Nokea
A 16-year-old girl presents with peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Her weight has fluctuated between 96 and 128 pounds over the past year. The nurse suspects the girl is suffering from
- A. binge eating disorder.
- B. bulimia nervosa.
- C. pernicious anemia.
- D. anorexia nervosa.
Correct Answer: B
Rationale: Bulimia nervosa is characterized by binge-purge cycles, leading to dental erosion, peptic ulcers, irregular menses, and weight fluctuations.
You may also like to solve these questions
A 35-year-old male comes into the clinic after he strains his back at work. The nurse anticipates the physician may suggest which topical anesthetic?
- A. aloe
- B. zinc oxide
- C. hydrocortisone
- D. capsaicin
Correct Answer: D
Rationale: Capsaicin is a topical analgesic used for muscle pain, such as back strain. Aloe, zinc oxide, and hydrocortisone are not anesthetics.
A nurse working in ICU has a client on a propofol (Diprivan) drip while on the mechanical ventilator. The nurse needs another bottle, which must be picked up in person in the hospital pharmacy. Which is the correct action by the nurse concerning this medication?
- A. ask the unit secretary to go to the pharmacy and pick it up
- B. send the unlicensed assistive personnel (UAP) to pick it up since the nurse is busy
- C. ask the client's health care provider to bring it when he or she rounds on the client
- D. ask another nurse to watch the clients while the nurse goes to the pharmacy to get the medication
Correct Answer: D
Rationale: The nurse must ensure continuous client monitoring, so asking another nurse to cover while retrieving the controlled medication is the safest action.
A client has been instructed in the application and use of anti-embolic compression stockings. Which of the following statements by the client indicates a need for more teaching? Select all that apply.
- A. After I apply the stocking, I roll the top back down about 2 inches to hold the stockings in place.
- B. I remove the stocking and reapply about every day or two.
- C. To apply, I turn the stocking inside out while holding onto the toe.
- D. I apply a small amount of baby powder to my legs before applying the stockings.
- E. These stockings help prevent blood clots.
Correct Answer: A,B,D
Rationale: Rolling the top down (A) can impede circulation, removing stockings every 1-2 days (B) is too infrequent (should be every 8 hours), and baby powder (D) can cause skin irritation. Turning the stocking inside out (C) and preventing clots (E) are correct.
The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture uses:
- A. Pressure from the fingers and hands to stimulate the energy points in the body
- B. Oils extracted from plants and herbs
- C. Needles to stimulate certain points on the body to treat pain
- D. Manipulation of the skeletal muscles to relieve stress and pain
Correct Answer: C
Rationale: Acupuncture uses needles, which pose an infection risk in immunocompromised AIDS patients, requiring further discussion.
The nurse is teaching the mother of a child with cystic fibrosis how to do chest percussion. The nurse should tell the mother to:
- A. Use the heel of her hand during percussion
- B. Change the child's position every 20 minutes during percussion sessions
- C. Do percussion after the child eats and at bedtime
- D. Use cupped hands during percussion
Correct Answer: D
Rationale: Cupped hands during chest percussion create a vibration that helps loosen mucus in cystic fibrosis without causing injury.