A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction?
Select one:

Endocrine

Respiratory

Musculoskeletal

Cardiovascular

Answer and Explanation

The Correct Answer is D

Refeeding syndrome is a potentially life-threatening complication that can occur when a person with anorexia nervosa or other forms of malnutrition begins to eat again after a period of starvation. It is characterized by electrolyte imbalances and ﬂuid shifts that can lead to cardiovascular dysfunction, including heart failure and arrhythmias. Therefore, when caring for a patient with anorexia nervosa who is being refed, it is important for the nurse to closely monitor the patient’s cardiovascular system for signs of dysfunction.

Option a. Endocrine system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option b. Respiratory system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

Option c. Musculoskeletal system dysfunction can occur in patients with anorexia nervosa, but it is not typically associated with refeeding syndrome.

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Correct Answer is B

Explanation

This statement clearly and accurately conveys the client's complaint of being raped by her date.

Option a uses colloquial language and may not accurately convey the severity and trauma of the situation.

Option c uses vague language that does not clearly state the nature of the incident.

Option d uses subjective language that may not be helpful for accurately documenting the client's complaint.

It's important for healthcare providers to use appropriate language when documenting sensitive situations like sexual assault to ensure clear communication among the healthcare team and accurate documentation for legal and forensic purposes.

A. Sudden unexplained loss of vision B. Constant worry about the undiagnosed presence of an illness for more than 6 months C. Obsession over a fictitious defect in physical appearance D. Prior physical health followed by the need for two surgeries within the last three months

Correct Answer is B

Explanation

Generalized anxiety disorder (GAD) is a type of anxiety disorder characterized by excessive and persistent worry about a variety of diﬀerent things, including health, work, relationships, and everyday situations. People with GAD may experience physical symptoms, such as fatigue, muscle tension, and restlessness.

Option a is not a typical finding associated with GAD. Sudden unexplained loss of vision may be a symptom

of a neurological or ophthalmologic condition, but not specifically related to GAD.

Option c describes a condition called body dysmorphic disorder (BDD), which is a type of obsessive- compulsive disorder characterized by an excessive preoccupation with a perceived physical ﬂaw. BDD is not typically associated with GAD.

Option d does not describe a typical finding associated with GAD. While physical health issues can contribute to anxiety, the need for surgeries within the last three months is not necessarily indicative of GAD.

Therefore, the correct option is b. Constant worry about the undiagnosed presence of an illness for more than 6 months. People with GAD often worry about their health and the possibility of having an undiagnosed illness, even when there is no evidence of a problem. This worry may persist for six months or more and can interfere with daily life.

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A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A young female client is admitted to the emergency room because she was raped that evening by her date. How should the registered nurse record the client's chief complaint in the medical record?

Correct Answer is B

Explanation

A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

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A nursing care plan for a patient with anorexia nervosa includes the intervention “monitor for complications of refeed. “Which system should a registered nurse closely monitor for dysfunction?
Select one: