What physical assessment finding is noticeable in a patient who has a history of bulimia?

prominent parotid glands.

25% underweight.

peripheral edema.

lanugo.

Answer and Explanation

The Correct Answer is A

A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.

B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.

C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.

D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.

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Correct Answer is C

Explanation

A. Recommending hospitalization for a patient who is dangerous to self or others is an example of appropriate professional judgment and does not constitute a tort.

B. Delays in completing a plan of care may reflect poor documentation or practice issues, but it is not automatically considered a tort.

C. Administering medication to a patient solely due to staffing issues, rather than based on clinical need or prescription, constitutes battery or negligence, which are examples of torts in healthcare law.

D. Changing a patient’s admission status based on clinical improvement is appropriate practice and not a tort.

A. Aripiprazole (Abilify) B. Olanzapine (Zyprexa) C. Clozapine (Clozaril) D. Ziprasidone (Geodon)

Correct Answer is A

Explanation

A. Aripiprazole is an atypical antipsychotic with a lower risk of weight gain, metabolic syndrome, and hypertension compared with olanzapine or clozapine, making it suitable for a patient who is overweight and hypertensive. It effectively treats positive symptoms such as auditory hallucinations and may improve social functioning.

B. Olanzapine is effective for schizophrenia but is associated with significant weight gain, hyperlipidemia, and worsening hypertension, making it less appropriate for this patient.

C. Clozapine is reserved for treatment-resistant schizophrenia due to risks of agranulocytosis, myocarditis, and metabolic side effects; it is not first-line for this patient.

D. Ziprasidone has a lower risk of metabolic side effects than olanzapine or clozapine, but it carries a risk of QT prolongation, which may be concerning in hypertensive patients with potential cardiac risks.

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What physical assessment finding is noticeable in a patient who has a history of bulimia?

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Naxlex Comprehensive Predictor Exams

Select an example of a tort.

Correct Answer is C

Explanation

A health care provider considers which antipsychotic medication to prescribe for a patient diagnosed with schizophrenia who has auditory hallucinations and poor social function. The patient is also overweight and hypertensive. Which drug should the nurse advocate?

Correct Answer is A

Explanation

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