A 17-year-old girl comes to the health department clinic to renew ...

[rosent76]

A 17-year-old girl comes to the health department clinic to renew her oral contraceptive pills. During the physical examination, the nurse observes that the girl has broken blood vessels on her face and her lips are cracked and chapped and her fingers are
 
  callused.
  What further actions will the nurse perform? (Select all that apply.)
  A.
  A weight assessment
  B.
  Assessment for depression
  C.
  Draw blood for electrolytes
  D.
  Discussion about anorexia nervosa
  E.
  Discussion about bulimia

Question 2

A community health nurse is packing a kit of play items for the families who will be visited today. One family has an infant and a preschooler. Which toys should the nurse include in the kit? (Select all that apply.)
 
  A.
  Blocks
  B.
  Coloring books
  C.
  Ride-on train
  D.
  Simple board game
  E.
  Stuffed animals

[chreslie]

Answer to Question 1

ANS: A, B, C, E
Bulimia nervosa is a syndrome that consists of a cycle of binge eating and purging. Physically, the adolescent with bulimia nervosa may exhibit physical changes related to forced, excessive vomiting: cracked and damaged lips, tooth damage, callused fingers and hands, and broken blood vessels in the face. Other findings that may not be readily apparent include throat irritation, esophageal inflammation, and parotitis from vomiting, as well as rectal bleeding from overuse of laxatives. Bulimia is also associated with depression. The nurse should assess the teen's weight, screen her for depression, draw blood for electrolyte imbalances, and discuss bulimia.

Answer to Question 2

ANS: A, B, D
An infant is in the stage of solitary play. Appropriate toys include blocks, books, rattles, push-pull toys, and musical toys. The preschooler is in the stage of associative play. Appropriate toys for this child include imitative games, simple arts and crafts, simple board games, interactive games, alphabet or color games, coloring and drawing, and simple computer games. The ride-on train and the stuffed animals are more appropriate for a toddler.