A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction?
Select one:

Endocrine

Respiratory

Musculoskeletal

Cardiovascular

Answer and Explanation

The Correct Answer is D

Refeeding syndrome is a potentially life-threatening complication that can occur when a person with anorexia nervosa or other forms of malnutrition begins to eat again after a period of starvation. It is characterized by electrolyte imbalances and ﬂuid shifts that can lead to cardiovascular dysfunction, including heart failure and arrhythmias. Therefore, when caring for a patient with anorexia nervosa who is being refed, it is important for the nurse to closely monitor the patient’s cardiovascular system for signs of dysfunction.

Option a. Endocrine system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option b. Respiratory system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option c. Musculoskeletal system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

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Correct Answer is C

Explanation

Schizophrenia is a severe mental illness associated with an increased risk of suicide. Individuals with schizophrenia are at a higher risk of suicide due to the presence of symptoms such as depression, hopelessness, and social isolation. Unemployment is also a risk factor for suicide as it can contribute to financial and social stress.

The other options do have some risk factors, but not as high as the individual in option c. Alcohol use and being independent-minded are not necessarily significant risk factors for suicide, and being active in church can be a protective factor. While depression is a significant risk factor for suicide, it is not the only factor, and having two best friends may be a protective factor. Diabetes, in and of itself, is not a risk factor for suicide.

A. A client who recently burned her arm by accident while using a hot iron at home. B. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview. C. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects. D. A client that says he is hearing a voice that tells him he is not worthy of living anymore.

Correct Answer is D

Explanation

This client is experiencing auditory hallucinations and may be at risk for self-harm or suicide. The nurse should prioritize visiting this client first to assess their safety and provide appropriate interventions.

Option a. A client who recently burned her arm by accident while using a hot iron at home may require wound care and education on safety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option b. A client who tells the nurse he experienced manifestations of severe anxiety before and during a job interview may benefit from interventions to manage anxiety, but this situation is not as urgent as the client experiencing auditory hallucinations.

Option c. A client who requests that her antipsychotic medication be changed due to some new adverse eﬀects may require medication adjustment and monitoring for side eﬀects, but this situation is not as urgent as the client experiencing auditory hallucinations.

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A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following individuals is at highest risk for committing suicide?

Correct Answer is C

Explanation

A nurse is caring for several clients who are attending community-based mental health programs. Which Of the following clients should the nurse plan to visit first? Select one:

Correct Answer is D

Explanation

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A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction?
Select one: