The nurse is caring for a teen who is hospitalized with a diagnosis of anorexia nervosa. When developing the plan of care for the client and family, the nurse includes:
1. Serve the client three balanced meals per day.
2. Observe the client's activities for 15 minutes after eating.
3. Discuss weight-gain needs with the client.
4. Provide a variety of cold or room-temperature foods.
4. Provide a variety of cold or room-temperature foods.
Rationale:
Cold or room-temperature foods are often more appealing to clients with anorexia nervosa. Three meals daily could be overwhelming in size to the client. Smaller, more frequent offerings will be better received by the client. The client with bulimia is the client who needs to be observed for vomiting after meals. A focus on gaining weight will promote fixation on pounds instead of health with this population.
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1. Placing the client on a board 2. Placing a collar on the client before moving 3. Assessing and maintaining the airway 4. Stopping any bleeding
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