Which of the following findings should a nurse expect when assessing an adolescent female client with anorexia nervosa?

 

Choice A Reason:

A child whose parents answer questions for the child may be a potential victim of abuse. This behavior can indicate that the parents are controlling the child's interactions and possibly hiding signs of abuse. Children who are victims of abuse often have their autonomy and voice suppressed by their abusers. This suppression can manifest in parents answering questions on behalf of the child to prevent the child from disclosing any information about the abuse. Additionally, this behavior can be a red flag for healthcare providers to investigate further and ensure the child's safety.

Choice B Reason:

A child who has frequent visitors is less likely to be a victim of abuse. Frequent visitors can indicate that the child has a strong support system and is socially active. Abusers often isolate their victims to maintain control and prevent them from seeking help. Therefore, a child with many visitors is less likely to be isolated and more likely to have opportunities to disclose any abuse if it were occurring.

Choice C Reason:

A child who has a BMI indicating obesity is not necessarily a potential victim of abuse. While obesity can be a concern for a child's health, it is not directly linked to abuse. Obesity can result from various factors, including genetics, diet, and lifestyle. It is important to address obesity from a health perspective, but it should not be immediately associated with abuse without other supporting evidence.

Choice D Reason:

A child who uses the call light frequently may be seeking attention or assistance, but this behavior alone does not indicate abuse. Frequent use of the call light can be due to various reasons, such as anxiety, discomfort, or a need for reassurance. While it is important to address the child's needs and understand the underlying reasons for their behavior, it does not specifically point to abuse.

Choice A Reason:

Seizures are a serious and potentially life-threatening symptom of alcohol withdrawal. They can occur as a result of the sudden cessation of alcohol intake, especially in individuals with a long history of heavy use. The risk of seizures is highest in the first 48 hours after the last drink.

Choice B Reason:

Tachycardia, or rapid heart rate, is a common symptom of alcohol withdrawal. It is part of the body's sympathetic nervous system response to the stress of withdrawal. Monitoring and managing tachycardia is important to prevent complications.

Choice C Reason:

Hallucinations, particularly visual hallucinations, can occur during alcohol withdrawal. These hallucinations are typically transient and may occur in the absence of other delirium symptoms. They are a component of the alcohol withdrawal syndrome.

Choice D Reason:

Tremors are one of the earliest signs of alcohol withdrawal and are often referred to as "the shakes." They are caused by the nervous system adjusting to the absence of alcohol. Tremors usually begin within 5 to 10 hours after the last alcohol intake and can worsen over the next 48 to 72 hours.

Choice E Reason:

Hypotension is not typically a primary symptom of alcohol withdrawal. In fact, blood pressure may initially rise during withdrawal. However, if severe withdrawal leads to dehydration or other complications, hypotension could potentially occur.