A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Lower than normal expected reference range of body weight

Amenorrhea

Hyperkalemia

Dental decay

Answer and Explanation

The Correct Answer is D

A.   Clients with bulimia nervosa may have a normal or above-normal body weight, as bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting or excessive exercise.
B.   Amenorrhea, or the absence of menstruation, is more commonly associated with anorexia nervosa rather than bulimia nervosa.
C.   Hyperkalemia, or high levels of potassium in the blood, is not a common finding in clients with bulimia nervosa.
D.   Frequent self-induced vomiting can lead to dental erosion and decay due to exposure of the teeth to stomach acid.

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Correct Answer is A

Explanation

A. A family history of urolithiasis is a risk factor for developing the condition. Genetic factors can influence the risk of developing kidney stones.
B. Diuretic use can increase the risk of kidney stone formation by increasing the concentration of certain substances in the urine that can lead to stone formation.
C. A body mass index (BMI) less than 25 is not typically considered a risk factor for urolithiasis. Obesity, however, can be a risk factor for certain types of kidney stones.
D. Hypocalcemia (low calcium levels) can increase the risk of certain types of kidney stones, particularly those composed of calcium oxalate or calcium phosphate. However, hypocalcemia is not a common risk factor for urolithiasis.

A. Rub hands and arms to dry. B. Adjust the water temperature to feel hot. C. Hold the hands higher than the elbows. D. Apply 4 to 5 mL of liquid soap to the hands.

Correct Answer is D

Explanation

A. Rubbing hands and arms to dry is not a step in the hand hygiene process. After washing, the hands should be dried thoroughly with a clean towel or air dryer.
B. Adjusting the water temperature to feel hot is not necessary for effective hand hygiene. The water should be warm, but not hot, to avoid skin damage.
C. Holding the hands higher than the elbows is not a step in the hand hygiene process.
D. Applying 4 to 5 mL of liquid soap to the hands is the correct amount of soap to use for effective hand hygiene. The soap should be rubbed onto the hands and wrists for at least 20 seconds before rinsing thoroughly with water.

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A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is A

Explanation

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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