Priority Decision: An 18-year-old female patient with anorexia nervosa is admitted to the hospital for treatment. On admission she weighs 82 lb (37 kg) and is 5 ft. 3 in (134.6 cm). Her laboratory test results include the following: K+ 2.8 mEq/L (2.8 mmol/L), Hgb 8.9 g/dL (89 g/L), and BUN 64 mg/dL (22.8 mmol/L). In planning care for the patient, the nurse gives the highest priority to which of the following nursing diagnoses?
a. Risk for injury related to dizziness and weakness resulting from anemia
b. Imbalanced nutrition: less than body requirements related to inadequate food intake
c. Risk for impaired urinary elimination related to elevated BUN resulting from renal failure
d. Risk for decreased cardiac output (CO) related to dysrhythmias resulting from hypokalemia
Ans: d. Risk for decreased cardiac output (CO) related to dysrhythmias resulting from hypokalemia
You might also like to view...
Long-term use of vitamin E supplement may lead to
A. excessive coagulation. B. blood clotting. C. hypovitaminosis E. D. hemorrhagic stroke.
As calcitriol, vitamin D functions in calcium and bone metabolism by
A. regulating the levels of calcium and phosphorus in bones. B. regulating calcium and phosphorus absorption through the intestinal wall. C. reducing calcium excretion by the kidney. D. All of these choices are accurate.
Cognitively, early adolescence is a time dominated, in part, by _____
a. a reduction in impulsive behavior b. abstract thinking c. egocentrism d. the development of social independence from family e. the development of a personal identity
The type of protein-energy malnutrition characterized by a general lack of protein in the diet is
called A) kwashiorkor. B) sickle cell anemia. C) cystic fibrosis. D) marasmus.