Therapeutic nutrition begins for a patient with anorexia nervosa who is 70% of ideal body weight. Which nursing intervention is most important to add to the plan of care?
a. Communicate empathy for the patient's feelings.
b. Observe for adverse effects associated with refeeding.
c. Teach patient about psychological origins of the disorder.
d. Direct the patient to balance energy expenditure and caloric intake.
B
Observing for complications associated with refeeding is the highest priority because of potentially adverse effects on electrolytes. Patient teaching and communication are important, but not the priorities in this situation.
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The nurse is caring for a client with cholecystitis. The client is a poor historian and is unable to tell the nurse when the symptoms started. Which assessment finding indicates to the nurse that the condition is chronic rather than acute?
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