The nurse assesses an 18-year-old female client who is 5 feet, 10 inches tall and weighs 110 pounds
The nurse finds the client has well developed muscles, damage and discoloration of the teeth, mild dehydration, and metabolic alkalosis, and suspects the possibility of: 1. Binge eating disorder with excessive use of laxatives.
2. Purging-type bulimia nervosa.
3. Anorexia nervosa with inadequate caloric intake.
4. Nonpurging-type bulimia nervosa.
2
Rationale: The discoloration of the teeth and metabolic alkalosis in a healthy adolescent would be highly suspicious of possible purging-type bulimia nervosa. Exercise level is difficult to determine because even normal activity levels can build well defined muscles. Anorexia nervosa would not explain the findings of teeth discoloration.
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The child has been diagnosed with acute otitis media. Which of the following findings by the nurse are consistent with this diagnosis? Standard Text: Select all that apply
1. Temperature is 101.4 degrees Fahrenheit. 2. The tympanic membrane is pearly gray. 3. The mother states, "I cannot get her to eat anything. She just picks at her food.". 4. The mother states, "She has been so fussy.". 5. The mother states, "She can sleep only while she's sitting up on my lap while I'm in the rocking chair.".
The nurse has been working with a client of limited financial means. The client states that they don't have much money to buy meat, so the nurse recommends the client focus on foods with high biologic value protein
The nurse knows teaching has been effective when the client says: 1. "We only need about 3 ounces of meat per day per person.". 2. "Eggs might be an inexpensive way to get protein.". 3. "We should consider becoming vegetarian.". 4. "Even if I don't eat meat, my children need it grow normally.".
Which does the nurse use to position the hands for chest compressions for a child?
1. Puts both hands over the upper half of the child's sternum 2. Places the heel of one hand on the lower half of sternum 3. Puts the heels of both hands on the lower third of sternum 4. Places two fingers below the left nipple line at the sternum
Which statement is a common myth about patient-centered care?
1. Patient-centered care requires a team approach. 2. Patient-centered care is not designed to solve all healthcare problems. 3. Patient-centered care can have a negative impact on infection rates. 4. Patient-centered care does not increase care time.