The nurse is admitting a 19-year-old patient who has experienced a weight loss of 25 lbs in the past 3 months. Today, the patient weighs 88 lbs and believes they are fat. Which intervention will the nurse prioritize?

Identify the patient's nutritional needs.

Provide a structured environment.

Request a mental health consult.

Plan a therapeutic diet with the patient.

Answer and Explanation

The Correct Answer is C

Choice A reason: Identifying the patient's nutritional needs is important, but given the significant weight loss and the patient's distorted body image, it is crucial to first address the underlying psychological issues.

Choice B reason: Providing a structured environment can be beneficial for patients with eating disorders, but it is not the most immediate priority in this case. The primary concern is the patient's mental health and distorted body image.

Choice C reason: Requesting a mental health consult is the priority intervention. The patient's significant weight loss, low body weight, and belief that they are fat suggest the possibility of an eating disorder, such as anorexia nervosa. A mental health professional can provide a comprehensive evaluation and appropriate psychological support and intervention.

Choice D reason: Planning a therapeutic diet is important for the long-term management of the patient's nutritional status, but it should follow after addressing the immediate mental health concerns. Proper treatment of an eating disorder requires a multidisciplinary approach, including psychological, nutritional, and medical interventions.

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Correct Answer is B

Explanation

Choice A reason: Bronchodilators are medications that help open the airways in the lungs, making it easier to breathe. They are often used for managing respiratory symptoms in cystic fibrosis, but they are not typically required specifically before meals.

Choice B reason: Digestive enzymes are essential for children with cystic fibrosis to take before meals. These enzymes help the body digest and absorb nutrients from food, which is crucial because cystic fibrosis can impair the pancreas's ability to produce these enzymes naturally.

Choice C reason: Mucolytics are medications that help thin and loosen mucus in the lungs, making it easier to cough up and clear from the airways. While important for managing respiratory symptoms, they are not specifically needed before meals.

Choice D reason: Aerosolized antibiotics are used to treat or prevent lung infections in individuals with cystic fibrosis. They are administered via inhalation and are not tied to meal times but rather prescribed as part of a daily treatment regimen.

A. Three births at 37 to 42 weeks gestation. B. One birth between 20 weeks and 36 weeks 6 days gestation. C. One pregnancy loss before 20 weeks gestation. D. Three elective abortions. E. Four children currently living.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A reason: The designation T3 indicates that the patient has had three full-term births, defined as births that occurred between 37 and 42 weeks of gestation. This is part of the standard obstetric history notation.

Choice B reason: The notation P1 means the patient has had one preterm birth, which is defined as a birth that occurred between 20 weeks and 36 weeks 6 days of gestation. This is an important part of understanding the patient's pregnancy history.

Choice C reason: A2 denotes that the patient has had two pregnancy losses before 20 weeks of gestation, which can include miscarriages or stillbirths. This is crucial for assessing the patient's reproductive health history.

Choice D reason: There is no indication from the notation G6, T3, P1, A2, L4 that the patient has had three elective abortions. Elective abortions would be noted differently in the patient's chart if they were part of the obstetric history.

Choice E reason: The notation L4 indicates that the patient currently has four living children. This is an important part of the patient's obstetric history as it gives insight into their childbearing outcomes.

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The nurse is admitting a 19-year-old patient who has experienced a weight loss of 25 lbs in the past 3 months. Today, the patient weighs 88 lbs and believes they are fat. Which intervention will the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a 10-year-old child how to manage their cystic fibrosis. What medication will the nurse teach the child to take before their lunch break?

Correct Answer is B

Explanation

A nurse is reviewing the chart of a patient on the postpartum unit. The chart indicates the patient is a G6, T3, P1, A2, L4. What is the nurse's interpretation of this patient's obstetric history? Select All That Apply

Correct Answer is ["A","B","C","E"]

Explanation

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