As a client admitted to the eating disorders unit undresses, she removes layer after layer of clothing
The nurse realizes that she is extremely thin.
Her skin has a yellow cast, her hair is limp and dry, and
her body is covered by fine, downy hair. Her weight is 70 pounds and her height is 5 feet 4 inches.
The client remains quiet and sullen during the physical assessment. Which of the following should
be recorded in the nurse's written documentation?
a. Amenorrhea
b. Alopecia
c. Lanugo
d. Stupor
C
The fine, downy hair noted by the nurse is called lanugo. It is frequently seen in clients with
anorexia nervosa. None of the other conditions can be supported by the data the nurse has gathered.
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An elderly patient's hip joint is immobilized prior to surgery to correct a femoral head fracture. What is the nurse's priority assessment?
A) The presence of leg shortening B) The patient's complaints of pain C) Signs of neurovascular compromise D) The presence of internal or external rotation
The nurse is caring for a patient with a mood disorder who has been admitted to the medical-surgical unit for postoperative care. Which actions are appropriate therapeutic strategies for use with a patient with a mood disorder? Select all that apply
1. Offering a variety of choices in order to keep communication open 2. Keeping communication simple by offering limited choices 3. Reminding patients of delusional material when symptoms have resolved 4. Questioning the patient's belief system when it conflicts with the nurse's 5. Not reminding patients of inappropriate behaviors when in an altered state of mental health
A product labeled as being "natural" has been found to cause no harm
Indicate whether the statement is true or false
In which of the conditions are all the formed elements of the blood simultaneously depressed?
a. Aplastic anemia b. Sickle cell anemia c. Thalassemia major d. Iron deficiency anemia