A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills. During the physical examination, the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are
callused.
What further actions will the nurse perform? (Select all that apply.)
A.
A weight assessment
B.
Assessment for depression
C.
Draw blood for electrolytes
D.
Discussion about anorexia nervosa
E.
Discussion about bulimia
ANS: A, B, C, E
Bulimia nervosa is a syndrome that consists of a cycle of binge eating and purging. Physically, the adolescent with bulimia nervosa may exhibit physical changes related to forced, excessive vomiting: cracked and damaged lips, tooth damage, callused fingers and hands, and broken blood vessels in the face. Other findings that may not be readily apparent include throat irritation, esophageal inflammation, and parotitis from vomiting, as well as rectal bleeding from overuse of laxatives. Bulimia is also associated with depression. The nurse should assess the teen's weight, screen her for depression, draw blood for electrolyte imbalances, and discuss bulimia.
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A common disorder in patients who abuse alcohol is
a. diarrhea. b. fatty liver. c. cholecystitis. d. viral hepatitis.
The health care organization has decided to begin using a new computerized documentation system. The nurse manager's unit has been selected to pilot the new documentation system
Which of the following staff nurse's responses might be expected during the initial phase of the pilot? Select all that apply. 1. "If you use this screen for your neurological assessment, you won't have to go to that other screen to document the Glasgow Coma Scale assessment." 2. "I'm excited about this. I think it's going to be a much better way to document." 3. "This doesn't work as well as our old system." 4. "So, is it really faster for you? I feel like it's taking me a longer time to get my assessment documented." 5. "Maybe we could keep the old system in place as a backup until we get the new system going well."
Waterless shampoo is contraindicated in bedfast patients.
Answer the following statement true (T) or false (F)
The nurse recognizes which of these persons is at greatest risk for undernutrition?
a. 5-month-old infant b. 50-year-old woman c. 20-year-old college student d. 30-year-old hospital administrator