The nurse is reviewing the medical history of a patient who is being evaluated for anorexia nervosa. Which characteristic(s) would be consistent with the condition? (Select all that apply.)
a. Weight loss of 2 to 3 pounds in the past month
b. Binge eating
c. Frequent mood changes
d. Absence of three consecutive menstrual periods
e. Body weight less than 85% of what is ex-pected for height and weight
C, D, E
Anorexia nervosa is characterized by the patient's refusal to maintain minimal body weight or eat adequate quantities of food. There is a disturbance in the perception of body shape and size and an extreme fear of becoming fat. The patient strives for perfection and control by controlling caloric intake. Defining characteristics include frequent mood fluctuation, absence of three con-secutive menstrual periods, and body weight less than 85% of what is expected for height and weight.
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a. From the meatus outward b. With an alcohol swab c. In a circular motion d. With a cotton-tipped applicator
The local health department has been criticized for not providing effective communicable disease control programs. What ethical problem should the population health nurse identify that the health department is committing?
1. Negligence at the population level. 2. Breach of contract at the population level. 3. Abandonment at the individual level. 4. Variance of care at the individual level.
The nurse is checking peripheral perfusion to a child's extremity following a cardiac catheterization. If there is adequate peripheral circulation, how should the extremity feel?
1. Cool, with a capillary refill of greater than 3 seconds 2. With a palpable dorsalis pedis pulse but an absent posterior tibial pulse 3. Decreased sensation, with an absent dorsalis pedis pulse 4. Warm, with a capillary refill less than 3 seconds
All of the following are effective nursing strategies for the management of constipation EXCEPT
a. removal of hardened or impacted stool by mechanical means b. increased dietary fiber c. decreased fluid intake d. regular pattern of exercise