A nurse is working with a 15-year-old girl who has been diagnosed with Anorexia Nervosa. The nurse understands that the disorder differs from Bulimia in that Anorexia Nervosa patients:
1. Engage in self-starvation.
2. May exhibit tooth loss or poor dentition.
3. Take laxatives, vomit, or exercise excessively to purge food.
4. Usually present within the normal weight range for their height.
1
Feedback
1. Some of the characteristics of anorexia nervosa are: self starvation; relentless pursuit of thinness; distorted body image despite extreme thinness; and significant weight loss, with weight less than 85 percent of their ideal body weight. Bulimic patients will: sneak food; have recurrent episodes of binge eating with or without purging; are usually of a normal body weight; use laxatives, vomiting or excessive exercise to purge food; lose enamel on their teeth from frequent exposure to the hydrochloric acid from the stomach when vomiting; and may have Russell's sign, or teeth marks on the knuckles from self-induced vomiting.
2. Bulimic patients will lose enamel on their teeth from frequent exposure to the hydrochloric acid from the stomach when vomiting.
3. Bulimic patients will use laxatives.
4. Bulimic patients are usually of a normal body weight.
You might also like to view...
The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient?
a. Risk for infection r/t indwelling urinary catheter b. Disturbed body image r/t presence of catheter c. Risk for contamination r/t potential leakage of urine on clothing d. Urinary retention r/t blockage of bladder outlet
A radiologist is reviewing a client's CT scan with the nurse. The radiologist explains that most cancers of the pancreas are located in which part of the pancreas?
a. head of the pancreas c. body of the pancreas b. rim of the pancreas d. tail of the pancreas
The nurse is aware that the basic drive behind the patient's anorexia nervosa is to:
a. be sexually desirable by staying slender. b. be involved with preparation of food, but not eating it. c. punish self by denial of adequate nutri-tion. d. gain a sense of control by limiting food intake.
The nurse must frequently assess a patient experiencing pain. When assessing the intensity of the pain, which of the following actions should the nurse take?
a. Ask the patient about what precipitates the pain. b. Ask the patient about the location of the pain. c. Offer the patient a pain scale for more objectivity. d. Use open-ended questions to find out about the sensation experienced.