One bed is available on the inpatient eating disorders unit. Assessment findings for four patients are listed as follows. Which patient should receive the bed?
a. Weight decreased from 150 to 102 lb in 4 months. Vital signs are T 96.9°F; P 46 beats/min; BP 68/48 mm Hg. Amenorrhea for 8 months.
b. Weight decreased from 110 to 86 lb in 4 months. Vital signs are T 97.5°F; P 60 beats/min; BP 80/66 mm Hg. Amenorrhea for 2 months.
c. Weight decreased from 120 to 90 lb in 3 months. Vital signs are T 98°F; P 50 beats/min; BP 70/50 mm Hg. Menstruation scant for 3 months.
d. Weight decreased from 90 to 78 lb in 5 months. Vital signs are T 97.7°F; P 62 beats/min; BP 74/52 mm Hg. Menstruation irregular for 6 months.
A
Physical findings indicative of an acute status include amenorrhea for 3 consecutive menstrual cycles, weight loss more than 30% of body weight within 6 months, hypothermia, pulse less than 40 beats/min, and systolic blood pressure less than 70 mm Hg.
You might also like to view...
The nurse suspects that the patient is experiencing a blood transfusion reaction. The nurse stops the infusion but is concerned about losing the IV line if blood clots in the catheter. The nurse should:
a. replace the entire transfusion line with a new set primed with normal saline. b. turn off the blood and turn on the normal saline infusion to flush the tubing. c. discontinue the IV and start a new IV of lactated Ringer's in the other extremity. d. maintain the patency of the current IV line by hanging a new IV bag of D5W.
Clopidogrel (Plavix), in comparison with aspirin, is less likely to cause which adverse effect(s)? You may select more than one answer
a. Intracranial hemorrhage b. Headache c. Rash d. GI bleeding e. Ataxia
A newly delivered mother who intends to breastfeed tells her nurse, "I am so relieved that this pregnancy is over so I can start smoking again." The nurse encourages the woman to refrain from smoking
However, this new mother insists that she will resume smoking. The nurse will need to adapt her health teaching to ensure that the woman is aware that: a. Smoking has little or no effect on milk production. b. There is no relation between smoking and the time of feedings. c. The effects of secondhand smoke on infants are less significant than for adults. d. The mother should always smoke in a room away from the baby.
In a shocked patient (decrease greater than 20% of baseline BP) the position of choice would be:
a. head down and feet up. b. head flat and feet up. c. head up and feet up. d. head down and feet flat.