A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

Exhibits

A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan?
Select all that apply.

ECG report

Respiratory assessment

Temperature

Weight

Sodium level

Creatinine level

Answer and Explanation

Correct Answer : B,D,E,F

A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.

B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.

C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.

D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.

E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.

F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.

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Correct Answer is C

Explanation

Rationale:

A. Amphetamines can cause agitation and psychosis but are less commonly associated with delirium.

B. Antihistamines, particularly those with sedative properties, can contribute to delirium, but they are not the primary culprit.

C. Benzodiazepines, especially when used in high doses or in older adults, can cause delirium. They have sedative effects and can impair cognitive function, leading to confusion and delirium, particularly in vulnerable populations.

D. Sertraline, a selective serotonin reuptake inhibitor (SSRI), is generally not associated with causing delirium, though any medication can contribute to altered mental status depending on the patient’s overall health.

A. Bananas B. Green Beans C. Tomatoes D. Raisins E. Asparagus

Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Bananas are high in potassium and should be avoided by clients with chronic kidney disease.

B. Green beans are relatively low in potassium compared to other options and do not need to be avoided.

C. Tomatoes are high in potassium and should be limited in the diet.

D. Raisins are high in potassium and should be avoided.

E. Asparagus is not particularly high in potassium and can generally be included in a renal diet.

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A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa. Exhibits A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who is experiencing delirium. Which of the following medications should the nurse identify as a cause of this disorder?

Correct Answer is C

Explanation

A nurse is teaching a client who has chronic kidney disease about limiting foods that are high in potassium. Which of the following foods should the nurse instruct the client to avoid? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

Exhibits

A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan?
Select all that apply.