Author Question: A nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be ... (Read 33 times)

meagbuch · **on:** Jul 19, 2018

A nurse is caring for several hospitalized clients with anorexia nervosa. The nurse would be especially alert for which of the following if noted in the clients' histories?

A) Paranoia
B) Primary insomnia
C) Depression
D) Aggression

Question 2

A client with bulimia nervosa is being treated at an outpatient clinic and is prescribed a selective serotonin reuptake inhibitor (SSRI). Which of the following would the nurse include when teaching the client about the prescribed medication?

A) Closely monitor your fluid intake while taking this medication.
B) Stop taking this medication if it causes weight gain.
C) Expect menstrual irregularities, particularly if they've occurred previously.
D) Report any weight changes that occur during the first few weeks this medication is taken.

ryhom · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Depression is common in individuals with anorexia nervosa, and these individuals are at risk to attempt suicide. Paranoia and insomnia are not comorbid conditions associated with anorexia nervosa. Clients with anorexia nervosa have difficulty expressing anger, so aggression would be unlikely.

Answer to Question 2

Ans: D
The most important concern when using SSRIs is decreased appetite and weight loss during the first few weeks of administration. Weight should be monitored, especially during this period. The intake of medication must be monitored for possible purging after administration. The effect of the medication will depend on whether it has had time to absorb. Monitoring fluid intake and menstrual irregularities are not associated with this group of medications.