Author Question: Which of the following are appropriate goals in working with a child or adolescent with a diagnosis ... (Read 21 times)

naturalchemist · **on:** Jun 27, 2018

Which of the following are appropriate goals in working with a child or adolescent with a diagnosis of anorexia nervosa? Select all that apply.

a. weight gain to within 5 of ideal body weight within 1 week's time frame
b. weight gain to within 10 of ideal body weight at a gain of 1-2 pounds per week
c. eat 100 of a 2,500-calorie diet each day
d. eat a balanced diet with sufficient calories to allow weight gain

Question 2

Why does the nurse need to read the package insert to see if a vaccine has been properly stored before administering the vaccine?

a. Improper storage will frequently cause the vaccine to be more virulent.
b. An improperly stored vaccine can clog the needle, leading to an infiltration.
c. Improper storage or handling can result in a decrease in vaccine potency and ineffective immunization.
d. The vaccine may be too hot or too cold to inject into the muscle or subcutaneous areas.

k2629 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B, D

Feedback
Correct When working with a child or adolescent with anorexia nervosa, appropriate goals include weight gain to within 10 of body weight at 1-2 pounds of weight gain per week.
The client should be encouraged to eat a balanced diet with sufficient calories to allow weight gain.
Incorrect Weight gain to within 5 of the ideal body weight within 1 week's time would require rapid weight to be gained too quickly. This rapid weight gain is medically unsafe and may lead to cardiac overload and death.
Weight gain should not be too rapid, such as that which would occur with eating 100 of a 2,500-calorie diet daily.

Answer to Question 2

C

Feedback
A Incorrect. The nurse needs to read the package insert to see if a vaccine has been properly stored before administering the vaccine but not because improper storage will frequently cause the vaccine to be more virulent.
B Incorrect. The nurse needs to read the package insert to see if a vaccine has been properly stored before administering the vaccine but not because an improperly stored vaccine can clog the needle, leading to an infiltration.
C Correct. The nurse needs to read the package insert to see if a vaccine has been properly stored before administering the vaccine because improper storage or handling can result in a decrease in vaccine potency and ineffective immunization.
D Incorrect. The nurse needs to read the package insert to see if a vaccine has been properly stored before administering the vaccine but not because the vaccine may be too hot or too cold to inject into the muscle or subcutaneous areas.