A patient has anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is 2.7 mg/dL. Which nursing diagnosis applies?
a. Adult failure to thrive related to abuse of laxatives, as evidenced by electrolyte imbalances and weight loss
b. Ineffective health maintenance related to self-induced vomiting, as evidenced by swollen parotid glands and hyperkalemia
c. Disturbed energy field related to physical exertion in excess of energy produced through caloric intake, as evidenced by weight loss and hyperkalemia
d. Imbalanced nutrition: less than body requirements related to refusal to eat, as evidenced by loss of 25% of body weight and hypokalemia
D
The patient's history and lab result support this nursing diagnosis. Data are not present that the patient uses laxatives, induces vomiting, or exercises excessively. The patient has hypokalemia, not hyperkalemia.
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A nurse assesses a client with a fungal urinary tract infection (UTI). Which assessments should the nurse complete? (Select all that apply.)
a. Palpate the kidneys and bladder. b. Assess the medical history and current medical problems. c. Perform a bladder scan to assess post-void residual. d. Inquire about recent travel to foreign countries. e. Obtain a current list of medications.
When assessing a patient experiencing aggression, the nurse applies the general aggression model. Which of the following would the nurse assess as the person factors? Select all that apply
A) Patient's personality traits B) Insult initiating the behavior C) Previous behavior patterns D) Patient's shouting E) Patient's mood F) Patient's gender
A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply
A) The mother carefully washes her breasts prior to feeding the infant. B) The mother feeds the infant every hour. C) The mother supplements feedings with water. D) The mother holds her breast in the "C" position. E) The mother strokes the nipple against the infant's face.
The nurse is caring for a patient with a personality disorder who is acutely aggressive and is a danger to self and others. What pharmacologic therapy should the nurse anticipate being prescribed for this patient?
1. Valproic acid (Depakote) 2. Haloperidol (Haldol) 3. Clozapine (Clozaril) 4. Carbamazepine (Tegretol)