Answer to Question 1
ANS: D
Signs of anorexia nervosa include weakness, dizziness, excessive weight loss, intolerance to cold, bradycardia, hypotension, bone loss with fractures, constipation, and the development of lanugo. The nurse should assess the student for the restricted eating and excessive exercise that is characteristic of this disorder. The lower blood pressure and pulse might be the result of pain medication, but the student should not have been allowed to return to school on these medications, and this does not explain why the student appears to feel cold. Documenting the findings is important, but the school nurse has an excellent opportunity to assess and intervene if needed. Calling 911 immediately is not warranted.
Answer to Question 2
ANS: D
Adolescents are commonly sleep deprived and often try to make up for their sleep deficit by sleeping more on weekends. This is actually detrimental, as the body has difficulty adapting to changing sleep routines. The teen who is keeping consistent sleep and wake times during the entire week has learned this fact and is probably getting better sleep than before. The other statements do not show understanding of sleep deprivation and ways to improve it.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
The nurse needs to note the source of the patient health history
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Nursing School Humor
Under what conditions can the transition to middle school be associated with declines in grades and ...
Planning, Implementing, & Evaluating Health Promotion Programs: A Primer (6th Edition)