A patient admitted to the eating disorders unit has yellow skin, the extremities are cold, and the heart rate is 42 bpm. The patient weighs 70 pounds; height is 5 feet 4 inches
The patient is quiet during the assessment saying only, "I will not eat until I lose enough weight to look thin.". Select the best initial nursing diagnosis. a. Anxiety related to fear of weight gain
b. Disturbed body image related to weight loss
c. Ineffective coping related to lack of conflict resolution skills
d. Imbalanced nutrition: less than body requirements related to self-starvation
D
The assessment reveals cachexia, thus the diagnosis of imbalanced nutrition. No defining characteristics support the other diagnoses.
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A nurse is providing care for a Cambodian client. The nurse says, "You have to get up and walk whether you want to or not." What is this statement an example of?
A) Culture shock B) Stereotyping C) Cultural imposition D) Cultural competence
A nurse is applying an oxygen mask for a client with chronic obstructive pulmonary disease (COPD) that provides the most reliable and consistent oxygen enrichment. Which mask has the nurse chosen?
A) Partial-rebreathing mask B) Nonrebreathing mask C) Venturi mask D) Simple mask
The nurse is assisting with a patient's physical examination. For which test should the nurse plan for patient safety?
a. Rinne's test b. Weber's test c. Whisper test d. Romberg's test