A nurse is caring for a client with an eating disorder. The nurse is aware which findings are commonly associated with clients who have anorexia? (Select All that Apply.)
Increased metabolic rate
Decreased heart rate and blood pressure
Fear of weight gain
Excessive thirst and frequent urination
Excessive weight loss
Correct Answer : B,C,E
A. Increased metabolic rate: Anorexia typically results in a decreased metabolic rate due to malnutrition and a significant reduction in energy intake.
B. Decreased heart rate and blood pressure: Malnutrition and dehydration associated with anorexia can lead to bradycardia and hypotension.
C. Fear of weight gain: A hallmark of anorexia nervosa is an intense fear of gaining weight and a persistent behavior to avoid weight gain.
D. Excessive thirst and frequent urination: These symptoms are not typically associated with anorexia and are more characteristic of conditions such as diabetes.
E. Excessive weight loss: Significant weight loss is a primary feature of anorexia nervosa, often leading to severe underweight status and associated health complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Donepezil (Aricept) encourages production of acetylcholine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This statement is partially correct. Donepezil inhibits the breakdown of acetylcholine rather than encouraging its production. However, it correctly states that it delays the progression of Alzheimer's disease.
B. "Donepezil (Aricept) delays the destruction of dopamine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is incorrect because Alzheimer's disease primarily involves acetylcholine, not dopamine.
C. "Donepezil (Aricept) delays the destruction of acetylcholine, a chemical in the brain necessary for memory processes. Although most effective in the early stages, it serves to delay, but not stop, the progression of the disease.": This is the correct statement. Donepezil is a cholinesterase inhibitor that helps maintain acetylcholine levels in the brain, which is important for memory and cognitive function. It does not cure Alzheimer's disease but can slow its progression.
D. "Donepezil (Aricept) encourages production of dopamine, a chemical in the brain necessary for memory processes. It delays the progression of the disease.": This is incorrect because donepezil does not affect dopamine levels significantly in the context of Alzheimer's disease.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
To effectively manage the client's care in moderate Alzheimer's disease and assign appropriate tasks to an assistive personnel (AP), the nurse should consider the following tasks:
Target 1: administer memantine: Memantine is a medication commonly used in the management of Alzheimer's disease to help improve cognitive function and behavior. Administering medications falls within the scope of practice for an assistive personnel under the supervision and direction of a nurse.
Target 2: continue bowel training program: The client started a bowel training program, which involves specific protocols to manage bowel movements and maintain regularity. Assistive personnel can assist in ensuring the program is continued consistently, including documenting bowel movements and any associated issues, which supports continuity of care and adherence to prescribed therapies.
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