Which nursing intervention has the highest priority for a patient diagnosed with bulimia nervosa?
a. Assist the patient to identify triggers to binge eating.
b. Provide corrective consequences for weight loss.
c. Assess for signs of impulsive eating.
d. Explore needs for health teaching.
ANS: A
For most patients with bulimia nervosa, certain situations trigger the urge to binge; purging then follows. Often the triggers are anxiety-producing situations. Identification of triggers makes it possible to break the binge-purge cycle. Because binge eating and purging directly affect physical status, the need to promote physical safety assumes highest priority.
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The same nursing documentation record is used in every unit of a hospital. Why does a hospital use a standardized form for nursing documentation? (Select all that apply.)
a. Helps provide continuity of care b. Standardizes patient care parameters c. Assists in maintaining confidentiality d. Reduces the number of medication errors e. Provides the foundation for staffing levels f. Allows for quality evaluations among units
Flapping tremor (asterixis) is seen in a patient with
a. Crohn's disease. b. hepatic encephalopathy. c. cancer of the stomach. d. candidiasis.
A 12-year-old girl presents to the emergency room with complaints of a sore throat, fever, and malaise for the past six days. The parents have noticed that she has been progressively sleeping more. The patient is diagnosed with mononucleosis
The caregiver education done by the nurse should include all of the following except: 1. Rest periods should follow play/activity periods. 2. After the girl goes back to school, she should not participate in ice hockey for 6 to 8 weeks. 3. Keep her well hydrated, and provide nutrition that is high in protein. 4. Give acetaminophen or ibuprofen for fever management.
Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch?
a. "Apply the patch to a nonhairy, nonfatty area of the upper torso or arms." b. "Apply the patch to the same site each day to maintain consistent drug absorption." c. "If you get a headache, remove the patch for 4 hours and then reapply." d. "If you get chest pain, apply a second patch right next to the first patch."