What do nursing responsibilities regarding weight gain for an adolescent with anorexia nervosa include?
a. Administer tube feedings until target weight is achieved.
b. Restore body weight to within 10% of the adolescent's ideal weight.
c. Encourage continuation of strenuous exercise as long as adolescent is not losing weight.
d. Facilitate as rapid a weight gain as possible with a high-calorie diet.
ANS: B
The restoration of body weight to a target weight or endpoint within 10% of ideal body weight is one of the main goals of therapy. Strenuous exercise is avoided as part of the need to modify behaviors. Tube feedings are intrusive and are avoided. They should only be used when other measures have failed. Weight restoration is accomplished slowly. The goal is 1 kg/wk to avoid the risk of metabolic and cardiac problems. Slow weight gain can minimize anxiety and depression.
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