Which of the following physical findings would lead the nurse to suspect that the client has bulimia nervosa?
1. A skeletal appearance
2. Lanugo growth on face and extremities
3. Abrasions and calluses on the knuckles
4. Sunken eyes
3
Rationale: Physical findings include abrasions and calluses on the knuckles, called Russell's sign, from self-inducing vomiting. Sunken eyes, skeletal appearance, and lanugo growth are more commonly related to anorexia nervosa.
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The nurse assists the client with emphysema admitted because of a respiratory infection to assume what position to reduce the effort of breathing and improve gas exchange?
1. Left Sims' position 2. Fowler's position 3. High Fowler's position 4. Orthopneic position
The home care nurse regularly performs visits to a client's apartment. This client asks about ways that exercise might be able to control his type 2 diabetes. How should the nurse respond to the client's query?
A) "Exercise is very beneficial for diabetes control, but if it's too vigorous it can lead to rebound hyperglycemia that is dangerous.". B) "Confirm with your doctor, but it's likely best to maintain a low activity levels to keep your glucose levels within normal range.". C) "Exercise can be an excellent substitute for oral antihyperglycemic medications.". D) "It's important to have an exercise plan that is appropriate specifically for you, because you don't want to bring on hypoglycemia by exercising too hard.".
A nurse at a school-based neighborhood health clinic noticed there were many different nationalities of children at the school, including some who did not speak English. What is important for the nurse to do?
a. Recognize that certain ethnic groups may have different expectations of appropriate behaviors by their child. b. Share with the families research findings regarding appropriate childhood and effective parenting behavior. c. Teach the mother how to make the major health care decisions for the family. d. Help the families adapt to the United States by using teaching materials that demonstrate American beliefs and values.
The nurse is preparing to assess a patient with myotonic dystrophy. For what health problem should the nurse assess this patient? Select all that apply.
A. Significant muscle wasting B. Cataracts C. Hair loss D. Long extremities E. Spinal deformities