A nurse working in a community health center is counseling an ...

[mynx]

A nurse working in a community health center is counseling an adolescent regarding a suspected eating disorder. The adolescent is of normal weight but admits to periods of overeating, especially when experiencing stress.
 
  Based on this data, for which potential health problem should the nurse counsel the adolescent?
  A) Obesity
  B) An emaciated body
  C) Hunger pangs
  D) Anorexia

Question 2

A client with liver disease presents to the hospital with severe ascites. When providing care for this client, which pathophysiologic principles regarding this diagnosis will the nurse take into account?
 
  Select all that apply.
  A) Presence of portal hypertension.
  B) Presence of hyperalbuminemia.
  C) Increased colloidal osmotic pressure.
  D) Sodium and water retention.
  E) Presence of hypoaldosteronism.

[elizabethrperez]

Answer to Question 1

Answer: A

Individuals may eat to relieve depression or anxiety, which can lead to obesity. Overeating will not lead to emaciation, hunger pangs, or anorexia.

Answer to Question 2

Answer: A, D

Ascites is the accumulation of plasma-rich fluid in the abdominal cavity. Although portal hypertension is the primary cause of ascites, decreased serum proteins and increased aldosterone also contribute to the fluid accumulation. Hypoalbuminemia (low serum albumin) decreases the colloidal osmotic pressure of plasma. This pressure normally holds fluid in the intravascular compartment, but when the plasma colloidal osmotic pressure decreases, fluid escapes into extravascular compartments. Hyperaldosteronism (an increase in aldosterone) causes sodium and water retention, contributing to ascites and generalized edema.

[mynx]

Excellent

[Dominic]

TYSM