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A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect? (Select all that apply.) .

A.

Diarrhea

B.

Hypotension.

C.

Cold extremities.

D.

Tooth erosion.

E.

Lanugo.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale:

Diarrhea is not typically associated with anorexia nervosa. Constipation is more common due to reduced food intake.

Choice B rationale:

Hypotension can occur in anorexia nervosa due to decreased circulating blood volume from inadequate fluid and food intake.

Choice C rationale:

Cold extremities can be a sign of anorexia nervosa due to the body’s attempt to conserve heat in response to inadequate caloric intake.

Choice D rationale:

Tooth erosion can occur in anorexia nervosa due to frequent vomiting, which exposes the teeth to stomach acid.

Choice E rationale:

Lanugo, or fine body hair, can develop in anorexia nervosa as the body’s attempt to insulate itself due to loss of body fat.


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Related Questions

Correct Answer is B

Explanation

Choice A rationale:

A consistent state of depression is not indicative of delirium, but rather a mood disorder.

Choice B rationale:

Fluctuating levels of orientation are a hallmark sign of delirium and should be reported to the provider.

Choice C rationale:

Obsessive behaviors are not typically associated with delirium, but may be indicative of an anxiety disorder.

Choice D rationale:

Gradual memory loss is more indicative of dementia, not delirium, which is typically a sudden onset.

Correct Answer is C

Explanation

Choice A rationale:

Lowering the window shade in the client’s room does not directly contribute to fall prevention. It might even increase the risk if it makes the room darker and the client can’t see clearly.

Choice B rationale:

Using a vest restraint is not the best option. Restraints should be used as a last resort, and only if less restrictive interventions have been ineffective.

Choice C rationale:

Placing the client in a room close to the nurses’ station allows for more frequent observation and quicker response if the client needs assistance, reducing the risk of falls.

Choice D rationale:

While recreational therapy can be beneficial for clients with dementia, it does not directly address the issue of fall prevention.

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