A client reports being unhappy with their body weight. On assessment, the nurse notes tooth decay, an inflamed throat, gastroesophageal reflux disorder, and dehydration. The nurse knows these findings are consistent with which disorder?
Night eating syndrome
Anorexia nervosa
Binge-eating disorder
Bulimia nervosa
The Correct Answer is D
A. Night eating syndrome involves consuming large amounts of food at night, often leading to weight gain, but it is not typically associated with tooth decay, inflamed throat, or gastroesophageal reflux caused by purging behaviors.
B. Anorexia nervosa primarily involves severe restriction of food intake, leading to significant weight loss and malnutrition. While physical signs such as brittle hair and dry skin may appear, tooth decay, inflamed throat, and gastroesophageal reflux are less common because purging behaviors are not a defining characteristic.
C. Binge-eating disorder involves consuming large amounts of food in a short period of time, often leading to overweight or obesity. It is not typically associated with purging behaviors, which cause tooth decay, throat inflammation, and reflux.
D. Bulimia nervosa is characterized by recurrent episodes of binge eating followed by compensatory behaviors such as vomiting, laxative use, or excessive exercise. Repeated vomiting exposes the teeth to stomach acid, leading to tooth decay and erosion. It also causes an inflamed throat, gastroesophageal reflux disorder, and dehydration due to fluid loss during purging. These clinical findings align closely with the assessment described.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The “danger zone” for bacterial growth is between 40°F and 140°F (4°C–60°C). Within this temperature range, bacteria such as Salmonella, E. coli, and Listeria can multiply rapidly, increasing the risk of foodborne illness. Foods should be kept below 40°F in refrigeration or above 140°F during cooking or holding to prevent bacterial proliferation.
B. 35°F–155°F is slightly outside the standard danger zone range. Temperatures below 40°F are generally safe, and 155°F exceeds the threshold where most bacteria are destroyed.
C. 30°F–130°F is too low and does not accurately reflect the range in which bacteria multiply rapidly. Foods at 30°F are generally frozen or safe from bacterial growth.
D. 50°F–150°F does not reflect the standardized danger zone. Bacterial growth can occur at lower temperatures, starting around 40°F, and most pathogens are destroyed above 140°F.
Correct Answer is A
Explanation
A. The majority of triglycerides are stored in adipose tissue, which serves as the body’s primary long-term energy reserve. Adipose tissue is located beneath the skin (subcutaneous fat) and around internal organs (visceral fat). Triglycerides stored here can be broken down into fatty acids and glycerol during periods of energy deficit to provide fuel for the body.
B. Muscle tissue contains small amounts of triglycerides that provide local energy for muscle activity, but it is not the primary storage site for long-term energy.
C. The liver plays a role in metabolism, synthesizing and processing triglycerides, but it stores only small amounts for immediate use and is not the main energy reserve.
D. Lipoproteins are transport particles that carry triglycerides and cholesterol through the bloodstream, but they do not serve as storage sites for long-term energy.
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