Which of the following physical manifestations would the nurse expect in a client who is emaciated, has sunken eyes, and a skeletal appearance?
1. Tachycardia, arrhythmia, dry skin
2. Tachycardia, hypotension, and edema
3. Bradycardia, hypotension, arrhythmia
4. Bradycardia, hypertension, alopecia
3
Rationale: Physical symptoms include bradycardia, hypotension, arrhythmias, delayed gastric motility, and hypothyroid-like state. The symptoms of bradycardia and arrhythmias are what increase risk of death in individuals with anorexia. Tachycardia, hypertension, alopecia, and dry skin would not necessarily be expected in this client.
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The parents of a school-age male client voice concerns about the seemingly advanced level of sexual maturity of their son. The examination reveals the child has thick pubic hair and enlarged genitalia
Based on this data, which intervention does the nurse anticipate for this client? 1. Administration of estrogen to reduce the impact of escalating testosterone levels. 2. Continued observation of the rate of maturation for the next 6 to 9 months. 3. Referral to an endocrinologist. 4. Reduction of processed foods in the diet to reduce hormone exposure.
A patient is admitted to the hospital for complaints of drowsiness and nausea after taking an over-the-counter medication for seasonal allergies. You explain to the patient that this could be which kind of problem
1. Adverse effect 2. Desired action 3. Side effect 4. Paradoxical response
Disaster epidemiology focuses on the range of short-term and long-term negative effects of community disasters. A study of the people of Fukushima, Japan, after the earthquake in 2011 showed what negative effect?
A) Higher risk of cancer in general Japanese population B) Lower levels of cesium in the elderly C) Overpopulation D) Environmental contamination
Which one of the following is an appropriate etiology for a nursing diagnosis?
1. Myocardial infarction 2. Cardiac catheterization 3. Abnormal blood gas levels 4. Increased airway secretions