A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?

Encourage the client to gain 2.3 kg (5 lb) per week.

Monitor the client for 15 min after meals.

Weigh the client each morning after voiding.

Reinforce teaching about healthy eating during meals.

Answer and Explanation

The Correct Answer is B

A. Encourage the client to gain 2.3 kg (5 lb) per week. This is not appropriate. Weight gain should be gradual in clients with anorexia nervosa, typically around 0.5 to 1 kg (1 to 2 pounds) per week, to prevent refeeding syndrome and support psychological adjustment.

B. Monitor the client for 15 min after meals. This is the correct intervention. Clients with anorexia nervosa may engage in purging behaviors (such as vomiting or excessive exercise) after meals. Monitoring for a period of time after eating helps prevent these behaviors and ensures safety.

C. Weigh the client each morning after voiding. Weighing clients with anorexia nervosa can be distressing and should be done consistently at the same time each day (ideally, before breakfast) but does not need to be after voiding. This may not be the priority intervention compared to monitoring post-meal behavior.

D. Reinforce teaching about healthy eating during meals. While teaching about healthy eating is important, it should not be done during meals, as clients with anorexia nervosa may have difficulty focusing on this information when under stress during eating. Instead, nutrition education should be provided outside of meals.

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Correct Answer is B

Explanation

A. Instructing the client to report the theft to the police might be appropriate in cases of theft, but the nurse's primary responsibility is to ensure the safety and well-being of the client. Reporting
to the authorities can be pursued after ensuring the client's immediate safety.

B. Reporting the possible abuse to adult protective services is the appropriate action when financial exploitation or abuse is suspected. Adult protective services can investigate the situation and provide support and resources to ensure the client's safety.
C. Asking the client if there is another family member they can call for financial help is a valid consideration, but it does not address the potential abuse or exploitation of the client's finances.
D. Restricting visitation for the client's family until discharge is not appropriate without further assessment and intervention. It may also isolate the client from potential sources of support and assistance.

A. "I can continue to smoke while using nicotine patches." B. "I should join a support group to help me be successful." C. "Nicotine replacement therapy can cause cancer." D. "Varenicline could make me addicted to nicotine."

Correct Answer is B

Explanation

A. Incorrect. Nicotine patches are intended to help individuals quit smoking by providing a controlled dose of nicotine without the harmful chemicals found in cigarettes. Continuing to smoke while using nicotine patches can increase the risk of nicotine toxicity and is not recommended.
B. Correct. Joining a support group is a beneficial strategy for smoking cessation as it provides social support, encouragement, and accountability, which can increase the likelihood of success.
C. Incorrect. Nicotine replacement therapy, including patches, gum, and lozenges, does not cause cancer. It helps individuals quit smoking by reducing withdrawal symptoms and cravings associated with nicotine dependence.
D. Incorrect. Varenicline (Chantix) is a medication used to help people quit smoking by reducing withdrawal symptoms and blocking the effects of nicotine. It does not make individuals addicted to nicotine; rather, it helps them overcome nicotine addiction.

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A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse recommend to include in the plan of care?

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A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?