A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?

Observe the client for 1 hr following meals.

Encourage the client to gain 2.27 kg (5 lb) per week.

Allow the client to exercise for less than 1 hr per day.

weigh the client in the morning every other day.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Monitoring the client for a period of time after meals helps prevent behaviors such as purging or excessive exercise, which individuals with anorexia nervosa might engage in to compensate for food intake.

Choice B rationale:

Encouraging a specific weight gain is not the initial priority. Weight restoration should be approached carefully and gradually to avoid refeeding syndrome.

Choice C rationale:

Allowing the client to exercise for less than 1 hr per day is a potential intervention, but the priority is to observe the client after meals to prevent harmful behaviors.

Choice D rationale:

Weighing the client in the morning every other day is an important monitoring step, but it is not the initial intervention during admission.

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Correct Answer is A

Explanation

Choice A rationale:

Following hypospadias repair, a urinary catheter is often placed to ensure proper healing. The duration of catheterization varies, but about 1 week is a common timeframe.

Choice B rationale:

Clamping the catheter tubing for extended periods is not a standard practice and can cause discomfort and complications.

Choice C rationale:

Applying antifungal ointment is not typically required after hypospadias repair.

Choice D rationale:

A prophylactic antibiotic is not typically prescribed for 6 weeks following hypospadias repair.

A. Place objects within reach on the client's right side. B. Encourage the client to repeat phonetic sounds. C. Pause to allow the client time to respond to questions. D. Frequently orient the client to time, place, and surroundings.

Correct Answer is A

Explanation

Choice A rationale:

Placing objects within the client's reach on the right side helps to compensate for the hemiparesis and facilitates the client's ability to independently access items.

Choice B rationale:

Encouraging the client to repeat phonetic sounds might be more appropriate for speech therapy and may not directly address hemiparesis.

Choice C rationale:

Pausing to allow the client time to respond to questions is a communication technique but does not address the physical effects of hemiparesis.

Choice D rationale:

Frequently orienting the client to time, place, and surroundings is important for cognitive support but does not specifically address hemiparesis.

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa. Which of the following interventions should the nurse include?

Nursing Test Bank

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A nurse is developing a plan of care while admitting a client who has anorexia nervosa.

Which of the following interventions should the nurse include?