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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

Choice A rationale

Monitoring blood pressure is essential as haloperidol can cause orthostatic hypotension. The client's action is appropriate.

Choice B rationale

Chewing sugar-free gum helps to alleviate dry mouth, a common side effect of haloperidol. This action is appropriate.

Choice C rationale

Avoiding alcohol is crucial because alcohol can interact with haloperidol and exacerbate its side effects. The client's action is appropriate.

Choice D rationale

Spending several hours outside in the sun could increase the risk of photosensitivity, a side effect of haloperidol. The nurse should address this.

A. Arrange for the sibling to visit the client in the dayroom. B. Refer the sibling to the client's provider. C. Tell the sibling the client does not want visitors. D. Encourage the client to visit with the sibling.

Correct Answer is C

Explanation

Choice A rationale

Arranging a visit without the client’s consent disregards their right to refuse visitors, which is important to respect their autonomy.

Choice B rationale

Referring the sibling to the provider does not address the client’s current refusal and bypasses the nurse’s role in facilitating communication.

Choice C rationale

Informing the sibling that the client does not want visitors respects the client’s wishes and maintains their confidentiality.

Choice D rationale

Encouraging the client to visit with the sibling may pressure the client and does not respect their current refusal of visitors. .

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A nurse is collecting data from a client who has anorexia nervosa.Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who started taking haloperidol decanoate 125 mg IM 1 month ago.Which of the following statements by the client should the nurse address?

Correct Answer is D

Explanation

A nurse is speaking with the sibling of a client who refuses to see visitors.Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect?