Author Question: The nurse caring for a malnourished patient with anorexia nervosa in the hospital knows to watch for ... (Read 75 times)

itsmyluck · **on:** Jul 19, 2018

The nurse caring for a malnourished patient with anorexia nervosa in the hospital knows to watch for which potentially fatal condition?

1. MAOI toxicity
2. Vitamin deficiency
3. Refeeding syndrome
4. SSRI-induced suicidality

Question 2

The nurse knows that which factors are the main differences between binge-eating disorder and bulimia nervosa? Select all that apply.

1. Eating more rapidly than normal
2. Bingeing due to feelings of boredom
3. Bingeing is used as a dietary restraint
4. Using food as a compensatory method of control
5. Feeling distressed about a lack of control over food consumed

Silverbeard98 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: Refeeding syndrome is a potentially fatal condition that occurs when severely malnourished patients begin eating again for weight restoration. Refeeding syndrome can cause fluid and electrolyte disorders and neurological, pulmonary, cardiac, neuromuscular, and hematologic complications. It is important for health care professionals to start with a low amount of kcal/kg/day and increase slowly. Vitamin deficiency may occur, but it is not a fatal condition. MAOI toxicity and SSRI-induced suicidality are pharmacology issues that may occur during treatment of patients with eating disorders, but refeeding syndrome is the primary concern when treating the patient with anorexia nervosa who is malnourished.

Answer to Question 2

Answer: 1, 4
Explanation: Binge-eating disorder is characterized by significant distress over the amount of food consumed and the lack of control in consuming it. Patients may eat more rapidly than normal, eat until uncomfortably full, eat large amounts though not hungry, eat alone due to embarrassment over amount of food consumed, and feel disgusted, guilty, or depressed after binging. Bulimia nervosa is characterized as an inappropriate compensatory purge (such as vomiting) after ingesting large quantities of food when experiencing stress; attempting dietary restraint, or feeling negative about issues relating to body weight, shape, and food (cravings and shame); and feeling bored. Binging and purging for the patient with bulimia nervosa is a way to control internal emotions, attain perfection through repeated episodes of dieting and food restriction, and control challenges to personal control, and cravings and urges.