What goal is most important when caring for a child with anorexia nervosa (AN)?
a. Limit fluid intake.
b. Prevent depression.
c. Correct malnutrition.
d. Encourage weight gain.
ANS: C
In children diagnosed with AN or bulimia nervosa, the priority consideration is to correct the malnutrition. Severe malnutrition, electrolyte disturbances, vital sign abnormalities, and psychiatric disorders may be present. Careful monitoring is necessary to avoid complications. Often fluid intake is restricted by individuals with AN. Fluid balance must be restored. Preventing depression is important, but the correction of potentially life-threatening malnutrition takes precedence. After the initial malnutrition is corrected, then a plan is established for nutritional therapy.
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