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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
A. Secondary prevention focuses on early detection and intervention to prevent further harm or complications. Tube feeding for a special needs student is not aimed at preventing the initial onset of a condition or injury.
B. Quaternary prevention focuses on avoiding unnecessary medical interventions and reducing the risk of over-medicalization. Tube feeding for a special needs student is a necessary medical intervention.
C. Tertiary prevention focuses on managing and treating existing conditions to prevent further complications or disability. Helping a special needs student with tube feeding is aimed at managing their existing condition (inability to eat orally) to prevent malnutrition or other complications.
D. Primary prevention focuses on preventing the initial onset of a condition or injury. Tube feeding for a special needs student is not aimed at preventing the initial onset of their inability to eat orally.
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