A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?
Refer the client to a support group for clients who have eating disorders.
Instruct the client about effective coping strategies
Observe the client during and after meals.
Suggest that the client assist with meal planning
The Correct Answer is C
The correct answer is C. Observe the client during and after meals. Bulimia nervosa is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The nurse should monitor the client for signs of purging, such as frequent trips to the bathroom, and provide support and supervision during and after meals to prevent this behavior . This is a priority intervention that addresses the client's physical health and safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is C. "Close your mouth around the mouthpiece." The rationale for this instruction is that it ensures that the medication reaches the lungs and does not escape through the mouth or nose. Albuterol is a bronchodilator that relaxes muscles in the airways and increases airflow to the lungs. It is used to treat or prevent bronchospasm, or narrowing of the airways, in people with asthma or certain types of chronic obstructive pulmonary disease (COPD). It is also used to prevent exercise-induced bronchospasm. Albuterol is delivered through a metered dose inhaler (MDI), which is a device that releases a measured amount of medication with each puff. To use an albuterol MDI correctly, the client should follow these steps :
- Shake the inhaler well before each spray.
- Remove the cap and look at the mouthpiece to make sure it is clean.
- Breathe out fully.
- Put the mouthpiece between your lips and close your mouth around it.
- Press down on the inhaler to release the medication as you start to breathe in slowly.
- Breathe in slowly and deeply over 3 to 5 seconds.
- Hold your breath for 10 seconds to allow the medication to reach your airways.
- Breathe out slowly.
- If you need another puff, wait 1 minute and repeat steps 4 to 8.
Correct Answer is C
Explanation
The client should wrap the leg with an elastic bandage to reduce swelling and promote healing.
The client should not maintain bed rest, as this can increase the risk of thrombosis and infection.
The client should elevate the leg above the heart level, not keep it in a dependent position, as this can reduce venous pressure and edema.
The client does not need to implement a sodium-restricted diet, as this is not related to vein stripping.
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