A nurse is reviewing the medical record of a client.
Drag words from the choices below to fill in each blank in the following sentence.
The client is at risk for developing
The Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
The correct answer is: B and D.
Choice A: Heart Failure
Heart failure is a potential complication of anorexia nervosa due to malnutrition and electrolyte imbalances, which can affect cardiac function. However, the client’s current diagnostic results do not directly indicate heart failure. The blood pressure and heart rate are low but not critically so, and there are no specific cardiac markers or symptoms mentioned that would suggest imminent heart failure.
Choice B: Renal Failure
Renal failure is a significant risk for this client. The elevated BUN (31 mg/dL) and creatinine (3.0 mg/dL) levels indicate impaired kidney function. These values are well above the normal ranges (BUN: 10-20 mg/dL, creatinine: 0.5-1.0 mg/dL), suggesting that the kidneys are not effectively filtering waste products from the blood. This is consistent with renal failure, which can be exacerbated by dehydration and electrolyte imbalances common in anorexia nervosa.
Choice C: Hypomagnesemia
Hypomagnesemia refers to low magnesium levels in the blood. The client’s magnesium level is 2.2 mEq/L, which is within the normal range (1.3-2.1 mEq/L). Therefore, hypomagnesemia is not a current risk for this client based on the provided lab results.
Choice D: Hypothyroidism
Hypothyroidism is a condition where the thyroid gland does not produce enough thyroid hormones. The client’s free thyroxine (T4) level is 0.4 ng/dL, which is below the normal range (0.8-2.8 ng/dL). This indicates hypothyroidism, which can cause symptoms such as fatigue, weight gain, and depression78. Given the client’s history of anorexia nervosa and the current lab results, hypothyroidism is a significant risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Speaking to a patient using an authoritative voice can often escalate the situation, especially when the patient is already angry and aggressive. It may be perceived as confrontational or patronizing, which can further provoke the patient's anger.
Choice B reason:
Clarification is a therapeutic communication technique that helps in understanding the patient's feelings and the reasons behind their behavior without making assumptions. It allows the nurse to express concern and willingness to listen, which can help de-escalate the situation.
Choice C reason:
While moving a patient to a private area can be beneficial in some cases, it should be done with caution. The priority is to ensure safety for both the patient and staff. If moving the patient could potentially escalate their aggression or if they perceive it as isolation, it might not be the best immediate action.
Choice D reason:
Maintaining eye contact is generally considered good practice in communication as it shows attentiveness. However, in situations where a patient is aggressive, constant eye contact could be interpreted as a challenge or threat, potentially escalating aggression.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A Reason:
Becoming lost in a usually familiar environment is a significant early warning sign of Alzheimer's disease. This symptom indicates spatial disorientation and memory loss, which are common in the early stages of the disease. Individuals may forget familiar routes or become confused about their location, even in places they know well.
Choice B Reason:
Difficulty performing familiar tasks is another early warning sign of Alzheimer's disease. This can include challenges with routine activities such as cooking, managing finances, or using household appliances. The inability to complete tasks that were once easy and familiar is a key indicator of cognitive decline.
Choice C Reason:
Losing sense of time is a common symptom in the early stages of Alzheimer's disease. Individuals may forget dates, seasons, or the passage of time. They might also have trouble understanding something if it is not happening immediately. This disorientation can lead to confusion and difficulty planning or following schedules.
Choice D Reason:
Misplacing car keys is a common occurrence and not necessarily an early warning sign of Alzheimer's disease. While everyone misplaces items occasionally, it becomes a concern when individuals consistently place items in unusual locations and cannot retrace their steps to find them. However, this alone is not a definitive sign of Alzheimer's.
Choice E Reason:
Problems with performing basic calculations are indicative of cognitive decline associated with Alzheimer's disease. Individuals may struggle with simple arithmetic, balancing a checkbook, or managing finances. This difficulty with numbers and calculations is a common early symptom of the disease.
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