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Author Question: As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient's ... (Read 31 times)

Beheh

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on: Jul 19, 2018
As a patient admitted to the eating disorders unit undresses, a nurse observes that the patient's body is covered by fine, downy hair. The patient weighs 70 pounds and is 5 feet, 4 inches tall. Which term should be documented?
 
  a. Amenorrhea
  b. Alopecia
  c. Lanugo
  d. Stupor

Question 2

A patient being admitted to the eating disorders unit has a yellow cast to the skin and fine, downy hair covering the body. The patient weighs 70 pounds; height is 5 feet, 4 inches. The patient is quiet and says only, I won't eat until I look thin.
 
  What is the priority initial nursing diagnosis?
 
  a. Anxiety, related to fear of weight gain
  b. Disturbed body image, related to weight loss
  c. Ineffective coping, related to lack of conflict resolution skills
  d. Imbalanced nutrition: less than body requirements, related to self-starvation


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iman

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Reply #1 on: Jul 19, 2018
Answer to Question 1

ANS: C
The fine, downy hair noted by the nurse is called lanugo. It is frequently seen in patients with anorexia nervosa. None of the other conditions can be supported by the data the nurse has gathered.

Answer to Question 2

ANS: D
The physical assessment shows cachexia, which indicates imbalanced nutrition. Addressing the patient's self-starvation is the priority.


Beheh

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Reply 2 on: Jul 19, 2018
Great answer, keep it coming :)

kthug

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Reply 3 on: Yesterday
Gracias!

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