A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm) tall and weighs 88 pounds (41 kg). Laboratory tests reveal hypokalemia and iron-deficiency anemia. Which nursing diagnosis has the highest priority?
a. Risk for activity intolerance related to anemia
b. Risk for electrolyte imbalance related to eating patterns
c. Ineffective health maintenance related to body image obsession
d. Imbalanced nutrition: less than body requirements related to anorexia
Risk for electrolyte imbalance related to eating patterns
The patient's hypokalemia may lead to life-threatening cardiac dysrhythmias.
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Because the diagnosis of rheumatic fever is difficult, an aid used to identify the presence of rheumatic fever is the _____________ _______________
ANS:
Which laboratory results are goals for reducing a person's risk for diabetes and heart disease?
a. Triglycerides over 150 mg/dl b. Cholesterol 250 mg/dl c. High-density lipoprotein (HDL) over 40 mg/d d. Fasting blood glucose under 150 mg/dl
A pregnant couple has formulated a birth plan and is reviewing it with the nurse at an expectant parent's class. Which aspect of their birth plan would be considered unrealistic and require further discussion with the nurse?
a. "My husband and I have agreed that my sister will be my coach since he becomes anxious with regard to medical procedures and blood. He will be nearby and check on me every so often to make sure everything is OK." b. "We plan to use the techniques taught in the Lamaze classes to reduce the pain experienced during labor." c. "We want the labor and birth to take place in a birthing room. My husband will come in the minute the baby is born." d. "We do not want the fetal monitor used during labor, since it will interfere with movement and doing effleurage."
The nurse is preparing a patient who will receive intermittent enteral nutrition at home with a hyperosmolar solution. What information will the nurse include when teaching this patient?
a. How to perform the Valsalva maneuver b. The need to consume extra fluids between feedings c. The need to decrease dietary fiber d. The need to remain supine during infusion of the enteral solution