A client with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

The client will admit they have a fear of gaining weight or of persistent behaviors that interfere with weight gain.

The client will accept their own value and worth.

The client will identify potential alternative coping strategies.

The client will follow a nutritionally balanced diet.

Answer and Explanation

The Correct Answer is D

Choice A reason: Admitting fear of weight gain or behaviors interfering with weight gain shows psychological insight, which is important in anorexia nervosa treatment. However, as a short-term outcome, it is less critical than addressing immediate nutritional deficiencies to prevent organ damage and stabilize physical health.

Choice B reason: Accepting personal value and worth addresses the psychological aspects of anorexia nervosa, such as low self-esteem. While important for long-term recovery, it is not a short-term priority, as it does not directly address the immediate physical risks of malnutrition and weight loss.

Choice C reason: Identifying alternative coping strategies helps address emotional triggers for anorexia nervosa, supporting long-term recovery. However, in the short term, the priority is to restore nutritional status and prevent complications like cardiac failure, making this outcome less urgent than dietary adherence.

Choice D reason: Following a nutritionally balanced diet is critical in the short term for clients with anorexia nervosa to reverse malnutrition, restore weight, and prevent life-threatening complications like electrolyte imbalances or organ failure. This directly addresses the immediate physiological needs, making it the most appropriate short-term outcome.

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Correct Answer is D

Explanation

Choice A reason: Daily weight monitoring and reporting a 3-pound gain in one day indicates fluid retention, a sign of worsening heart failure. This is correct and shows understanding of self-monitoring to prevent complications, requiring no further teaching.

Choice B reason: Notifying the provider about increasing shortness of breath at rest is appropriate, as it signals worsening heart failure due to reduced cardiac output or pulmonary edema. This reflects proper understanding of symptom monitoring, requiring no additional teaching.

Choice C reason: A low-sodium diet reduces fluid retention in heart failure by decreasing sodium-induced water retention, preventing worsening of edema or congestion. This statement is correct and demonstrates understanding of dietary management, requiring no further teaching.

Choice D reason: Sleeping in a reclining chair may occur in severe heart failure due to orthopnea, but it is not a standard recommendation. It suggests poor symptom control, requiring further teaching on optimizing medical management, such as medication adherence and fluid monitoring, to prevent this need.

A. You may resume all normal activity in one week; if you are used to playing tennis, you may proceed with this activity. B. Cancel your tennis tournament and wait until fall; then try hockey; skating is much easier on pacemakers. C. You should avoid tennis; basketball or football would be a good substitute. D. You will need to cancel this activity; you must restrict arm movement above your head for two weeks.

Correct Answer is D

Explanation

Choice A reason: Resuming vigorous activity like tennis one week post-pacemaker insertion risks lead dislodgement, as the device requires time to stabilize. Arm movements in tennis, especially overhead swings, can disrupt the pacemaker leads, making this advice unsafe and inappropriate.

Choice B reason: Suggesting hockey or skating as alternatives is incorrect, as these activities also involve significant physical exertion and risk of trauma to the pacemaker site. Additionally, delaying until fall is arbitrary, and these sports do not reduce the risk of lead dislodgement compared to tennis.

Choice C reason: Substituting tennis with basketball or football is inappropriate, as these contact sports pose a higher risk of trauma to the pacemaker site, potentially causing device malfunction or lead dislodgement. These activities are not safer alternatives and could exacerbate complications.

Choice D reason: Restricting arm movement above the head for two weeks post-pacemaker insertion prevents lead dislodgement, as the leads need time to anchor in the heart tissue. Tennis involves vigorous arm motions, so canceling the tournament is necessary to ensure device stability and client safety.

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A client with anorexia nervosa is admitted to the unit. Which is the most appropriate short-term outcome?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching a client with heart failure how to avoid complications and future hospitalizations. Which of the following statements by the client requires additional teaching?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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