a. b. c. d.
Assist the patient to identify triggers to binge eating. Provide corrective consequences for weight loss. Assess for signs of impulsive eating. 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.
an ax
PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Page 18-30 (Case Study and Nursing Care Plan) TOP: Nursing Process: Planning MSC: Client Needs: Psychosocial Integrity 15. One bed is available on the inpatient eating-disorder unit. Which patient should be admitted to
ks
_a
nd
_x
this bed? The patient whose weight decreased from a. 150 to 100 pounds over a 4-month period. Vital signs are temperature, 35.9° C; pulse, 38 beats/min; blood pressure 60/40 mm Hg b. 120 to 90 pounds over a 3-month period. Vital signs are temperature, 36° C; pulse, 50 beats/min; blood pressure 70/50 mm Hg c. 110 to 70 pounds over a 4-month period. Vital signs are temperature 36.5° C; pulse, 60 beats/min; blood pressure 80/66 mm Hg d. 90 to 78 pounds over a 5-month period. Vital signs are temperature, 36.7° C; pulse, 62 beats/min; blood pressure 74/48 mm Hg ANS: A
an
Physical criteria for hospitalization include weight loss of more than 30% of body weight within 6 months, temperature below 36° C (hypothermia), heart rate less than 40 beats/min, and systolic blood pressure less than 70 mm Hg.
es
tb
PTS: 1 DIF: Cognitive Level: Analyze (Analysis) REF: Pages 18-7, 28, 68, (Box 18-2) TOP: Nursing Process: Assessment MSC: Client Needs: Safe, Effective Care Environment 16. A nurse provides health teaching for a patient diagnosed with bulimia nervosa. Priority
eB
ay
:t
information the nurse should provide relates to a. self-monitoring of daily food and fluid intake. b. establishing the desired daily weight gain. c. how to recognize hypokalemia. d. self-esteem maintenance. ANS: C
Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be maintained if the patient can self-diagnose potassium deficiency and adjust the diet or seek medical assistance. Self-monitoring of daily food and fluid intake is not useful if the patient purges. Daily weight gain may not be desirable for a patient with bulimia nervosa. Self-esteem is an identifiable problem but is of lesser priority than the dangers associated with hypokalemia. PTS: 1
DIF: Cognitive Level: Apply (Application)
eBay: testbanks_and_xanax
