A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

Bradycardia.

Russell's sign.

Lanugo.

Hypotension.

Diarrhea.

Answer and Explanation

Correct Answer : A,B,C,D

A. Bradycardia, or a slow heart rate, is a common physiological finding in individuals with anorexia nervosa due to the body's adaptive response to conserve energy. The heart rate may drop below the normal range of 60-100 bpm.

B. Russell's sign refers to calluses or abrasions on the knuckles or back of the hand caused by self-induced vomiting. It's a physical indicator of recurrent vomiting in individuals with bulimia nervosa or severe anorexia nervosa.

C. Lanugo refers to fine, soft hair that grows on the face, back, and arms of individuals with anorexia nervosa. This is the body's attempt to increase warmth due to insufficient body fat, and it's a result of the malnutrition associated with the disorder.

D. Hypotension, or low blood pressure, is often seen in individuals with anorexia nervosa due to decreased cardiac output and volume. This can lead to dizziness, fatigue, and other cardiovascular symptoms.

E. Diarrhea is not a common finding in anorexia nervosa. Clients with anorexia nervosa are more likely to experience constipation due to malnutrition, dehydration, and the body’s reduced metabolic rate.

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Correct Answer is B

No explanation

A. Check the client's condition after the procedure. B. Assist the client to ambulate for the first time following the procedure. C. Witness the client's signature on the consent for the procedure. D. Give the client atropine 30 min before the procedure.

Correct Answer is B

Explanation

A. Check the client's condition after the procedure. - This task should not be delegated to assistive personnel (AP) as it requires assessment skills that are within the nurse's scope of practice.

B. Assist the client to ambulate for the first time following the procedure. - This is a task that can be delegated to AP. Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand.

C. Witness the client's signature on the consent for the procedure. - This task must be performed by a nurse or another licensed healthcare provider, as it involves ensuring that the client has given informed consent.

D. Give the client atropine 30 min before the procedure. - Administering medication is within the nurse's scope of practice and should not be delegated to AP.

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A nurse is assessing a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.).

Nursing Test Bank

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