A nurse is caring for a client who is newly admitted for the treatment of anorexia nervosa. Which of the following actions should the nurse plan to take?
Stay with the client for 15 min following meals
Weigh the client every day for the first week of acute care.
Schedule the client for a daily exercise program
Discuss food-related topics with the client during meals.
The Correct Answer is B
A. Staying with the client for 15 minutes following meals is insufficient. The nurse should closely supervise the client for a longer duration, typically 45 to 60 minutes after every meal, to prevent them from hiding food, vomiting, or engaging in excessive physical activity to purge calories.
B. Weighing the client every day during the first week of acute care is a critical and standard intervention. Frequent weight checks are vital for monitoring initial physical stability and assessing fluid status to ensure the client is not developing refeeding syndrome, a dangerous metabolic complication that can occur during early nutritional rehabilitation.
C. Schedule the client for a daily exercise program: Exercise may be restricted or minimized in clients with anorexia nervosa, especially in the acute phase of treatment, as excessive exercise can worsen the condition and interfere with recovery.
D. Discuss food-related topics with the client during meals: Discussing food-related topics during meals may increase anxiety or pressure related to food. The focus during meals should be on providing a supportive, non-judgmental environment that encourages normal eating patterns.
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Related Questions
Correct Answer is A
Explanation
A. Transfer a client who has delirium from a bed to a wheelchair: Assisting with transfers and mobility is within the scope of practice for an AP, especially if the client is stable and the task does not require clinical decision-making.
B. Inform a client who has schizophrenia about available community services: This task requires clinical judgment and communication skills to ensure that the client understands the information and that the services are appropriate for their needs. It should be performed by a nurse, not an AP.
C. Obtain a list of current medications from a client who is experiencing a manic episode: While obtaining a medication list is an important task, it requires assessment and evaluation of the client's condition, which should be done by a nurse, especially when the client is in a manic state and may have impaired judgment or communication.
D. Insert an NG tube for a client who has acetaminophen toxicity: Inserting an NG tube is an invasive procedure that requires clinical knowledge and skill. It should be performed by a licensed nurse or physician, not an AP.
Correct Answer is A
Explanation
A. "Nicotine causes an increase in blood pressure.": Nicotine is a stimulant that can constrict blood vessels, leading to an increase in blood pressure and heart rate. It is one of the known cardiovascular effects of smoking.
B. "Anabolic steroids stimulate the immune system.": Anabolic steroids can actually have a suppressive effect on the immune system, making users more susceptible to infections. Their primary effects are on muscle growth and secondary male characteristics.
C. "Methamphetamine causes weight gain.": Methamphetamine is a stimulant that typically causes weight loss, not weight gain, due to its appetite-suppressing effects and increased metabolism.
D. "Amphetamines alleviate symptoms of depression.": While amphetamines can temporarily improve mood and increase energy, they are not a primary or safe treatment for depression.as can lead to dependence, making them inappropriate for long-term management of depression.
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