A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?

Observe the client for 1 hr following meals.

Encourage the client to gain 2.27 kg (5 lb) per week.

Allow the client to exercise for less than 1 hr per day.

weigh the client in the morning every other day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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Correct Answer is C

Explanation

Choice A rationale:

Allergic reactions to eggs are a concern with some vaccines, but the varicella vaccine is generally considered safe for children with egg allergies.

Choice B rationale:

The varicella vaccine is typically given in two doses, not three. Choice C rationale:

Children should avoid taking aspirin for about 6 weeks after receiving the varicella vaccine to reduce the risk of Reye's syndrome, a rare but serious condition associated with aspirin use during viral infections.

Choice D rationale:

The varicella vaccine is usually administered subcutaneously, not into the muscle.

A. Eliminate unhealthy food from the diet. B. Avoid eating foods containing dairy. C. Drink 240 mL (8 oz) of water with each meal. D. Eat foods at colder temperatures. E. Eat foods at colder temperatures.

Correct Answer is D

Explanation

Choice A rationale:

Eliminating unhealthy foods is generally a good practice, but specific guidance related to managing hyperemesis gravidarum is needed.

Choice B rationale:

Dairy products can be included in the diet unless the client has a specific intolerance or allergy.

Choice C rationale:

Drinking water with each meal can be helpful, but avoiding dehydration is more important. Fluid intake should be consistent throughout the day.

Choice D rationale:

Hyperemesis gravidarum is a condition that causes severe nausea and vomiting during pregnancy, which can lead to dehydration, electrolyte imbalance, and weight loss. To prevent or reduce these complications, the nurse should instruct the client to eat foods at colder temperatures, as they are less likely to trigger nausea than hot or spicy foods. The client should also eat small, frequent meals and avoid foods that are greasy, fatty, or have strong odors.

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parent of an infant about the varicella virus vaccine. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

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Correct Answer is D

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?