A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)

Stay with the client during meals and for 1 hr afterward.

Give the client a weight gain goal of 4 to 5 lb per week.

Monitor the client's weight daily after first voiding.

Encourage the client to keep a diary of daily food intake.

Offer specific privileges for sustained weight gain.

Answer and Explanation

Correct Answer : A,C,D,E

"Stay with the client during meals and for 1 hr afterward," and "Monitor the client's weight daily after first voiding." These are important interventions for clients with anorexia nervosa, as they can help to prevent complications such as dehydration and electrolyte imbalances.

Choice B, "Give the client a weight gain goal of 4 to 5 lb per week," is not an appropriate intervention, as it can be overwhelming and may promote unhealthy weight gain.

Choice D, "Encourage the client to keep a diary of daily food intake," may be helpful for some clients, but is not a priority intervention.

Choice E, "Offer specific privileges for sustained weight gain," is not an appropriate intervention.

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Correct Answer is ["B","D","E"]

Explanation

The client with OCD may experience difficulty relaxing and often feels tense, anxious, and irritable. They may engage in rule-conscious behavior and exhibit perfectionist tendencies, as well as experience compulsive behaviors. These behaviors may be time-consuming and interfere with daily activities.

Option A is incorrect because irrational fear of certain objects is more indicative of a phobia than OCD.

Option C is incorrect because clients with OCD are usually aware of their compulsions and may even try to resist them.

Reasons why the other options are not correct answers:

Option A: Irrational fear of certain objects is more indicative of a phobia than OCD.

Option C: Clients with OCD are usually aware of their compulsions and may even try to resist them.

A. "I should call the provider if I experience excessive sweating and muscle twitching." B. "This medication can cause a dry cough." C. "I need to decrease my sodium intake while on this medication." D. "This medication can cause harmless, temporary changes to my ability to taste and smell."

Correct Answer is A

Explanation

Sertraline is a medication used to treat depression and other mental health conditions that can cause unwanted side effects. Excessive sweating and muscle twitching are potential side effects that should be immediately reported to the healthcare provider. A dry cough is a common side effect of other medications and not specific to sertraline.
Decreasing sodium intake is not necessarily related to the medication, and harmless, temporary changes in the ability to taste and smell are not significant enough to warrant special mention.

Choice B, "This medication can cause a dry cough," is a potential side effect of other medications and may cause confusion as to what medication the client is taking.
Choice C, "I need to decrease my sodium intake while on this medication," is not likely a statement related to sertraline but to other medications or medical conditions.
Choice D, "This medication can cause harmless, temporary changes to my ability to taste and smell," while accurate, is not the most critical information for the client to know about and may cause confusion as to what the client should report to the provider.

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A nurse on an inpatient unit is caring for a newly-admitted client who has anorexia nervosa. Which of the following actions should the nurse take? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is collecting data from a client with obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

Which statement by the client indicates an understanding of the information provided about sertraline?

Correct Answer is A

Explanation

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