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The nurse continues to care for the client

Exhibits

The nurse is planning care for the client. Which of the following parameters should the nurse plan to monitor throughout the client's stay? Select all that apply.

Participation in group therapy

Body weight

Oral intake

White blood cell count

Self-esteem

Anxiety level

Blood Pressure

Answer and Explanation

Correct Answer : B,C,D,F,G

A. Participation in group therapy is not an essential parameter to monitor throughout the client’s stay. While group therapy is beneficial, the priority is physical stabilization rather than participation in therapy sessions.
B. Body weight must be monitored regularly to assess progress, prevent further malnutrition, and avoid dangerous weight loss. Clients with anorexia may attempt to conceal weight loss or manipulate weigh-ins, so structured and controlled monitoring is necessary.
C. Oral intake should be tracked to ensure the client is consuming adequate calories and nutrients. Clients with anorexia may restrict food, hide meals, or refuse to eat, so close observation and documentation of intake are necessary.
D. White blood cell count should be monitored because severe malnutrition can suppress the immune system, leading to leukopenia and increased infection risk. Tracking WBC count helps assess immune function and overall nutritional status.
E. Self-esteem is not a key parameter to track throughout hospitalization. While low self-esteem is common in eating disorders, it is typically addressed in long-term therapy rather than as a primary focus of inpatient monitoring.
F. Anxiety level should be monitored because the client has a history of generalized anxiety disorder and has expressed distress about hospitalization. Anxiety can contribute to maladaptive eating behaviors, so it must be closely managed during treatment.
G. Blood pressure should be monitored as clients with anorexia nervosa often experience hypotension due to malnutrition, dehydration, and electrolyte imbalances. Keeping track of blood pressure helps assess cardiovascular stability and prevents complications like orthostatic hypotension or cardiac arrhythmias.

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Correct Answer is A

Explanation

A. A nurse did not clarify a client's prescription that was difficult to read, resulting in a medication error. This is an example of an unintentional tort, specifically negligence. Unintentional torts occur when harm results from a nurse’s failure to follow the standard of care. In this case, failing to clarify an unclear prescription led to a preventable medication error, which could harm the client.
B. A nurse posted private information on social media about a client who has a substance use disorder. This is an intentional tort, specifically invasion of privacy. Sharing a client’s personal health information without consent violates confidentiality laws, such as HIPAA, and is a breach of professional ethics.
C. A nurse placed a client in mechanical restraints without obtaining a prescription, resulting in injury. This is an intentional tort, specifically false imprisonment. The improper use of restraints without authorization or justification violates a client’s rights and can lead to legal consequences, especially if harm occurs.
D. A nurse threatened a client with physical harm after the client became verbally abusive to staff members. This is an intentional tort, specifically assault. Assault occurs when a person is threatened with harm, causing fear, even if physical contact does not occur. Verbal threats of physical harm meet this definition.

A. Polyphagia B. Fever C. Bradycardia D. Oliguria

Correct Answer is B

Explanation

A. Polyphagia. Cocaine is a stimulant that typically suppresses appetite rather than increasing it. Clients who use cocaine often experience decreased hunger rather than excessive eating (polyphagia).
B. Fever. Cocaine use increases dopamine and norepinephrine levels, leading to hypermetabolic activity, which can cause fever, diaphoresis, and hyperthermia. Severe cases may result in malignant hyperthermia or seizures, making this a common and concerning symptom.
C. Bradycardia. Cocaine is a powerful sympathomimetic that stimulates the fight-or-flight response, leading to tachycardia (fast heart rate), hypertension, and vasoconstriction. Bradycardia (slow heart rate) is not expected after cocaine use.
D. Oliguria. Cocaine does not typically cause direct kidney impairment or reduced urine output (oliguria) unless there is severe rhabdomyolysis or renal damage from prolonged use. Instead, users often experience increased energy and activity without immediate kidney effects.

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The nurse continues to care for the client Exhibits The nurse is planning care for the client. Which of the following parameters should the nurse plan to monitor throughout the client's stay? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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The nurse continues to care for the client

Exhibits

The nurse is planning care for the client. Which of the following parameters should the nurse plan to monitor throughout the client's stay? Select all that apply.