Author Question: Which of the following findings will the nurse assess in a client diagnosed with bulimia? 1. Low ... (Read 22 times)

jerry coleman · **on:** Jul 22, 2018

Which of the following findings will the nurse assess in a client diagnosed with bulimia?

1. Low body temperature
2. Elevated blood pressure
3. Increased urine output
4. Hoarseness

Question 2

The nurse is caring for a 63-year-old woman whose husband died 6 months ago. As the nurse gives the client her bed bath, the client begins to tell the nurse stories about things her husband did over the years.

When the bath is complete, the client thanks the nurse for listening when her own children will not. The nurse understands and has planned outcome care for this client based on which of the following? 1. The mourner will be reluctant to share memories with caregivers who are not family. 2. The mourner's family is tired of these stories.
3. The mourner is still in deep pain.
4. The mourner has the right to treasure their memories.

ApricotDream · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Hoarseness

Rationale:
Physical signs of bulimia nervosa include hoarseness and esophagitis, dental enamel erosion, enlarged parotid glands, abrasions or calluses on knuckles from inducing vomiting amenorrhea in about 40 of cases, concentrated urine, decreased urine output, hypotension, elevated temperature, poor skin turgor, and weakness. Elevated blood pressure, low body temperature, and increased urine output are not typically found in a client with bulimia.

Answer to Question 2

4. The mourner has the right to treasure their memories.

Rationale:
According to the mourner's bill of rights put forth by Wolfelt, the mourner has the right to treasure memories. By allowing the client to reminisce, the nurse is helping the client to gain closure and keep her husband's memory alive. The family may not have worked through their grief enough to be able to listen to their mother. Not all mourners will talk about the deceased. This client has passed the deep pain and is able too look back and appreciate good times with her husband.