A nurse caring for a client recently admitted to the hospital for ...

[saliriagwu]

A nurse caring for a client recently admitted to the hospital for anorexia nervosa enters the client's room and finds her in the middle of performing rapid exercises. Which action would be the priority?
 
  1. Interrupt the client, and offer to take her for a walk.
  2. Allow the client to complete her exercise program.
  3. Ignore the behavior, and return when the client is finished.
  4. Tell the client that she is not allowed to exercise rigorously.

Question 2

A sweat test is performed on an infant with a suspected diagnosis of cystic fibrosis (CF). The nurse reviews the results of the test and notes that the chloride level is 40 mEq/L. The nurse in-terprets that this finding is indicative of:
 
  1. A negative test
  2. A positive test
  3. An unrelated finding
  4. Suggestive of CF and requires a repeat test

[14vl19]

Answer to Question 1

1

Rationale: When working with a client diagnosed with anorexia nervosa, the nurse must limit the amount of rigorous exercise that the client performs while providing for appropriate types and amounts of exercise. Clients with anorexia nervosa are frequently preoccupied with rigorous exercise and push themselves beyond normal limits to work off caloric intake, which causes fur-ther deterioration of their physical state. Allow the client to complete her exercise program, ignore the behavior, and return when the client is finished, and tell the client that she is not allowed to exercise rigorously are inappropriate priority actions.

Answer to Question 2

4

Rationale: In a sweat test, sweating on the infant's forearm is stimulated with pilocarpine, the sample is collected on absorbent material, and the amount of sweat chloride is measured. A chlo-ride level higher than 60 mEq/L is considered to be a positive test result. A sweat chloride level lower than 40 mEq/L is considered normal. A sweat chloride level higher than or equal to 40 mEq/L is suggestive of CF and requires a repeat test. A negative test, a positive test, and an unrelated finding are incorrect interpretations of the test results.