The nurse who is caring for a 23-year-old client with bulimia knows that the most common method of purging to monitor this client for is:

a. Vomiting
b. Starvation
c. Excessive enema use
d. Use of syrup of ipecac


A
Vomiting and the use of diuretics and laxatives are the most common methods of purging. Less often used are enemas and syrup of ipecac. Starvation is a typical behavior of anorexia nervosa.

Nursing

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Postoperative teaching for a client who has a vasectomy would emphasize which aspect?

a. Apply ice to the scrotum for 1 hour following surgery. b. Avoid strenuous physical exercise for 1 week. c. Rest at least 24 hours after surgery. d. Other contraceptive devices are unnecessary as the sperm pathway has been severed.

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A nurse is caring for a client with increased intraocular pressure who is receiving urea. After administering the drug, the nurse would assess the client for which of the following?

A) Syncope B) Cramping C) Photosensitivity D) Blurred vision

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A daughter of an older adult patient who has just returned from surgery is distressed about her father's pale, cold hands and feet. What is the best response by the nurse after covering the pa-tient with an extra blanket?

a. "Don't be concerned. It is quite cold in the operating room. Your dad will be warm in a minute." b. "Older patients like your dad get a little shocky during surgery." c. "When patients have blood loss during surgery, superficial vessels close off tem-porarily, resulting in cold extremities." d. "We are watching the disturbed circula-tion in your dad's hands and feet very carefully."

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The parents of an 8-year-old child are concerned about their daughter's prognosis from the burn injuries sustained in a house fire. Which of the following should the nurse respond to these parents?

1. Your child will have many problems going forward. 2. Only time will tell. 3. Your child will be fine after the burns heal and extensive rehabilitation. 4. Children are more prone to burn injuries but the elderly have a greater risk for infection.

Nursing