A nurse is attempting to differentiate between the symptoms of anorexia nervosa and the symptoms of bulimia. Which statement delineates the difference between these two disorders?
1. Clients diagnosed with anorexia nervosa experience extreme nutritional deficits, whereas clients diagnosed with bulimia nervosa do not.
2. Clients diagnosed with bulimia nervosa experience amenorrhea, whereas clients diagnosed with anorexia nervosa do not.
3. Clients diagnosed with bulimia nervosa experience hypotension, edema, and lanugo, whereas clients diagnosed with anorexia nervosa do not.
4. Clients diagnosed with anorexia nervosa have eroded tooth enamel, whereas clients diagnosed with bulimia nervosa do not.
1
Rationale: The nurse should understand that clients diagnosed with anorexia nervosa experience nutritional deficits, whereas clients diagnosed with bulimia do not. Anorexia is characterized by a morbid fear of obesity and often results in low caloric and nutritional intake. Bulimia is characterized by episodic, rapid consumption of large quantities of food followed by purging.
You might also like to view...
The nurse is caring for a client diagnosed with respiratory acidosis, and directs the plan of care to provide which of these priority interventions?
1. Increase fluid intake. 2. Have the client breathe into a paper bag. 3. Administer oxygen. 4. Encourage the client to take deep breaths.
A patient is receiving intravenous vincristine [Oncovin]. The patient complains of pain at the IV insertion site. The nurse examines the site and notes an area of erythema and edema. What will the nurse do?
a. Change the IV site and notify the provider of the extravasation. b. Contact the provider to suggest using a different chemotherapeutic agent. c. Obtain an order for a topical anesthetic to minimize discomfort. d. Slow the rate of infusion to reduce the patient's discomfort.
The nurse utilized evidence-based practice to plan the care for a patient. One feature of this approach would be:
a. It is purely nursing-focused. b. Clinical practice is based upon nursing theory. c. Evaluation is based on patient outcomes. d. Individual and organizational factors guide the integration of these new practices.
The nurse is working with postoperative clients on a surgical unit. One aspect of care is manipulation of the client's environment. What does this involve on the part of the nurse?
a. Delegating ambulation of clients to the unregulated care provider b. Providing pain medication to the client before a dressing change c. Maintaining client privacy during procedures d. Repositioning the client q2h