A client being admitted to the eating disorders unit has a yellow cast to her skin, 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.
She remains quiet and sullen during the physical assessment, but does say "I don't intend to
eat until I lose enough weight to look thin.". An initial nursing diagnosis for the client would be
a. disturbed body image related to weight loss.
b. anxiety related to fear of weight gain.
c. ineffective coping related to lack of conflict resolution skills.
d. imbalanced nutrition: less than body requirements related to self-starvation.
D
The physical assessment by the nurse revealed cachexia; thus, the diagnosis of imbalanced nutrition.
No defining characteristics support the other diagnoses.
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A patient with a complex medical history is considering the use of oral contraceptives. The nurse should be aware that many antibiotics and antiseizure medications cause what effect when combined with oral contraceptives?
A) Increased risk of pregnancy B) Increased blood pressure C) Increased risk of thromboembolism D) Increased gastric acid
As a client converses with the nurse, she states "I dreamed I was stoned. When I woke up, I was
feeling emotionally drained, as though I hadn't rested well.". If the nurse needs clarification of "stoned," it would be appropriate to say a. "It sounds as though you were quite uncomfortable with the content of your dream.". b. "Can you give me an example of what you mean by stoned?" c. "I understand what you're saying. Bad dreams leave me feeling tired, too.". d. "So, all in all, you feel as though you had a rather poor night's sleep?"
An adult client is prescribed the hepatitis B vaccination. The nurse will administer this medication through which site?
1. Dorsogluteal 2. Rectus femoris 3. Vastus lateralis 4. Deltoid
A researcher used a set of prehospital admission characteristics to understand patient's anxiety, depression, and uncertainty 2 days after surgery. Which analysis was likely used?
a. MANOVA b. Mixed-design RM-ANOVA c. Canonical analysis d. Discriminant analysis