A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect?
Cold extremities.
Diarrhea.
Tooth erosion.
Lanugo.
Correct Answer : A,C,D
Choice A rationale
Cold extremities are a common finding in individuals with anorexia nervosa due to poor circulation and reduced body fat, which impairs the body's ability to maintain normal temperature.
Choice B rationale
Diarrhea is not typically associated with anorexia nervosa. Instead, individuals with this disorder often experience constipation due to restrictive eating and decreased bowel movements.
Choice C rationale
Tooth erosion is a common finding in individuals with anorexia nervosa, particularly those who engage in self-induced vomiting, as stomach acid erodes the enamel on teeth.
Choice D rationale
Lanugo, or fine, soft body hair, is a common finding in individuals with anorexia nervosa as the body attempts to conserve heat due to loss of insulating body fat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Low tolerance for frustration is a risk factor for becoming a perpetrator of child abuse as it can lead to impulsive and aggressive behaviors.
Choice B rationale
Absence of impulsive behaviors is typically a protective factor, not a risk factor, for perpetrating child abuse.
Choice C rationale
Involvement in community activities is a protective factor and not a risk factor for child abuse perpetration.
Choice D rationale
A submissive personality is not a recognized risk factor for becoming a perpetrator of child abuse. Perpetrators often exhibit controlling and aggressive behaviors. .
Correct Answer is C
Explanation
Choice A rationale
Asking about discussing the situation with the partner does not immediately address the priority concern of the baby’s current state.
Choice B rationale
Asking about a friend’s help does not directly address the urgency of the infant's welfare.
Choice C rationale
Asking about the baby’s current condition immediately assesses safety and well-being, which is the nurse’s priority.
Choice D rationale
Inquiring about soothing techniques is not the primary focus in assessing the immediate safety and state of the baby.
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