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","D","E"]

Explanation

A. Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation.

B. Circulation typically worsens with immobility, not improves.

C. Immobility usually decreases gastric motility, not increases it.

D. Disuse atrophy occurs as muscles weaken from lack of use.

E. Loss of appetite can occur due to reduced activity and metabolic rate.

A. Make certain that both feet are wedged tightly against the footboard B. Provide pin care per institutional policy C. Perform neurovascular checks D. Assess for skin breakdown E. Remove weights for 20 minutes every 2 hours

Correct Answer is ["B","C","D"]

Explanation

A. Feet should not be wedged tightly against the footboard, as it may cause pressure injuries.

B. Providing pin care prevents infection at the pin sites.

C. Neurovascular checks monitor for complications like compartment syndrome.

D. Assessing for skin breakdown is essential due to prolonged immobility.

E. Weights should not be removed unless prescribed, as it can disrupt the traction setup.

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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

The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)

Correct Answer is ["A","D","E"]

Explanation

The nurse is caring for a client who has been treated with skeletal traction for two weeks. What are the priorities of care? (SELECT ALL THAT APPLY

Correct Answer is ["B","C","D"]

Explanation

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