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
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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 C

Explanation

A. Voice alteration. ECT does not directly affect the vocal cords. While general anesthesia and muscle relaxants are used during the procedure, they do not typically result in long-term voice changes. Any hoarseness would likely be due to temporary irritation from the endotracheal tube if intubation was used.
B. Neck pain. While some muscle soreness can occur due to the seizure activity induced by ECT, neck pain is not a common or primary adverse effect. The use of muscle relaxants minimizes physical strain during the seizure.
C. Memory deficit. Short-term memory loss is a well-known side effect of ECT. Clients often experience difficulty recalling recent events (anterograde amnesia), but this usually improves over time. Some clients may also have retrograde amnesia, affecting memories from before the procedure, though this is typically less severe.
D. Headache. Mild headaches can occur after ECT due to electrical stimulation of the brain and anesthesia recovery. However, while headaches are possible, they are not as significant as memory impairment, making memory deficit the best answer.

A. Spending equal time with clients regardless of their insurance status. B. Explaining possible adverse effects to clients receiving new prescriptions. C. Respecting the decision of clients to refuse to participate in group therapy. D. Attending an educational conference on identifying clients at risk for suicide.

Correct Answer is B

Explanation

A. Spending equal time with clients regardless of their insurance status. This represents justice, which refers to fairness and equal treatment in healthcare, ensuring that all clients receive the same quality of care, regardless of their financial situation.
B. Explaining possible adverse effects to clients receiving new prescriptions. Fidelity refers to being loyal, honest, and keeping commitments to clients. Providing accurate information about medications, including potential side effects, upholds trust and commitment to the client's well-being, making this the best example of fidelity.
C. Respecting the decision of clients to refuse to participate in group therapy. This represents autonomy, which refers to honoring a client’s right to make their own healthcare decisions. Respecting refusal of treatment falls under this ethical principle rather than fidelity.
D. Attending an educational conference on identifying clients at risk for suicide. This represents beneficence, which is the duty to promote good and enhance client well-being. Continuing education helps nurses provide better care, but it is not directly related to fidelity.

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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 caring for a client who has undergone electroconvulsive therapy (ECT). The nurse should monitor the client for which of the following adverse effects of ECT?

Correct Answer is C

Explanation

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer is B

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 dropdownevidenced by the client'sdropdown

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A nurse is assessing a client who reports using cocaine 1 hour ago. Which of the following findings should the nurse expect?

Exhibits Complete the following sentence by using the list of options. The nurse should plan to administer dropdownanddropdown

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