Which statement would help the nurse conclude that a patient with an eating disorder is exhibiting cognitive distortion?
a. "I see now that I need to establish my own preferences and routines.".
b. "Bingeing makes my feelings of both isolation and loneliness go away.".
c. "Controlling what I eat has been a way for me to exert control over my life.".
d. "I need to watch for hunger and fatigue as triggers for my eating disorder.".
B
Cognitive distortions are personal beliefs that lack logic and are not reflective of reality. Bingeing is a maladaptive eating response to feelings of isolation and loneliness and is not a cure for those feelings in spite of the patient's belief. The other statements do not represent cognitive distortions since they are logical and based in reality.
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Which statement is accurate about the effects of lidocaine on the heart?
a. Lidocaine speeds up conduction in the atria, the ventricles, and the His-Purkinje system. b. Lidocaine increases automaticity in the ventricles and the His-Purkinje system. c. Lidocaine slows depolarization. d. Lidocaine has no significant impact on the ECG.
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The nurse is working in an outpatient clinic. Which client's indications most warrant fetal monitoring in the third trimester?
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K.B. is sent for an Hd treatment. Over the next 24 hours, K.B.'s nausea subsides, and she is able to eat normally. While you are helping her with her morning care, she confides in you that she doesn't understand her diet. "I just get blood drawn every week and meet with the dialysis dietitian every month—I just eat what she tells me to eat. It's so hard!"
Because K.B. is on HD and has DM, what are her special nutritional needs? Name at least four specific components of the diet recommended for K.B.