What is the priority nursing goal for an adolescent with anorexia nervosa?- Nurselytic

Question 1 of 5

What is the priority nursing goal for an adolescent with anorexia nervosa?

A. Encourage effective coping skills B. Restore normal eating habits C. Stop weight loss or restore weight D. Promote realistic self-image

Correct Answer: C

Rationale: The priority nursing goal for an adolescent with anorexia nervosa is to stop weight loss or restore weight. This is crucial in addressing the immediate health risks associated with anorexia nervosa, such as malnutrition, organ damage, and potential life-threatening complications. While encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are important aspects of treatment, stopping weight loss or restoring weight takes precedence due to the severe physical consequences of anorexia nervosa.

Question 2 of 5

Diet therapy for Rudy, who has acute renal failure is low-protein, low potassium and low sodium. The nutrition instructions should include:

A. Recommend protein of high biologic value like eggs, poultry and lean meats B. Encourage client to include raw cucumbers, carrot, cabbage, and tomatoes C. Allowing the client cheese, canned foods and other processed food D. Bananas, cantaloupe, orange and other fresh fruits can be included in the diet

Correct Answer: B

Rationale: Nursing interventions should be grounded in a deep understanding of the physiological processes involved, ensuring that care provided is both effective and efficient.

Question 3 of 5

Which of the following terms describes the amount of blood ejected per heartbeat?

A. Stroke volume B. Cardiac output C. Ejection fraction D. Afterload

Correct Answer: A

Rationale: The correct answer is A: Stroke volume. Stroke volume refers to the amount of blood ejected by the left ventricle in one contraction. Choice B, Cardiac output, is the total volume of blood pumped by the heart per minute and is calculated by multiplying stroke volume by heart rate. Choice C, Ejection fraction, is the percentage of blood pumped out of the left ventricle with each heartbeat. Choice D, Afterload, refers to the pressure or resistance that the ventricles must overcome to eject blood during systole. Therefore, in the context of the question, the term that specifically describes the amount of blood ejected per heartbeat is stroke volume.

Question 4 of 5

For an incontinent elderly client who frequently wets his bed and develops redness and skin excoriation at the perianal area, what is the best nursing goal?

A. Ensure that the bed linen is always dry B. Frequently check the bed for wetness and keep it dry C. Place a rubber sheet under the client's buttocks D. Keep the patient clean and dry

Correct Answer: A

Rationale: The best nursing goal for an incontinent elderly client with skin excoriation is to ensure that the bed linen is always dry. This helps in preventing further skin breakdown and promoting skin integrity. Choice B, to frequently check the bed for wetness and keep it dry, may not address the issue of prevention if the linen is not consistently dry. Choice C, placing a rubber sheet under the client's buttocks, focuses more on protecting the mattress rather than addressing the client's skin condition directly. Choice D, keeping the patient clean and dry, is important but does not specifically address the preventive aspect of maintaining dry bed linen.

Question 5 of 5

To ensure client safety before starting blood transfusions, the following are needed before the procedure can be done EXCEPT:

A. take baseline vital signs B. warm the blood to room temperature for 30 minutes before administering the transfusion C. have two nurses verify client identification, blood type, unit number, and expiration date of blood D. get consent signed for blood transfusion

Correct Answer: D

Rationale: To ensure client safety before starting blood transfusions, taking baseline vital signs, warming the blood to room temperature, and having two nurses verify client identification, blood type, unit number, and expiration date of blood are crucial steps. Consent for blood transfusion is required but is typically obtained before the procedure. The focus before the procedure should be on confirming the right client, blood product, and ensuring the blood is prepared correctly to minimize risks of transfusion reactions.

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Nurselytic

ATI RN