A patient diagnosed with an eating disorder asks to be excused from a meal to use the restroom. Select the nurse's best response
a. "No one is permitted to leave the table during meals."
b. "You may go after you've finished your meal."
c. "I will go with you to the restroom."
d. "No. I know you want to vomit."
C
Close observation is necessary to prevent patients with eating disorders from purging during and after meals. Patients should be accompanied to the bathroom and observed while in the bathroom to prevent purging. Bargaining, lying, and judgmental confrontation are not appropriate responses.
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A resident of a long-term care facility has been experiencing pain associated with sciatica, a health problem that has not previously been present. Which intervention should the nurse implement first to help control this patient's pain?
A) Provide morphine or codeine B) Prepare a dose of acetaminophen C) Implement nonpharmacologic measures D) Administer fentanyl or sustained-release oxycodone
The physician has prescribed isometric exercises for a patient. The patient asks the nurse how these exercises work. The nurse uses an example to explain the physiology of isometric exercises, which is:
a. flexing the lower arm while trying to straighten it with the other hand. b. pulling the knees up to chest with the arms. c. forcefully flexing the neck to make the chin touch the chest. d. flexing the toes up toward the head while lying flat.
A patient is at 12 weeks' gestation with her first baby. She has cardiac disease, class III. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin. She asks the nurse why this was done
The nurse's response should be: 1. "Heparin may be given by mouth, while Coumadin must be injected." 2. "Heparin is safer because it does not cross the placenta." 3. "They are the same drug, but heparin is less expensive." 4. "Coumadin interferes with iron absorption in the intestines."
As part of a first prenatal visit, the nurse records a pregnant woman's obstetric history
She has an 18-month-old daughter who was delivered two days after her estimated date of delivery and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 12 weeks and the other at 21 weeks. Using the GTPAL method, how should the nurse record this history? A) G5 T1 P2 A1 L2 B) G4 T1 P1 A2 L2 C) G5 T2 P2 A1 L1 D) G4 T1 P2 A2 L2