The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?

"I have gained a lot of weight."

"I eat even when I am not hungry."

"I eat slowly but consistently throughout the day."

"I always feel guilty after I overeat."

Answer and Explanation

The Correct Answer is B

A. "I have gained a lot of weight.": Weight gain can occur with binge eating disorder but is not diagnostic by itself. Many factors can contribute to weight gain, and it doesn’t confirm disordered eating patterns.
B. "I eat even when I am not hungry.": Binge eating disorder is characterized by recurrent episodes of consuming large amounts of food, often without physical hunger. This behavior reflects loss of control over eating and is a key diagnostic feature.
C. "I eat slowly but consistently throughout the day.": This pattern suggests grazing, not binge eating. Binge episodes typically involve eating rapidly, in secret, and until uncomfortably full, which is not described here.
D. "I always feel guilty after I overeat.": Feelings of guilt may accompany binge eating, but emotional response alone is not diagnostic. The behavioral pattern of eating large amounts when not hungry is more definitive of the disorder.

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Correct Answer is B

Explanation

A. Quality of the pulse: Pulse quality may indicate the presence of a rhythm, but it cannot confirm the presence of a pacemaker. A strong or weak pulse can occur in many conditions and is not a reliable pacemaker indicator.
B. "Spike" on the rhythm strip: Pacemakers produce a visible electrical “spike” on an ECG or rhythm strip, which precedes the QRS complex (or P wave in atrial pacing)or both (dual-chamber pacing). This spike confirms that the electrical impulse is generated by a pacemaker.
C. Scar on the chest: A scar may suggest prior pacemaker placement, but it is not definitive. Scars could be from other procedures or surgeries and do not confirm current pacemaker function.
D. Vibration under the skin: Pacemakers do not vibrate and typically cannot be felt moving under the skin. This is not a feature of the device and would not help identify its presence.

A. The client should have a bowel movement every day to avoid development of an intestinal obstruction. B. The client can develop a rectal fissure, which will increase pain levels. C. The client should not develop hemorrhoids. D. Straining engages the Valsalva maneuver, which can cause dangerous effects.

Correct Answer is D

Explanation

A. The client should have a bowel movement every day to avoid development of an intestinal obstruction: While regular bowel movements are important, going two days without one is not uncommon and does not usually lead to obstruction. The priority in heart failure is avoiding strain, not frequency alone.
B. The client can develop a rectal fissure, which will increase pain levels: Although rectal fissures can occur with hard stools, they are not the primary concern in a heart failure patient. The hemodynamic effects of straining pose a greater immediate risk.
C. The client should not develop hemorrhoids: Preventing hemorrhoids is beneficial but not critical in the context of heart failure. The concern with straining extends beyond local complications like hemorrhoids to systemic cardiovascular effects.
D. Straining engages the Valsalva maneuver, which can cause dangerous effects: The Valsalva maneuver increases intrathoracic pressure, reducing venous return and cardiac output. In clients with heart failure, this can trigger arrhythmias, syncope, or even cardiac decompensation, making stool softeners essential for prevention.

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The client has just been diagnosed with binge eating disorder. Which statement by the client is most indicative of this diagnosis?

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Naxlex Comprehensive Predictor Exams

A client is unconscious on arrival to the emergency department. The nurse in the emergency department identifies that the client has a permanent pacemaker due to which characteristic?

Correct Answer is B

Explanation

A client with heart failure reports not having had a bowel movement in 2 days. Why would it be important for the nurse to obtain a prescription for a stool softener?

Correct Answer is D

Explanation

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