A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

Demand that the client remove hidden objects from their clothing prior to being weighed.

Invite the client to predict their weight beforehand.

Monitor for any extra fluids the client may have consumed prior to being weighed.

Weigh the client each day after their evening meal.

Answer and Explanation

The Correct Answer is B

A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.

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Correct Answer is C

Explanation

A. Hyperkalemia. Clients with anorexia nervosa typically experience hypokalemia rather than hyperkalemia due to severe malnutrition, vomiting, and excessive diuretic or laxative use. Potassium depletion can lead to life-threatening cardiac complications.
B. Hyperglycemia. Anorexia nervosa is associated with hypoglycemia due to prolonged fasting, malnutrition, and depleted glycogen stores. Clients often have low blood glucose levels rather than elevated ones.
C. Lanugo. The development of fine, downy body hair (lanugo) is a classic sign of anorexia nervosa. This occurs as the body adapts to extreme weight loss and malnutrition by trying to conserve heat due to the lack of body fat.
D. Swollen parotid glands. While swollen parotid glands are common in bulimia nervosa due to frequent vomiting, they are not a defining feature of anorexia nervosa unless the client engages in purging behaviors.

A. People diagnosed with schizophrenia are more violent than others. B. Biologically male clients are typically diagnosed earlier than biologically female clients. C. Biologically female clients are likely to be diagnosed earlier than biologically born males. D. Diagnosis commonly occurs in individuals under the age of 12.

Correct Answer is B

Explanation

A. People diagnosed with schizophrenia are more violent than others. Research indicates that individuals with schizophrenia are not inherently more violent than the general population. They are more likely to be victims of violence rather than perpetrators, especially if they have co-occurring substance use disorders.
B. Biologically male clients are typically diagnosed earlier than biologically female clients. Schizophrenia tends to manifest earlier in males, typically in the late teens to early 20s, whereas females are more often diagnosed in their late 20s to early 30s. This difference is believed to be influenced by hormonal and neurobiological factors.
C. Biologically female clients are likely to be diagnosed earlier than biologically male clients. This statement is incorrect because females generally receive a schizophrenia diagnosis later than males, often in their late 20s or beyond, rather than in adolescence or early adulthood.
D. Diagnosis commonly occurs in individuals under the age of 12. Schizophrenia is extremely rare in children under 12. The typical onset occurs in late adolescence or early adulthood, making early childhood diagnosis highly uncommon.

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A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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