A patient with anorexia nervosa in outpatient treatment has begun refeeding. Between the first and second appointment, the patient gained 8 pounds. The nurse should:
a. praise the weight gain.
b. assess lung sounds and extremities.
c. suggest implementation of an exercise program.
d. establish a higher target for weight gain for the next week.
B
Weight gain of more than 2 to 5 pounds weekly may overwhelm the heart's capacity to pump, leading to cardiac failure. The nurse must assess for signs of pulmonary edema and congestive heart failure. The other options are undesirable because they increase the risk for cardiac complications.
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In a nationwide survey, which of the following was identified by school health nurses as the most crucial research priority for their specialty?
a. Emergency preparedness b. Health education c. Obesity and nutrition d. Role of the school health nurse
A nurse is conducting a health interview and is assessing for integumentary conditions that are known to have a genetic component. What assessment question is most appropriate?
A) "Does anyone in your family have eczema or psoriasis?" B) "Have any of your family members been diagnosed with malignant melanoma?" C) "Do you have a family history of vitiligo or port-wine stains?" D) "Does any member of your family have a history of keloid scarring?"
A patient is admitted to the medical unit with an exacerbation of multiple sclerosis. When assessing this patient, the nurse has the patient stick out her tongue and move it back and forth. What is the nurse assessing?
A) Function of the hypoglossal nerve B) Function of the vagus nerve C) Function of the spinal nerve D) Function of the trochlear nerve
The patient in addisonian crisis is receiving IV fluids for rehydration. The nursing care is focused on:
a. early assessment of hypotension. b. monitoring for hyperglycemia. c. keeping the patient cool with sponge baths. d. prevention of skin breakdown.