Author Question: Complications from Anorexia Nervosa include all of the following except: 1. Muscle wasting. 2. ... (Read 87 times)

K@ · **on:** Jun 27, 2018

Complications from Anorexia Nervosa include all of the following except:

1. Muscle wasting.
2. Electrolyte imbalances.
3. Tooth enamel erosion.
4. Dehydration.

Question 2

Which, if any, of the following is a developmentally-based medication administration strategy for use by pediatric bedside nurses?

1. Dilute the painful IM medication with Lidocaine rather than water or saline so that it doesn't hurt as much when injected.
2. The use of a sticker chart to reward taking medication promptly and without fuss.
3. Calculate medication dosage based on milligrams per kilogram.
4. None of the above

Bigfoot1984 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

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1. The body begins to break down muscle to be used as a fuel source in severe anorexia.
2. Electrolytes are imbalanced because the body is not receiving the required nutrients from food.
3. Tooth enamel erosion occurs in Bulimic patients, not Anorexia Nervosa patients.
4. Dehydration occurs because of the lack of fluid and food intake.

Answer to Question 2

2
Feedback
1. Not a developmental strategy and can cause an increased risk for reaction from the patient. Diluting the medication with Lidocaine is not a developmental strategy. It should be used for all patients without allergy or other contr-aindication to Lidocaine if the medication burns/stings significantly.
2. The stick chart allows a child to have a visual to identify goal accomplishment.
3. Calculations should be done, but is not a developmental strategy for pain management. Most children's medications are dosed on a milligram per kilogram basis, but this is a prescribing strategy and falls to the doctor (or the advanced practice nurse with prescriptive authority). It is based on growth and physiology, not development.
4. One answer is correct.