Nokea
Which eating disorder involves self-starvation?
- A. Binge-eating disorder
- B. Bulimarexia
- C. Bulimia nervosa
- D. Anorexia nervosa
Correct Answer: D
Rationale: Anorexia nervosa is characterized by extreme calorie restriction and self-starvation.
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Mrs. Roberts communicates very well by lipreading. In planning Mrs. Roberts' care, it is important to
- A. face her and slightly raise your voice
- B. write everything important
- C. employ nonverbal cues to help convey your meaning
- D. avoid obscuring her view of your mouth
Correct Answer: D
Rationale: Clear visibility of the speaker's mouth is vital for effective lipreading, ensuring accurate communication.
In a client receiving opiate therapy, which of the following should the nurse closely monitor for in order to minimize the risk for imbalanced nutrition?
- A. Diarrhea
- B. Anorexia and nausea
- C. GI tract infection
- D. Gastric ulcer
Correct Answer: B
Rationale: The correct answer is B because opiates commonly cause gastrointestinal side effects such as nausea and anorexia, which can lead to nutritional imbalances.
A 27-year-old client who is three hours postoperative complains of right leg pain after knee reduction surgery. The first action by the nurse should be to:
- A. assess vital signs.
- B. elevate the extremity.
- C. perform a lower extremity neurovascular check.
- D. remind the client of the PCA pump and re-instruct the client on its use.
Correct Answer: C
Rationale: Vital signs may be altered if there is acute pain or complications related to bleeding or swelling, but it should not be assessed before checking the affected extremity. The extremity can be elevated if ordered by the physician. Assessment of the postoperative area is important to determine the presence of bleeding, swelling, or decreased circulation. Reinforcement of teaching on the use of the patient-controlled anesthesia (PCA) pump is important, but it is not the first action.
Why should the nurse closely monitor older adults when they are receiving IV therapy?
- A. Because their defense mechanisms are less efficient.
- B. Because they are prone to fluid overload.
- C. Because they are prone to increased renal efficiency.
- D. Because they have inadequate intake of dietary fiber.
Correct Answer: B
Rationale: The correct answer is B because older adults are more prone to fluid overload due to reduced kidney function.
The nurse is assessing a client with delayed wound healing. Which of the following risk factors is most important in this situation?
- A. Glucose level of 120 mg/dl.
- B. History of myocardial infarction.
- C. Long term steroid usage.
- D. Diet high in carbohydrates.
Correct Answer: C
Rationale: Steroids impair wound healing by affecting collagen formation and immune response.