A nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Provide opportunities for the client to choose their own mealtimes.

Supervise the client during and after eating.

Give the client a choice of foods and beverages.

Encourage casual conversation about food during mealtimes.

Answer and Explanation

The Correct Answer is B

A. While offering choices can promote autonomy, allowing clients to choose their own mealtimes may lead to avoidance of meals and is not a structured approach needed for clients with anorexia nervosa.

B. Supervision during and after eating is critical in managing clients with anorexia nervosa to ensure they consume the necessary nutrients and to monitor for any harmful behaviors, such as purging.

C. Although providing choices can support autonomy, it may not be suitable for clients with anorexia nervosa, as they might choose low-calorie or unhealthy options.

D. Encouraging casual conversation about food can sometimes increase anxiety or lead to fixation on eating behaviors, making it an inappropriate strategy for this population.

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Correct Answer is D

Explanation

A. Encouraging friends and family to visit the child is not appropriate due to the risk of infections, as the child has a severely compromised immune system.

B. A low-protein diet is not indicated; children with leukemia often require adequate nutrition to support their health.

C. Collecting a daily urine specimen for proteinuria is not specifically indicated for this condition; the focus should be on infection prevention.

D. Withholding the varicella vaccine is essential because live vaccines are contraindicated in immunocompromised patients due to the risk of severe infections.

A. Administer methylergonovine maleate if uterus is boggy. B. Massage a firm fundus. C. Document fundal height. D. Observe the lochia during palpation of fundus. E. Determine whether the fundus is midline.

Correct Answer is ["A","D","E"]

Explanation

.Administering methylergonovine maleate is appropriate if the uterus is boggy, as it helps to promote uterine contractions and prevent postpartum hemorrhage.

B. Massaging a firm fundus is incorrect; instead, the nurse should massage a boggy (soft) fundus to encourage it to contract.

C. Documenting fundal height is essential to monitor the uterine involution and ensure the uterus is returning to its pre-pregnancy size.

D. Observing the lochia during palpation of the fundus is important to assess for any abnormal bleeding or clots, which may indicate complications.

E. Determining whether the fundus is midline is necessary to assess for displacement, which can affect uterine tone and bleeding.

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A nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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