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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Paranoid personality disorder: Paranoid personality disorder is characterized by pervasive distrust and suspiciousness of others. Individuals with this disorder may have delusions of persecution but typically do not have bizarre or magical beliefs such as mind reading. Therefore, this choice is incorrect.

B. Schizotypal personality disorder: Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs, and magical thinking, including ideas like being able to read minds. The client’s statement is indicative of the type of odd beliefs and thoughts associated with this disorder. This choice is correct.

C. Avoidant personality disorder: Avoidant personality disorder is marked by extreme shyness, fear of rejection, and social inhibition. Individuals with this disorder do not typically exhibit bizarre thoughts or delusions such as mind reading. Therefore, this choice is incorrect.

D. Antisocial personality disorder: Antisocial personality disorder is characterized by a disregard for the rights of others, deceitfulness, impulsivity, and a lack of remorse. It is not typically associated with delusional or magical thinking such as believing one can read minds. Therefore, this choice is incorrect.

A. Rotate assignment of daily caregivers. B. Limit time for the client to perform activities. C. Provide guidance for tasks one step at a time. D. Provide an activity schedule that changes from day to day.

Correct Answer is C

Explanation

A. Rotate assignment of daily caregivers: Consistency in caregivers helps minimize confusion and anxiety for Alzheimer’s patients.

B. Limit time for the client to perform activities: Allowing more time can reduce frustration and improve the chance of successful task completion.

C. Provide guidance for tasks one step at a time: Breaking tasks into simple, manageable steps helps Alzheimer’s patients complete them more easily and reduces confusion.

D. Provide an activity schedule that changes from day to day: Consistency in routine is important for patients with Alzheimer’s to reduce confusion and anxiety

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A nurse is caring for a client with Anorexia. When reviewing the labs for a client with Anorexia, what is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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