Which nursing intervention has the highest priority for a patient ...

[V@ndy87]

Which nursing intervention has the highest priority for a patient with bulimia nervosa?
 
  a. Assist the patient to identify triggers to binge eating.
  b. Provide corrective consequences for weight loss.
  c. Assess for signs of impulsive eating.
  d. Explore patient needs for health teaching.

Question 2

One bed is available on the inpatient eating disorders unit. Which patient should be admitted? The patient whose weight dropped from:
 
  a. 150 to 100 pounds over a 4-month period. Vital signs: temperature, 35.9 C; pulse, 38 beats/min; blood pressure, 60/40 mm Hg
  b. 120 to 90 pounds over a 3-month period. Vital signs: temperature, 36 C; pulse, 50 beats/min; blood pressure, 70/50 mm Hg
  c. 110 to 70 pounds over a 4-month period. Vital signs: temperature 36.5 C; pulse, 60 beats/min; blood pressure, 80/66 mm Hg
  d. 90 to 78 pounds over a 5-month period. Vital signs: temperature, 36.7 C; pulse, 62 beats/min; blood pressure, 74/48 mm Hg

[Smiles0805]

Answer to Question 1

ANS: A
For most patients with bulimia nervosa, certain situations trigger the urge to binge; purging then follows. The triggers are often anxiety-producing situations. Identifying these triggers makes it possible to break the binge-purge cycle. Because binge eating and purging directly affect physical status, the need to promote physical safety assumes the highest priority.

Answer to Question 2

ANS: A
Physical criteria for hospitalization include weight loss of more than 30 of body weight within 6 months, temperature below 36 C (hypothermia), heart rate less than 40 beats/min, and systolic blood pressure less than 70 mm Hg.

[V@ndy87]

Excellent

[flexer1n1]

TYSM