The nurse is caring for a client admitted to an inpatient eating disorder unit.

Exhibits

Complete the following sentence by using the lists of options.

The nurse anticipates that the client might have
dropdown
evidenced by the client's
dropdown

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}

weight, which matches the client’s cachectic appearance, BMI of 15.4 kg/m², bradycardia (55/min), hypotension (89/58 mmHg), and electrolyte imbalance (potassium 2.8 mEq/L). The client’s denial of their condition and desire to lose more weight despite being underweight further support this diagnosis.

Bulimia nervosa typically involves binge eating followed by compensatory behaviors such as self-induced vomiting or excessive laxative use, which the client denies engaging in regularly. The absence of dental caries, enamel erosion, or parotid gland enlargement, common in bulimia, also makes this diagnosis less likely.

Binge eating disorder is marked by episodes of excessive eating without compensatory purging behaviors, and it is usually associated with overweight or obesity. Since this client is severely underweight and restricts food intake, binge eating disorder is unlikely.

Body mass index is a key diagnostic factor for anorexia nervosa, as a BMI below 18.5 kg/m² indicates underweight status, and a BMI of 15.4 kg/m² suggests severe malnutrition.

Recent weight gain is mentioned by the client but is not a significant amount (2 pounds in a month), and the client remains underweight, making BMI a more reliable indicator.

Laxative use is sometimes seen in both anorexia nervosa and bulimia nervosa, but the client states they "only sometimes" use laxatives, meaning BMI is a stronger piece of evidence supporting anorexia nervosa.

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Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

Melatonin 5 mg orally at bedtime. Melatonin is a natural sleep aid commonly used in clients with Alzheimer’s disease to help regulate the sleep-wake cycle. Since the client has insomnia, this medication is appropriate and can improve sleep quality without significant side effects.

Memantine 10 mg orally twice daily. Memantine is an NMDA receptor antagonist used to treat moderate to severe Alzheimer's disease by slowing cognitive decline and improving daily functioning. Since the client has severe Alzheimer's, memantine is an appropriate and anticipated medication.

Donepezil 10 mg orally once daily. Donepezil is a cholinesterase inhibitor commonly prescribed for mild to severe Alzheimer's disease to enhance memory and cognitive function. It works by increasing acetylcholine levels in the brain and is a first-line treatment for Alzheimer's disease.

Haloperidol 2 mg orally every 12 hours. Haloperidol is an antipsychotic that can cause severe side effects in elderly clients with dementia, including extrapyramidal symptoms, sedation, falls, and an increased risk of death due to cardiovascular complications. Black box warnings advise against using antipsychotics for behavioral disturbances in dementia unless absolutely necessary. Therefore, it is contraindicated in this client.

A. Administer a sedative medication B. Perform a debriefing with the staff. C. Acknowledge the client's emotions D. Place the client in restraints.

Correct Answer is C

Explanation

A. Administer a sedative medication. While medication may be necessary to help calm the client, it should not be the first intervention. De-escalation techniques, such as verbal support and acknowledging emotions, should be attempted before resorting to pharmacological intervention.
B. Perform a debriefing with the staff. A staff debriefing is important after the crisis has been resolved to review the incident and improve future responses. However, the priority is to de-escalate the client’s agitation and ensure immediate safety.
C. Acknowledge the client's emotions. The first action in a crisis is verbal de-escalation. Recognizing and acknowledging the client's feelings helps establish rapport, reduce agitation, and potentially prevent escalation to physical intervention. Using a calm, non-threatening approach can sometimes defuse the situation without needing restraints or medication.
D. Place the client in restraints. Restraints should be used only as a last resort when the client poses an imminent threat to themselves or others and other de-escalation techniques have failed. Verbal intervention should always be attempted first.

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The nurse is caring for a client admitted to an inpatient eating disorder unit. Exhibits Complete the following sentence by using the lists of options. The nurse anticipates that the client might have dropdownevidenced by the client'sdropdown

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Naxlex Comprehensive Predictor Exams

A nurse is completing medication reconciliation on a client. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated, or contraindicated for the client.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"}}

Explanation

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Correct Answer is C

Explanation

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The nurse is caring for a client admitted to an inpatient eating disorder unit.

Exhibits

Complete the following sentence by using the lists of options.

The nurse anticipates that the client might have
dropdown
evidenced by the client's
dropdown