The nurse completes the nutrition assessment for a 14-year-old female with a BMI of 15 . What physical assessment finding might suggest bulimia nervosa?
a. Loss of enamel on teeth
b. Low level of interest in exercise
c. Slightly elevated temperature
d. Skin excoriation in skinfolds
A
A BMI of less than 18.5 is considered underweight. Eating disorders are a concern for adolescents, girls more commonly than boys. Signs of anorexia nervosa may include dry, brittle hair and nails, generalized fatigue, constipation, low blood pressure, feeling cold with a lower than normal temperature, amenorrhea, and low BMI. Bulimia is self-induced vomiting (purging) after episodes of binging. In bulimia, the BMI might be low (less than 18.5), normal, or even high (greater than 25). Dental decay and erosion of tooth enamel occur with repeated purging. Most people with an eating disorder, especially those with bulimia nervosa, are preoccupied with exercise. Skin rash and excoriation in skin creases is more common in people with obesity.
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a. Rinsing the mouth with warm water b. Sipping carbonated drinks c. Sucking on occasional ice chips d. Limiting tooth brushing to once per day
The nurse is caring for a patient with hepatic encephalopathy
The nurse's assessment reveals that the patient exhibits episodes of confusion, is difficult to arouse from sleep, has rigid extremities, and shows EEG abnormalities. Based upon these clinical findings, what is the patient's stage of hepatic encephalopathy? A) Stage 1 B) Stage 2 C) Stage 3 D) Stage 4
The nurse is caring for a postoperative client on the medical-surgical unit following a total left hip replacement the previous day. During the assessment, the nurse notes that the client's left leg is cool, with weak pedal pulses
What is the nurse's first action? a. Assess circulatory status of the right leg. b. Notify the surgeon immediately. c. Measure leg circumference at the calf. d. Check for bilateral Homans' signs.
As part of assessment prior to administering a bolus tube feeding, the nurse will:
a. provide oral care. b. assess vital signs. c. assess breath sounds. d. auscultate for bowel sounds.