A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Hyperkalemia

Metrorrhagia

Lanugo

Tachycardia .

Answer and Explanation

The Correct Answer is C

The correct answer/s is C

Choice A rationale: Hyperkalemia, or high potassium levels in the blood, is not typically associated with anorexia nervosa. In fact, individuals with anorexia nervosa are more likely to experience hypokalemia, or low potassium levels, due to inadequate dietary intake and excessive loss of potassium through vomiting or use of diuretics1.

Choice B rationale: Metrorrhagia, or irregular menstrual bleeding between periods, can occur in females with anorexia nervosa due to hormonal imbalances caused by extreme weight loss and malnutrition. However, amenorrhea, or the absence of menstruation, is more commonly observed1.

Choice C rationale: Lanugo, which is fine, soft hair that grows on the face and body, is a common finding in individuals with anorexia nervosa. It is the body’s response to severe weight loss and starvation as an attempt to provide insulation and maintain body temperature1.

Choice D rationale: Tachycardia, or a rapid heart rate, is not typically associated with anorexia nervosa. Instead, individuals with anorexia nervosa often experience bradycardia, or a slower than normal heart rate, as the body’s response to starvation1.

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Correct Answer is ["A","E","G"]

Explanation

The correct answer/s is Choice/s A, E, and G.

Choice A rationale: Administering 0.9% sodium chloride IV is a common practice in emergency departments to ensure the patient is well-hydrated. This is particularly important for patients experiencing acute mania, as they may have neglected their physical health, including hydration, during their manic episode.

Choice B rationale: Flumazenil is an antagonist for benzodiazepines and is typically used to reverse the sedative effects of benzodiazepines. It is not typically used in the treatment of bipolar disorder or acute mania.

Choice C rationale: Preparing the client for intubation is usually reserved for situations where the patient is unable to maintain their own airway or adequate ventilation. This is not typically necessary in cases of acute mania unless there are other complicating factors.

Choice D rationale: Beginning chest compressions is a response to cardiac arrest. There is no indication in the that the patient is experiencing cardiac arrest, so this would not be a typical anticipation for a patient experiencing acute mania.

Choice E rationale: Administering IV naloxone is done in cases of suspected opioid overdose. While it’s not directly related to treating acute mania, it’s possible that the patient could have comorbid substance use issues, given the high rate of comorbidity between bipolar disorder and substance use disorders.

Choice F rationale: Administering activated charcoal is done in cases of certain types of poisoning or drug overdose. It is not typically used in the treatment of bipolar disorder or acute mania.

Choice G rationale: Preparing the client for electroconvulsive therapy (ECT) could be an appropriate anticipation for a patient experiencing acute mania. ECT is considered a highly effective treatment for severe mania, particularly when other treatments have failed or when rapid stabilization is required.

A. Sweating and fever B. Discolored urine C. Decreased appetite D. Hallucinations.

Correct Answer is D

Explanation

Choice A rationale: Sweating and fever are not typically associated with buspirone use. These symptoms could be indicative of another underlying condition or a different medication side effect.

Choice B rationale: Discolored urine is not a common side effect of buspirone. If a patient experiences this, it may be due to other factors such as dehydration, certain foods, or other medications.

Choice C rationale: Decreased appetite is not a common side effect of buspirone. While some medications can affect appetite, buspirone is not typically associated with significant changes in appetite.

Choice D rationale: Hallucinations are a serious side effect and should be reported to the provider immediately. Although rare, buspirone can cause severe side effects such as mental depression, confusion, and uncontrolled

movements of the body. If a patient experiences hallucinations while taking buspirone, it could indicate a serious adverse reaction that requires immediate medical attention.

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A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department (ED). The client comes to the ED via ambulance. The client has a history of bipolar disorder and is experiencing acute mania. Select the 3 prescriptions that the nurse should anticipate for this client.

Correct Answer is ["A","E","G"]

Explanation

A nurse is caring for a client who has generalized anxiety disorder and is taking buspirone. Which of the following adverse effects should the nurse report to the provider?

Correct Answer is D

Explanation

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