A nursing care plan for a patient with anorexia nervosa includes the intervention "monitor for complications of refeeding." Which system should a nurse closely monitor for dysfunction?
a. Renal
b. Endocrine
c. Central nervous
d. Cardiovascular
ANS: D
Refeeding resulting in a too-rapid weight gain can overwhelm the heart, resulting in cardiovascular collapse. Focused assessment becomes a necessity to ensure patient physiologic integrity. The other body systems are not initially involved in the refeeding syndrome.
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The patient, age 63, has a diagnosis of cancer of the prostate gland with metastasis and is experiencing cachexia. This state is best described by the characteristics of:
a. Poor health, malnutrition, and wasting b. Increased appetite and nervousness c. Irritability and anger d. Depression, fear, and anxiety
Ethical and legal obligation to protect the confidentiality of patient information directs nurses to do which of the following regarding electronic storing and transfer of personal health information?
a. Avoid using fax machines to transfer personal health information. b. Share personal secure passwords with immediate co-workers only. c. Rely on HIPAA regulations to assure the security of electronic devices. d. Use password-protected screen savers and data encryption technology.
?-Adrenergic agonists and methylxanthines are often prescribed for a child with an asthma attack. Which describes their action?
a. Liquefy secretions. b. Dilate the bronchioles. c. Reduce inflammation of the lungs. d. Reduce infection.
A nursing manager would like to see the nurses on that unit increase their commitment to patient advocacy. Which action by the manager would best meet this goal?
a. Bring a political activist to the unit for motivational speeches. b. Lobby for patient and family rights bills to pass state legislation. c. Organize a political drive for state coverage of all standard vaccinations. d. Schedule a walk-a-thon for donations to pay for medications.