A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

Exhibits

A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan?
Select all that apply.

ECG report

Respiratory assessment

Temperature

Weight

Sodium level

Creatinine level

Answer and Explanation

Correct Answer : B,D,E,F

A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.

B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.

C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.

D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.

E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.

F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.

Nursing Test Bank

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Correct Answer is C

Explanation

Rationale:

A. Observing the final 2 minutes is not sufficient for detecting acute transfusion reactions, which can occur at any time during the transfusion.

B. Observing the final 15 minutes is also not adequate; reactions can occur earlier.

C. The first 15 minutes is the most critical time for observing for transfusion reactions, as most reactions occur during this period.

D. The first 2 minutes are too brief to detect potential transfusion reactions, which typically manifest within the first 15 minutes.

A. Inverted P wave B. Elevated ST segment C. Wide QRS D. Abnormally prominent U wave

Correct Answer is D

Explanation

Rationale:

A. An inverted P wave is not specifically associated with hypokalemia; it can be seen in various other conditions.

B. An elevated ST segment is not characteristic of hypokalemia; it is more associated with other conditions such as myocardial ischemia.

C. A wide QRS complex can occur with hypokalemia but is also seen in other conditions.

D. An abnormally prominent U wave is a classic sign of hypokalemia and can be seen in EKG changes associated with low potassium levels.

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A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa. Exhibits A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan? Select all that apply.

Nursing Test Bank

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Explanation

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Correct Answer is D

Explanation

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A nurse on an inpatient eating disorder unit is caring for a client who has anorexia nervosa.

Exhibits

A nurse on an inpatient eating disorder unit is assessing a client. Which of the following assessment findings indicate a therapeutic response to the treatment plan?
Select all that apply.