A nurse is facilitating a support group for clients who have anorexia nervosa. Which of the following client statements should the nurse investigate further?
"The amount of food I eat could affect my menstrual cycle."
"I am gaining about 2 pounds per week."
"I realize my body will never be perfect."
"I took a laxative for constipation yesterday."
The Correct Answer is B
Choice A rationale:
Understanding the relationship between food intake and the menstrual cycle is a relevant topic for individuals with anorexia nervosa.
Choice B rationale:
Rapid weight gain of 2 pounds per week can be concerning and may indicate an unhealthy pattern or behaviors related to the eating disorder.
Choice C rationale:
Recognizing that the body will never be perfect is a positive and realistic perspective that can contribute to a healthier mindset in individuals with anorexia nervosa.
Choice D rationale:
Taking a laxative for constipation is not uncommon among individuals with eating disorders, but the statement doesn't necessarily raise immediate concern compared to the rapid weight gain mentioned in choice B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
A fasting blood glucose level of 96 mg/dL is within a normal range and is not typically associated with carbidopa/levodopa therapy.
Choice B rationale:
Hemoglobin levels of 10 g/dL may indicate anemia, which can exacerbate symptoms in clients with Parkinson's disease and affect the effectiveness of carbidopa/levodopa.
Choice C rationale:
A platelet count of 200,000/mm3 is within a normal range and is not typically associated with carbidopa/levodopa therapy.
Choice D rationale:
A blood urea nitrogen (BUN) level of 10 mg/dL is within a normal range and is not typically associated with carbidopa/levodopa therapy.
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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