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 C

Explanation

Choice A reason: Calling the healthcare provider is important, but the immediate priority is to stop the infusion to prevent further fluid overload, which is likely causing the bilateral crackles.

Choice B reason: Providing supplemental oxygen can be necessary if the child is showing signs of respiratory distress, but it is not the primary action to address the underlying issue of fluid overload.

Choice C reason: Stopping the infusion is the most critical action to prevent further fluid overload, which is causing the bilateral crackles. This immediate intervention can help prevent worsening pulmonary enema and respiratory complications.

Choice D reason: Encouraging oral intake is not appropriate in this scenario as the child is already receiving intravenous fluids for severe dehydration. Additionally, with signs of fluid overload, further fluid intake should be carefully managed.

A. Salmeterol B. Prednisone C. Ibuterol D. Par

Correct Answer is A

Explanation

Choice A reason: Salmeterol, a long-acting beta-agonist (LABA), is generally not recommended for use during pregnancy due to potential risks to the fetes. It is typically avoided unless absolutely necessary and other safer options are not effective.

Choice B reason: Prednisone is a corticosteroid that can be used during pregnancy when necessary. It is often prescribed for managing severe asthma symptoms, but it should be used under close medical supervision to minimize potential risks.

Choice C reason: Ibuterol is a short-acting beta-agonist (SABA) and is generally considered safe for use during pregnancy. It is commonly used as a rescue inhaler to relieve acute asthma symptoms.

Choice D reason: The text for option D is incomplete and does not provide sufficient information to determine its relevance to the question.

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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

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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