lb) per week may be excessive and unrealistic, potentially contributing to feelings of failure and exacerbating the client's condition.
B. Weighing the client once per week throughout hospitalization is important for monitoring weight changes, but it does not specifically address the immediate post-meal monitoring needed to prevent complications such as purging.
C. Monitoring the client for 1 hr after meals helps prevent behaviors such as purging or other forms of compensatory behaviors that may occur immediately after eating.
D. Allowing the client to choose meal times may not be appropriate as it can perpetuate disordered eating patterns. Establishing regular meal times is important for promoting consistent eating habits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Shingles is not contagious; it is caused by the reactivation of the varicella-zoster virus.
B. HIV is not transmitted through routine patient care; universal precautions should be taken.
C. Tuberculosis is an infectious disease that poses a risk to pregnant individuals, so it's best for the pregnant nurse to avoid exposure.
D. Alcoholic pancreatitis and impetigo are not infectious diseases and do not pose a risk of transmission to the pregnant nurse.
Correct Answer is A
Explanation
A.
A. It's important to include the complete name of the medication to ensure clarity and accuracy in documentation.
B. Omitting the leading zero before a decimal point can lead to medication errors, so it's important to include it.
C. "U" is commonly used to denote units when documenting insulin dosage, so this statement is accurate.
D. "QOD" is an outdated abbreviation and can lead to confusion, so it should not be used; instead, "every other day" should be written out for clarity.
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