A 23-year-old client calls an eating disorders clinic for an appointment. The client was hospitalized and diagnosed with anorexia nervosa when she was 14 years old
At the clinic, the client tells a nurse that she has been taking laxatives every day and that some days after eating she will self-induce vomiting. She knows this is not good but feels powerless to stop it. She is 5?6? tall and weighs 105 pounds. The nurse should base this client's plan of care on which primary nursing diagnosis?
A) Ineffective denial
B) Disturbed body image
C) Low self-esteem
D) Imbalanced nutrition, less than body requirements
D
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A nurse in the ICU is providing care for a patient who has been admitted with a hemorrhagic stroke
The nurse is performing frequent neurologic assessments and observes that the patient is becoming progressively more drowsy over the course of the day. What is the nurse's best response to this assessment finding? A) Report this finding to the physician as an indication of decreased metabolism. B) Provide more stimulation to the patient and monitor the patient closely. C) Recognize this as the expected clinical course of a hemorrhagic stroke. D) Report this to the physician as a possible sign of clinical deterioration.
The breastfeeding client asks the nurse about appropriate contraception. The nurse would state:
1. "Breastfeeding has many effects on sexual intercourse." 2. "IUDs are easy to use and easy to insert prior to sexual intercourse." 3. "Breastfeeding hampers ovulation, but to be safe, some form of contraception should be utilized to prevent pregnancy." 4. "Breastfeeding hampers ovulation, so no contraception is needed."
A client is given a narcotic pain medication, morphine sulfate, to alleviate pain postoperatively. Morphine's mechanism of action is to:
a. sedation to eliminate pain awareness b. provide anesthesia in the client postopera-tively c. inhibit pain neurotransmitters d. bind to endogenous opioid receptors to block the pain sensation
A client is diagnosed with acute tubular necrosis. The nurse understands that cardiac monitoring would be indicated based on which laboratory findings? Select all that apply:
1. Hyperkalemia 2. Hypercalcemia 3. Hyperphosphatemia 4. Lymphocytosis 5. Leukocytosis