A nurse is caring for a client diagnosed with anorexia nervosa and over exercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Reprimand the client about the potential damage that has occurred due to over exercising her body.

Praise the client for looking at herself in a mirror.

Restrict the client from being weighed.

Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.

Answer and Explanation

The Correct Answer is D

A. Reprimand the client about the potential damage that has occurred due to overexercising her body: Reprimanding is likely to increase feelings of guilt and shame, which can exacerbate the disorder. A supportive and empathetic approach is more beneficial.
B. Praise the client for looking at herself in a mirror: This could reinforce a negative preoccupation with body image, which is a significant aspect of anorexia nervosa. Encouraging healthy coping mechanisms is more appropriate.
C. Restrict the client from being weighed: While it is important to manage weight monitoring carefully, outright restriction without addressing the underlying issues can increase anxiety and resistance to treatment.
D. Ask the client to agree to talk to a nurse whenever she feels the urge to exercise: This helps the client develop healthier coping strategies and provides support in managing the urge to overexercise, promoting therapeutic engagement.

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Correct Answer is B

Explanation

A. The newborn with a heart rate of 154 beats/minute. This is within the normal range for a newborn, which is between 120-160 beats per minute.
B. The newborn with a respiratory rate of 72 breaths/minute. This is abnormal; the normal respiratory rate for a newborn is between 30-60 breaths per minute. A rate of 72 could indicate respiratory distress and requires prompt evaluation.

C. The newborn with a red raised capillary hemangioma on the left forearm. Capillary hemangiomas are common, benign vascular tumors that typically do not require immediate intervention.
D. The newborn with whitish, hardened nodules on the gums of the mouth. These are likely Epstein pearls, which are harmless cysts often seen in newborns and typically resolve on their own.

Correct Answer is ["75"]

Explanation

The safe dose for the infant is 50 mg/kg/day.

The infant weighs 6 kg.

Calculate the total daily dose:

50mg/kg/day×6kg=300mg/day

Since the medication is to be given every 6 hours, it will be administered 4 times a day (24 hours / 6 hours = 4 doses/day).

Calculate the dose per administration:

300mg/day÷4=75mg/dose

Each dose of Amoxicillin should be 75 mg.

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A nurse is caring for a client diagnosed with anorexia nervosa and over exercises to avoid gaining weight. Which of the following should be the appropriate action by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The following newborns are three-hours old and are sleeping. The registered nurse should notify the provider about which newborn?

Correct Answer is B

Explanation

You are the nurse caring for an infant with an order to receive Amoxicillin (Amoxil) orally every 6 hours. The safe medication dose is 50mg/kg/day in divided doses. The infant weighs 6 kgs. How much medication will you administer to the infant each dose?

Correct Answer is ["75"]

Explanation

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