Exhibits
Complete the diagram by dragging from the choices area to specify condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse to assess the client's progress.
The Correct Answer is []
Anorexia Nervosa
The client's symptoms, such as low body weight (BMI of 16.8 kg/m²), bradycardia (HR of 48 bpm), hypothermia (temperature of 96.2°F), poor muscle tone, irregular menstruation, and the presence of lanugo, all strongly suggest anorexia nervosa. Additionally, the client's refusal to acknowledge weight loss and her distorted perception of body image further support this diagnosis.
Actions the Nurse Should Take:
Educate on the condition:
The nurse should educate the client and her family about the physical and psychological aspects of anorexia nervosa, including the risks of severe malnutrition, electrolyte imbalances, and long-term complications if not treated.
Acknowledge anxious feelings:
The nurse should validate the client’s anxious feelings about food and body image, providing emotional support and promoting a therapeutic relationship to encourage the client to engage in treatment.
Parameters to Monitor:
Weight:
Monitoring the client’s weight regularly is essential to assess nutritional progress and to detect any further weight loss or gains.
Achievement of 100% of ideal weight:
Assessing whether the client is progressing toward achieving a healthy weight (100% of ideal body weight) is a critical marker of recovery from anorexia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Resuming normal physical activity is not advisable if the client is experiencing symptoms indicative of DKA.
B. Drinking electrolyte fluid replacements can be beneficial but does not address the underlying issue of hyperglycemia.
C. Measuring urine output may provide useful information but is not an immediate intervention for DKA.
D. Giving a dose of regular insulin as prescribed is crucial in managing DKA, as it helps to lower blood glucose levels and address the metabolic derangement.
Correct Answer is C
Explanation
A. While hydration is important, water and herbal teas do not provide the calcium needed for bone health.
B. Fresh fruits and vegetables are healthy but are not significant sources of calcium or vitamin D, which are crucial for preventing osteoporosis.
C. Low-fat dairy products are rich in calcium and vitamin D, both essential for bone health and osteoporosis prevention.
D. Iron-rich meats are beneficial for overall health but do not contribute significantly to bone health compared to calcium-rich foods.
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