The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)

Electrolyte imbalances

Suicide

Diabetes

Dehydration

Loss of critical muscle mass

Answer and Explanation

Correct Answer : A,B,D,E

A. Severely restricted food intake can lead to imbalances in electrolytes such as potassium, sodium, and chloride. These imbalances can disrupt normal heart rhythm (arrhythmias) and other vital functions, potentially leading to cardiac arrest, which is a common cause of death in individuals with anorexia nervosa.

B. Individuals with anorexia nervosa are at increased risk of suicidal thoughts and behaviors. This risk may be due to the severe psychological distress associated with the disorder, as well as the physical complications that can feel overwhelming. Suicide can unfortunately be a tragic consequence in some cases.

D Dehydration is a significant risk in individuals with anorexia nervosa, especially when combined with electrolyte imbalances. Dehydration can lead to organ failure, particularly kidney failure, which can be life-threatening if not promptly treated.

E. Severe muscle wasting can occur in individuals with anorexia nervosa, particularly in later stages of the disorder. Loss of muscle mass contributes to overall physical weakness and compromises essential bodily functions, potentially leading to organ failure and death.

C. Anorexia nervosa itself does not directly cause diabetes. However, individuals with severe anorexia may develop metabolic disturbances, including insulin resistance, due to malnutrition. This can lead to abnormal blood sugar levels, but diabetes as a direct cause of death in anorexia is less common compared to other complications.

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Correct Answer is A

Explanation

A. Lithium is excreted primarily by the kidneys, and its clearance can be affected by changes in fluid balance. It's important for clients taking lithium to maintain a stable and adequate fluid intake to help regulate lithium levels in the body. Stable fluid intake helps maintain electrolyte balance, which is crucial for the proper function of lithium and prevention of adverse effects.

B. Lithium can affect sodium reabsorption in the kidneys. High levels of sodium intake can alter lithium levels in the body, potentially leading to toxicity. Therefore, clients on lithium therapy are often advised to maintain a consistent and moderate level of sodium intake. Excessive dietary salt can interfere with lithium's therapeutic effects.

C. Restricting fluid intake is not recommended unless there are specific medical reasons to do so. Lithium therapy generally requires adequate hydration to maintain kidney function and prevent dehydration, which can affect lithium levels.

D. Exercising in hot weather can lead to increased sweating and fluid loss, which can potentially affect lithium levels by altering hydration status. However, the primary concern during exercise in hot weather is maintaining adequate hydration rather than restricting it.

A. Medical care B. Recovery and rehabilitation C. Wellness care D. Termination of care

Correct Answer is B

Explanation

B. This stage follows the acute phase of illness and involves efforts to restore functioning, improve quality of life, and regain independence through therapies such as physical therapy, occupational therapy, and speech therapy. Returning to work is a significant milestone in this phase, indicating progress in functional recovery.

A. This stage typically involves initial diagnosis, treatment, and acute management of the illness or condition. It focuses on stabilizing the patient's health and addressing immediate medical needs.

C. This stage emphasizes maintaining health and preventing recurrence or complications once the acute phase and recovery are complete. It involves strategies such as regular check-ups, lifestyle modifications, and adherence to health-promoting behaviors.

D. This stage typically refers to the closure of formal medical or rehabilitative services when the patient no longer requires ongoing professional intervention for the condition.

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The death rate from anorexia is higher than any other mental illness. Death usually results from which of the following? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction should the nurse give a client who is prescribed lithium carbonate (lithium)?

Correct Answer is A

Explanation

A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

Correct Answer is B

Explanation

A client has been given the diagnosis of bulimia. An appropriate medication used in the treatment of bulimia is which of the following?

A depressed client has been prescribed a selective serotonin reuptake inhibitor. Which medication may have been prescribed?

Hospitalization of a client with a dissociative disorder is required in which situation?

What is the main issue for adolescents with anorexia?

Which of the following are indicative of hypochondriasis? (Select all that apply.)

A client continually reports physical symptoms in the absence of objective clinical findings. The nurse should suspect which of the following disorders?

Which of the following conditions are eating disorders? (Select All that Apply.)