Author Question: The nurse is caring for a teen who is hospitalized with a diagnosis of anorexia nervosa. When ... (Read 137 times)

bio_gurl · **on:** Jul 22, 2018

The nurse is caring for a teen who is hospitalized with a diagnosis of anorexia nervosa. When developing the plan of care for the client and family, the nurse includes:

1. Serve the client three balanced meals per day.
2. Observe the client's activities for 15 minutes after eating.
3. Discuss weight-gain needs with the client.
4. Provide a variety of cold or room-temperature foods.

Question 2

The nurse assessing a client determines that which of the following findings would predispose the client to cataract formation?

1. Age 75 years
2. Nonsmoker
3. Minimal direct sun exposure
4. Hypertension

jaykayy05 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Provide a variety of cold or room-temperature foods.

Rationale:
Cold or room-temperature foods are often more appealing to clients with anorexia nervosa. Three meals daily could be overwhelming in size to the client. Smaller, more frequent offerings will be better received by the client. The client with bulimia is the client who needs to be observed for vomiting after meals. A focus on gaining weight will promote fixation on pounds instead of health with this population.

Answer to Question 2

1. Age 75

Rationale:
Age is the greatest single risk factor for cataracts. Environmental and lifestyle factors, such as long-term exposure to sunlight, increase the risk for cataracts; cigarette smoking and heavy alcohol consumption are associated with earlier cataract development. Eye trauma, including injury to the lens capsule by a foreign body, blunt trauma, or exposure to heat or radiation, can precipitate cataract formation. Diabetes mellitus is associated with earlier development of cataracts, especially when the blood glucose level is not carefully controlled at or near normal levels. Certain drugs, such as systemic or inhaled corticosteroids, chlorpromazine (Thorazine), and busulfan (Myleran), also prompt the formation of cataracts. The one assessment finding that would predispose the client to cataract formation is the client's age. The other findings would not.