ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 70 : Caring for Clients With Eating Disorders Questions
Question 1 of 5
A client is being evaluated for an eating disorder. Which nursing assessment finding(s) is most indicative of a client with bulimia nervosa? Select all that apply.
Correct Answer: C,D,E
Rationale: In contrast to clients with anorexia nervosa, clients with bulimia nervosa are generally overweight or of normal weight, admit to their eating behavior of binging and purging, and often have erosion of teeth enamel from gastric acid contact. Bulimics are generally older at the onset of the disorder than anorexics. Anorexics are obsessed with thinness and view themselves as fat even when emaciated.
Question 2 of 5
The nurse is preparing to administer orlistat to a client with obesity. Which safety warning(s) should the nurse consider when administering this medication to the client? Select all that apply.
Correct Answer: A,B,C
Rationale: The safety warnings that the nurse should consider include administering orlistat with meals and staggering administration with other drugs, the requirement of vitamin supplementation due to nonabsorption of nutrients, and monitoring liver function. Avoiding caffeine and avoiding the use of the medication among clients with heart disease, hypertension, and hyperthyroidism are applicable to appetite suppressants such as benzphetamine, diethylpropion, phendimetrazine, and phentermine, not orlistat.
Question 3 of 5
A nurse explains to the client that which of the following is a healthy BMI range?
Correct Answer: C
Rationale: A healthy BMI is 18.5 to 24.9. A BMI of 7 to 16 is categorized as anorectic. A BMI of 16 to 18 is considered underweight. A BMI of 25 to 32 is classified as overweight to obese.
Question 4 of 5
Clients with anorexia nervosa frequently use methods to avoid eating or to prevent weight gain. Which documentation most accurately describes the behavior of a client with anorexia?
Correct Answer: A
Rationale: Clients with anorexia practice various rituals such as cutting food into small pieces and rearranging food on the plate without actually eating.
Question 5 of 5
What is a true statement regarding anorexia nervosa?
Correct Answer: C
Rationale: Not uncommonly, people with anorexia nervosa consume an average of 600 to 900 calories/day, often less. More women are affected than men. Increased serotonin levels contribute to restricted eating. They get hungry but control the urge to eat because of a morbid fear of becoming fat.