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
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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Related Questions
Correct Answer is ["A","B"]
Explanation
Option a. Clients diagnosed with anorexia nervosa often see themselves as overweight is true. Anorexia nervosa is characterized by a distorted body image and an intense fear of gaining weight. Even when they are severely underweight, individuals with anorexia nervosa may perceive themselves as being overweight.
Option b. Anorexia Nervosa has the highest mortality of all mental disorders is true. Anorexia nervosa is a serious mental illness that can have severe physical and psychological consequences, including death.
Option c. Clients diagnosed with anorexia nervosa often see themselves as emaciated and underweight is not true. As mentioned above, individuals with anorexia nervosa often have a distorted body image and may perceive themselves as being overweight even when they are severely underweight.
Option d. Clients diagnosed with anorexia nervosa are self-indulgent is not true. Anorexia nervosa is a complex mental illness that is not caused by self-indulgence.
Option e. Adolescent females are most affected is true. While anorexia nervosa can affect individuals of any gender and age, it is most diagnosed in adolescent females.

Correct Answer is A
Explanation
Denial is a defense mechanism where an individual refuses to accept or acknowledge the existence of a problem or a reality that causes anxiety or distress. In this scenario, the client is denying that their coughing is related to their lung cancer, and instead attributing it to a common cold that everyone is getting. This denial may be a way for the client to avoid facing the reality of their illness and the potential consequences of smoking.
Option b, reaction formation, is a defense mechanism where an individual expresses feelings or behaviors that are the opposite of their true feelings to reduce anxiety.
Option c, sublimation, is a defense mechanism where an individual channels their unacceptable impulses into more acceptable or socially appropriate behaviors.
Option d, suppression, is a defense mechanism where an individual consciously pushes down or avoids their thoughts or feelings. None of these defense mechanisms are being exhibited in the scenario described.

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