A nurse is caring for a 20-year-old college student with a 2-year history of bulimia nervosa. The student tells the nurse, “I know my eating binges and vomiting are not normal, but I can’t do anything about them.”. What would be a therapeutic response from the nurse?

“You should stop because you need to. You are destroying your health.”.

“Do you have any idea why you do this?”

“I’m proud of you for recognizing that this behavior is not normal.”.

“It seems like you are feeling helpless about this behavior.”.

Answer and Explanation

The Correct Answer is D

Choice A rationale

While it’s true that bulimia nervosa can have serious health consequences, telling the patient that they “should stop because they need to” may come across as dismissive of the patient’s struggle. It’s important to remember that bulimia nervosa is a complex mental health disorder that often requires professional treatment.

Choice B rationale

Asking the patient why they engage in their behavior might seem like a logical question, but it could potentially make the patient feel defensive or blamed for their condition. It’s important to approach the conversation with empathy and understanding.

Choice C rationale

While it’s important to validate the patient’s feelings and experiences, saying “I’m proud of you for recognizing that this behavior is not normal” might not be the most therapeutic response. This statement could potentially reinforce the idea that their behavior is “abnormal,” which could lead to feelings of shame or guilt.

Choice D rationale

Expressing empathy and understanding, as in “It seems like you are feeling helpless about this behavior,” can be a therapeutic response. This statement acknowledges the patient’s feelings and opens up the conversation for further exploration of their experiences and potential coping strategies.

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

Explanation

Choice A rationale

An increased blood osmolarity, such as 260 mOsm/kg, can be a sign of dehydration. When the body is dehydrated, the concentration of solutes in the blood can increase, leading to higher osmolarity.

Choice B rationale

Hypotension, or low blood pressure, is not typically a sign of dehydration. In fact, dehydration can often cause blood pressure to increase due to the body’s efforts to compensate for the lack of fluid.

Choice C rationale

A high urine specific gravity, such as 1.035, can indicate dehydration. This measurement reflects the concentration of solutes in the urine, and a high value can mean that the body is conserving water due to dehydration.

Choice D rationale

An elevated blood sodium level, such as 150 mEq/L, can be a sign of dehydration. When the body is dehydrated, the concentration of sodium in the blood can increase.

A. When feeding, push the syringe plunger to empty the formula faster to save time. B. When feeding, hold the syringe high enough for the formula to empty gradually by gravity. C. Position the patient in a supine position. D. Flush the tubing before feeding only.

Correct Answer is B

Explanation

Choice A rationale

Pushing the syringe plunger to empty the formula faster is not recommended. This can lead to complications such as aspiration, diarrhea, or abdominal cramping. The formula should be allowed to flow slowly by gravity.

Choice B rationale

Holding the syringe high enough for the formula to empty gradually by gravity is the correct method for intermittent feeding. This allows for a slow, controlled flow of the formula, which can help prevent complications.

Choice C rationale

Positioning the patient in a supine position during feeding is not recommended. The patient should be in an upright position, at least 30 degrees, to reduce the risk of aspiration.

Choice D rationale

Flushing the tubing before feeding only is not correct. The tubing should be flushed before and after feedings to maintain patency and prevent clogging.

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A nurse is caring for a 20-year-old college student with a 2-year history of bulimia nervosa. The student tells the nurse, “I know my eating binges and vomiting are not normal, but I can’t do anything about them.”. What would be a therapeutic response from the nurse?

Choice A rationale

Choice B rationale

Choice C rationale

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An LPN is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

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

Explanation

Choice A rationale

Choice C rationale

Choice D rationale

Which of the following statements is true regarding intermittent feeding?

Correct Answer is B

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

A nurse is caring for a patient who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes?

An LPN is reviewing the laboratory tests results for a client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration. Select all that apply.

A nurse is reviewing the laboratory values of a patient receiving total parenteral nutrition (TPN). The glucose is 72 mg/dL, chloride is 100 mEq/L, sodium is 138 mEq/L, and potassium is 3.0 mEq/L. What action should the nurse plan to take?

A nurse is caring for a patient who has a new prescription for warfarin. Which of the following diagnostic test results should the nurse use to monitor the therapy’s effect?

A nurse is taking care of a patient who is nauseous and vomiting. Which of the following acid-base imbalances should the nurse identify the patient is at risk for?

A nurse is caring for an older adult client. The client has an increased risk for dehydration due to which of the following physiological changes that can occur with aging?

A nurse on a medical-surgical unit suspects that several patients have Clostridium difficile (C. difficile) when they all develop watery diarrhea. What actions should the nurse plan to take while waiting for the patients’ lab results?

A nurse is gathering data from a client who is experiencing hypokalemia due to nausea, vomiting, and diarrhea. Which of the following symptoms should the nurse anticipate?