When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

observation during and after meals

unscheduled weight checks

monitoring during bathroom trips

meals offered on a variable schedule

adherence to scheduled meal times

Answer and Explanation

Correct Answer : A,C,E

A. Observation during and after meals is essential to prevent purging behaviors and to ensure the client is eating and not engaging in unhealthy behaviors.

B. Unscheduled weight checks could increase anxiety and are not typically part of a structured treatment approach.

C. Monitoring bathroom trips is important to prevent purging behaviors, such as vomiting, after meals.

D. Meals should be offered on a regular schedule to promote healthy eating habits and avoid the unpredictability that can lead to eating disorder behaviors.

E. Adherence to scheduled meal times helps provide structure and consistency for the client, which is crucial for managing anorexia nervosa.

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Correct Answer is A

Explanation

A. The first priority is to assess whether the numbness and tingling in the left leg are new or a preexisting symptom. This helps identify if there are complications like nerve injury or issues with the surgical site.

B. While documenting the findings is important, it’s more critical to compare these new symptoms with preoperative findings to identify potential complications.

C. Drawing blood for serum calcium is not directly relevant to the immediate issue of nerve symptoms after a laminectomy.

D. Telling the client that the symptoms are normal could lead to delayed intervention if there is a more serious issue, like nerve damage or surgical complications.

A. Increase the pain level and need for medication. B. encourage the development of a flexion contracture. C. stop circulation to the extremity. D. cause possible skin breakdown.

Correct Answer is B

Explanation

A. While pain may increase if the knee is positioned improperly, the primary concern is the development of a contracture.

B. Placing a pillow under the knee after total knee replacement can promote a flexion contracture, which results in the inability to fully extend the knee. This is undesirable as it can limit mobility and function post-surgery.

C. The pillow does not stop circulation to the extremity directly.

D. A pillow under the knee is not typically associated with skin breakdown unless the client is immobile for extended periods, but the risk of contracture is a more immediate concern.

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When the nurse admits a client with anorexia nervosa for treatment, what factors should the therapeutic milieu provide? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client on the first post-operative day after a L3-4 laminectomy and diskectomy. The client now complains of numbness and tingling in the left leg. What is the nurse's first priority?

Correct Answer is A

Explanation

The nurse understands that the placement of a pillow under the knee of a client with a total knee replacement is contraindicated because it will:

Correct Answer is B

Explanation

Which of the following teaching instructions should be included for the patient with newly prescribed opioid analgesic for pain? (SELECT ALL THAT APPLY).

Which of these education points would be MOST helpful for the nurse give to a individual with osteoarthritis? (SELECT ALL THAT APPLY).

Which of these deformities is associated with osteoarthritis? (SELECT ALL THAT APPLY).

A client has undergone a total knee replacement and is using a continuous passive motion machine (CPM). The client asks the nurse about the purpose of this therapy. The nurse's most appropriate response would be that "It

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