Author Question: Accomplishment of which expectation should be considered most critical prior to dis-charging a ... (Read 113 times)

audie · **on:** Jul 19, 2018

Accomplishment of which expectation should be considered most critical prior to dis-charging a patient with anorexia nervosa?

a. Attainment of minimum normal weight
b. Resumption of normal menstrual cycle
c. Reduction of periods of active exercise to three times daily
d. Knowledge of nutritional value of foods required for a balanced diet

Question 2

Which intervention best monitors the health status of a patient newly admitted for a di-agnosis of bulimia nervosa?

a. Scheduling a bone mineral density screening
b. Performing a portable electrocardiogram (ECG)
c. Obtaining a urine sample for a urine analysis
d. Arranging for a serum potassium level to be drawn

britb2u · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: A
Attaining the desired weight is the priority discharge goal because it best indicates patient compliance with the treatment plan. Resumption of the menstrual period may take an ex-tended time. Having knowledge of nutrition does not ensure that the patient will apply it. Exercising three times a day is considered excessive.

Answer to Question 2

ANS: D
Patients with bulimia nervosa require initial assessment for acute fluid and electrolyte imbal-ances (particularly serum potassium) for the presence of life-threatening imbalances. Bone mineral density screening for osteopenia and osteoporosis and assessment is appropriate but it does not have priority over of the blood work to identify an acute life-threatening condition. The remaining options are not diagnostic tests that are generally required of this diagnosis.