Author Question: What goal is most important when caring for a child with anorexia nervosa (AN)? a. Limit fluid ... (Read 48 times)

mrsjacobs44 · **on:** Jun 28, 2018

What goal is most important when caring for a child with anorexia nervosa (AN)?

a. Limit fluid intake.
b. Prevent depression.
c. Correct malnutrition.
d. Encourage weight gain.

Question 2

During the physical examination of an adolescent with significant weight loss, what finding may indicate an eating disorder?

a. Diarrhea
b. Amenorrhea
c. Appetite suppression
d. Erosion of tooth enamel

Tabitha_2016 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
In children diagnosed with AN or bulimia nervosa, the priority consideration is to correct the malnutrition. Severe malnutrition, electrolyte disturbances, vital sign abnormalities, and psychiatric disorders may be present. Careful monitoring is necessary to avoid complications. Often fluid intake is restricted by individuals with AN. Fluid balance must be restored. Preventing depression is important, but the correction of potentially life-threatening malnutrition takes precedence. After the initial malnutrition is corrected, then a plan is established for nutritional therapy.

Answer to Question 2

ANS: D
Some of the signs of bulimia include erosion of tooth enamel and increased dental caries. Check the back of the hands for abrasions caused by rubbing against the maxillary incisors during self-induced vomiting. Diarrhea is not a result of vomiting. Rather, it may occur in patients with inflammatory bowel disease and other gastrointestinal diseases. Amenorrhea can occur with anorexia nervosa, but it can also be a result of the weight loss from other causes. It can also indicate pregnancy in adolescent females. Appetite suppression can occur from central nervous system lesions or from oncologic and metabolic disorders.