A nurse is reviewing the laboratory results of an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?

Hgb 10 g/dL

Blood glucose 100 mg/dL

TIBC 11 mcg/dL

Potassium 3.7 mEq/L

Answer and Explanation

The Correct Answer is A

A. Hgb 10 g/dL
Anemia (low hemoglobin levels) is a common finding in individuals with anorexia nervosa due to inadequate nutrition, leading to a decreased production of red blood cells. Hemoglobin levels below the normal range are often seen in people with severe malnutrition, such as those with anorexia nervosa.

B. Blood glucose 100 mg/dL:
A blood glucose level of 100 mg/dL is within the normal range. Anorexia nervosa typically does not cause specific changes in blood glucose levels.

C. TIBC 11 mcg/dL:
Total Iron-Binding Capacity (TIBC) is a test that measures the blood's capacity to bind to iron. The given value of 11 mcg/dL is unusually low and might not be within the typical reference range. However, the significance of this value is not clear without the specific reference range for the laboratory performing the test.

D. Potassium 3.7 mEq/L:
A potassium level of 3.7 mEq/L is within the normal range. Electrolyte imbalances, including low potassium levels (hypokalemia), can occur in individuals with anorexia nervosa due to inadequate intake and purging behaviors. While this level is within the normal range, individuals with anorexia nervosa may still exhibit electrolyte imbalances that require monitoring and management.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Do you feel you need treatment?"
Asking the client, "Do you feel you need treatment?" assesses their insight into their own mental health condition. Insight refers to the client's awareness and understanding of their illness, including recognizing the need for treatment. A positive response to this question indicates the client's awareness of their condition and willingness to seek help, demonstrating good insight.

B. "Who is the governor of this state?"
This question assesses the client's orientation to time, place, and current events. It is useful for assessing cognitive functioning but does not specifically measure insight into one's own mental health.

C. "What do you get when you subtract 7 from 100?"
This question assesses the client's cognitive functioning, specifically mathematical abilities. It is useful for evaluating cognitive skills but does not address insight into mental health.

D. "How do you get money for your needs?"
This question assesses the client's problem-solving abilities and understanding of practical matters. It is relevant for assessing functional abilities but does not specifically measure insight into their mental health condition.

A. Reduced frequency of panic attacks B. Decreased feelings of hopelessness C. Reduced frequency of seizures D. Decreased fear of heights

Correct Answer is B

Explanation

A. Reduced frequency of panic attacks:
ECT is not primarily used to treat panic attacks. It is more commonly employed for severe mood disorders such as major depressive disorder and bipolar disorder. While ECT might indirectly affect anxiety symptoms, its main focus is on mood stabilization and improvement of depressive symptoms.

B. Decreased feelings of hopelessness:
This is the correct choice. Decreased feelings of hopelessness, often accompanied by improved mood and reduced suicidal thoughts, indicate the effectiveness of ECT in treating severe depression. ECT is known for its rapid and significant impact on mood, leading to improvements in feelings of hopelessness and despair, which are common symptoms of severe depression.

C. Reduced frequency of seizures:
ECT itself induces controlled seizures under anesthesia as part of the treatment process. The goal of ECT is not to reduce seizures but to target specific mental health conditions, particularly severe mood disorders. ECT is not indicated for managing epilepsy or reducing the frequency of seizures related to neurological disorders.

D. Decreased fear of heights:
ECT is not a treatment specifically designed to address phobias or fear-related disorders such as acrophobia (fear of heights). It is primarily used for severe mental health conditions, especially mood disorders. While an individual's overall anxiety might improve with successful ECT treatment, its direct effect on specific phobias like fear of heights is not a primary indication for the therapy.

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A nurse is reviewing the laboratory results of an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?

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