A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?
Evaluate liver function
Check for blood glucose levels
Assess for signs of infection
Monitor for electrolyte alterations
The Correct Answer is D
A. Evaluate liver function: Although liver function tests can be important, they are not the immediate priority in anorexia nervosa unless there is a specific indication of liver disease or failure. Liver function abnormalities might occur in advanced cases due to malnutrition, but electrolyte imbalances are more immediately life-threatening.
B. Check for blood glucose levels: Blood glucose levels are important, but severe electrolyte imbalances, such as hypokalemia, pose a more immediate risk and require urgent attention to prevent cardiac and neurological complications.
C. Assess for signs of infection: While important, infection is not typically a primary concern in the initial assessment of someone with anorexia unless there are specific signs or symptoms indicating infection.
D. Monitor for electrolyte alterations: Electrolyte imbalances, such as hypokalemia (low potassium) and hypocalcemia (low calcium), can be life-threatening and are common in individuals with anorexia due to malnutrition, vomiting, or use of laxatives. These imbalances can lead to cardiac arrhythmias and other serious complications, making this the priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A patient who does not have a support system at home: While a lack of support is a concern, it is not a criterion for home-bound health care eligibility.
B. A patient who is refusing to go to group therapy: Refusal to participate in therapy does not meet the criteria for being home-bound.
C. A patient with major depressive disorder and stopped taking his medication: While this is a serious situation, it does not necessarily mean the patient is home-bound.
D. A patient who is unable to leave home without assistance: This fits the definition of being home-bound, which means the patient has a condition that makes leaving the home difficult and requires assistance.
Correct Answer is B
Explanation
A. Narcissistic personality disorder: Individuals with narcissistic personality disorder may display arrogance and entitlement but are not typically prone to aggression in this context.
B. Antisocial personality disorder: Aggressive and impulsive behavior, often involving disregard for others' rights and legal norms, is characteristic of antisocial personality disorder.
C. Borderline personality disorder: Borderline personality disorder is associated with emotional instability, impulsivity, and difficulties in relationships, but aggression in a bar setting is more suggestive of antisocial behavior.
D. Histrionic personality disorder: This disorder involves attention-seeking behavior and emotional expression, which is different from the aggressive and antisocial behavior described.
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