You suspect that the client you are assigned has bulimia nervosa. Which of the following assessment findings would provide the strongest clue?
a. elevated vital signs
b. weight gain
c. erosion of dental enamel and salivary gland enlargement
d. skin lesions on upper arms and enlargement of the liver
C
Erosion of dental enamel and salivary gland enlargement would be the strongest clue that the client has bulimia nervosa. Vomiting is the most common method of purging among people who are bulimic (although laxatives are also used). Frequent vomiting erodes the enamel on teeth and accelerates tooth decay. Also, enlargement of the salivary gland is common. Additionally, frequent vomiting and weight loss can disturb the electrolyte balance and also lead to heart arrhythmias.
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The nurse is walking a postoperative patient in the hallway when she notices a large red stain of fresh blood on the patient's gown over the abdominal incision. The patient states, "I felt something just ripped open."
What is the priority action of the nurse? a. Lift up the patient's gown and assess the incision. b. Assist the patient to the floor and call for assistance. c. Return the patient to bed and irrigate the wound with sterile saline. d. Check the patient's vital signs and pulse oximetry.
A nurse is caring for a client with constipation. The physician prescribes cascara sagrada to the client. Which of the following effects should the nurse monitor for in the client after administration of the drug?
A) Sudden increase in weight B) Brownish discoloration of urine C) Reduced sperm count D) Abdominal pain and cramping
Patient education when prescribing colchicine includes:
1. Colchicine may be constipating. 2. Colchicine always causes some degree of diarrhea. 3. Mild muscle weakness is normal. 4. Moderate amounts of alcohol are safe with colchicine.
A student asks the professor what the most common pathophysiologic process is that triggers aplastic anemia (AA). What response by the professor is most accurate?
a. Autoimmune disease against hematopoiesis by activated cytotoxic T (Tc) cells b. Malignancy of the bone marrow in which unregulated proliferation of erythrocytes crowd out other blood cells c. Autoimmune disease against hematopoiesis by activated immunoglobulins d. Inherited genetic disorder with recessive X-linked transmission