A nurse is caring for a client who has anorexia nervosa. Which of the following findings should the nurse expect?
Hyperkalemia
Hyperglycemia
Lanugo
Swollen parotid glands
The Correct Answer is C
A. Hyperkalemia. Clients with anorexia nervosa typically experience hypokalemia rather than hyperkalemia due to severe malnutrition, vomiting, and excessive diuretic or laxative use. Potassium depletion can lead to life-threatening cardiac complications.
B. Hyperglycemia. Anorexia nervosa is associated with hypoglycemia due to prolonged fasting, malnutrition, and depleted glycogen stores. Clients often have low blood glucose levels rather than elevated ones.
C. Lanugo. The development of fine, downy body hair (lanugo) is a classic sign of anorexia nervosa. This occurs as the body adapts to extreme weight loss and malnutrition by trying to conserve heat due to the lack of body fat.
D. Swollen parotid glands. While swollen parotid glands are common in bulimia nervosa due to frequent vomiting, they are not a defining feature of anorexia nervosa unless the client engages in purging behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Demand that the client remove hidden objects from their clothing prior to being weighed. While it is important to ensure accurate weight measurement, demanding removal of hidden objects may create a confrontational atmosphere and increase anxiety for the client. A more supportive approach is beneficial in this setting.
B. Invite the client to predict their weight beforehand. Encouraging clients to predict their weight can help engage them in the process and promote a sense of control. This approach may also facilitate a therapeutic conversation about their feelings regarding weight and body image.
C. Monitor for any extra fluids the client may have consumed prior to being weighed. While monitoring fluid intake is important in the overall care of clients with eating disorders, it is not a standard practice to monitor this immediately before weighing unless there is a specific concern about fluid retention or overhydration.
D. Weigh the client each day after their evening meal. Weighing clients daily can contribute to anxiety and unhealthy focus on weight. It is generally more effective to establish a consistent weighing schedule that minimizes distress, such as weekly or bi-weekly measurements, rather than immediately following meals.
Correct Answer is B
Explanation
A. "A family member took me fishing several times when I was a kid." This statement reflects a positive memory of a family activity and does not contribute to understanding aggressive behavior.
B. "My parent used their fists to hit me as a child." This statement indicates a history of physical abuse in childhood, which can be a significant contributing factor to aggressive behavior in adulthood. Experiencing violence in the home can lead to the normalization of aggression as a means of resolving conflict or expressing emotions.
C. "My parent was physically abused as a child." While this statement indicates a cycle of violence, it does not directly reflect the client's own experiences that may contribute to their aggressive behavior. It may suggest a learned behavior pattern, but it is less direct than the client's personal experience of being abused.
D. "I drink a glass of wine occasionally with dinner." This statement about moderate alcohol consumption does not inherently indicate a risk factor for aggression. While substance use can contribute to aggressive behavior in some individuals, occasional drinking with meals is generally not considered a significant risk factor on its own.
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