An adolescent teen has bulimia. Which assessment finding should the nurse expect?
a. Diarrhea c. Cold intolerance
b. Amenorrhea d. Erosion of tooth enamel
ANS: D
Some of the signs of bulimia include erosion of tooth enamel, increased dental caries from vomited gastric acid, throat complaints, fluid and electrolyte disturbances, and abdominal complaints from laxative abuse. Diarrhea is not a result of the vomiting. It may occur in patients with bulimia who also abuse laxatives. Amenorrhea and cold intolerance are characteristics of anorexia nervosa, which some bulimics have. These symptoms are related to the extreme low weight.
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The nurse teaches the post-prostatectomy patient which of the following general guidelines regarding urination?
A) Increased urine output should be reported. B) Dribbling will continue for the remainder of your life. C) Blood in the urine should be reported to the physician immediately. D) Urine control will return immediately.
What would be the most helpful response to a 70-year-old postmenopausal woman who asks whether her hormone replacement therapy (HRT) will prevent bone loss?
a. "No. HRT is not helpful after the age of 60." b. "Yes. HRT will prevent bone loss but can cause a stroke, heart attack, or breast cancer." c. "No. HRT is reliant on some natural estrogen production from the ovaries." d. "Yes. HRT is a widely accepted therapy for prevention of bone loss."
A nurse calls the covering physician to report a patient's temperature of 101.7°F. Which of the following variables may impact their communication?
A. Time of day B. Workload of both the nurse and the physician C. A history of positive or negative communication encounters between these healthcare professionals D. All of the above
The nurse instructs a patient with type 1 diabetes mellitus to avoid which of the following drugs while taking insulin?
a. Furosemide (Lasix) b. Dicumarol (Bishydroxycoumarin) c. Reserpine (Serpasil) d. Cimetidine (Tagamet)