Author Question: An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second ... (Read 110 times)

newyorker26 · **on:** Jul 19, 2018

An outpatient diagnosed with anorexia nervosa has begun refeeding. Between the first and second appointments, the patient gained 8 pounds. The nurse should:

a. assess lung sounds and extremities.
b. suggest the use of an aerobic exercise program.
c. positively reinforce the patient for the weight gain.
d. establish a higher goal for weight gain the next week.

Question 2

Which assessment finding for a patient with an eating disorder meets a criterion for hospitalization?

a. Urine output: 40 ml/hr
b. Pulse rate: 58 beats/min
c. Serum potassium: 3.4 mEq/L
d. Systolic blood pressure: 62 mm Hg

yotaSR5 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Weight gain of more than 2 to 5 pounds weekly may overwhelm the heart's capacity to pump, leading to cardiac failure. The nurse must assess for signs of pulmonary edema and congestive heart failure. The incorrect options are undesirable because they increase the risk for cardiac complications.

Answer to Question 2

ANS: D
Systolic blood pressure less than 70 mm Hg is an indicator for inpatient care. Many people without eating disorders have bradycardia (pulse less than 60 beats/min). Urine output should be more than 30 ml/hr. A potassium level of 3.4 mEq/L is within the normal range.