Answer to Question 1
ANS: D
Signs of anorexia nervosa include weakness, dizziness, excessive weight loss, intolerance to cold, bradycardia, hypotension, bone loss with fractures, constipation, and the development of lanugo. The nurse should assess the student for the restricted eating and excessive exercise that is characteristic of this disorder. The lower blood pressure and pulse might be the result of pain medication, but the student should not have been allowed to return to school on these medications, and this does not explain why the student appears to feel cold. Documenting the findings is important, but the school nurse has an excellent opportunity to assess and intervene if needed. Calling 911 immediately is not warranted.
Answer to Question 2
ANS: D
Adolescents are commonly sleep deprived and often try to make up for their sleep deficit by sleeping more on weekends. This is actually detrimental, as the body has difficulty adapting to changing sleep routines. The teen who is keeping consistent sleep and wake times during the entire week has learned this fact and is probably getting better sleep than before. The other statements do not show understanding of sleep deprivation and ways to improve it.
The nurse needs to note the source of the patient health history
The nurse cares for the postop client in the postanesthesia care unit (PACU).
To check pupillary reflexes the nurse first holds the penlight
The Head Start program was designed to increase the school readiness of low-income children.
Planning, Implementing, & Evaluating Health Promotion Programs: A Primer (6th Edition)
Cost of Going to School