A client with a diagnosis of anorexia is admitted to an inpatient setting. Which therapeutic intervention is used with caution prior to stabilization and weight gain?
a. Establish rapport and trust
b. IV or tube feeding
c. Administering antidepressants
d. Daily weights
C
Administering antidepressants to clients with anorexia before they regain weight may be hazardous if the individual has a history of cardiac problems or presently has a low serum potassium level. Be sure to check the laboratory results of clients with eating disorders.
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The nurse is caring for a 12-year-old child who is on fall precautions secondary to seizures. What interventions should be included in the child's care plan? (Select all that apply.)
a. Place a call light and desired items within reach. b. Keep the bed in the highest position with the two side rails up. c. Turn off the lights and television at night. d. Keep personal belongings and clutter contained in one area of the floor. e. Have the child wear an appropriate-size gown and nonskid footwear.
Methotrexate has been administered to a client as part of the methotrexate and misoprostol procedure for terminating pregnancy. The client is required to administer the misoprostol herself
Which of the following instructions should the nurse give to the client about using the pill form of misoprostol? A) Take aspirin for any discomfort you have during the treatment. B) Use a tampon to hold the pills in the vagina for 12 hours. C) Keep the tampon in place until the next visit to the clinic. D) Visit the clinic 2 weeks after administration of misoprostol.
The nurse should include which of the following in the plan of care for the patient receiving enteral feedings? Select all that apply
A) Position head of bed in semi-Fowler's during feeding. B) Check placement of tube before initiating feeding. C) Maintain head of bed elevated between 30 and 45 degrees at least 30 minutes after feeding. D) Allow at least 90 minutes for each feeding. E) Notify primary care physician for gastric residuals of 100 to 200 cc.
Promptly use waterless hand cleaner if your hands become visibly soiled.
Answer the following statement true (T) or false (F)