Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

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Question 1 of 5

Which symptoms should the nurse expect to observe during the physical assessment of an adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa?

Correct Answer: B

Rationale: An adolescent girl with severe weight loss and disrupted metabolism associated with anorexia nervosa is likely to exhibit tachycardia (rapid heart rate) and tachypnea (rapid breathing). These symptoms are common manifestations of the body's response to malnutrition and starvation. Tachycardia occurs as a compensatory mechanism to maintain an adequate supply of oxygen to vital organs, while tachypnea helps to eliminate excess carbon dioxide due to metabolic imbalances. It is essential for the nurse to recognize these signs during the physical assessment as they indicate the severity of the condition and the need for immediate intervention to prevent further complications. Dysmenorrhea and oliguria, heat intolerance and increased blood pressure, and lowered body temperature and brittle nails are not typically associated with the physical manifestations of anorexia nervosa.

Question 2 of 5

The nurse is talking to the parents of a child with pediculosis capitis. Which should the nurse include when explaining how to manage pediculosis capitis?

Correct Answer: D

Rationale: The nurse should include in the explanation that in managing pediculosis capitis, it is necessary to remove nits with an extra-fine-tooth comb or tweezers since nits are attached to the hair shaft and can be difficult to wash out with regular shampoo. Removing the nits is crucial to prevent reinfestation, as they can hatch and start the cycle again. Cutting the hair shorter is not necessary unless the infestation is severe. It is important to distinguish viable (live) nits from nonviable (dead) ones and remove only the viable ones as the nonviable ones do not pose a threat of reinfestation.

Question 3 of 5

A school-age child has been admitted to the hospital with an exacerbation of nephrotic syndrome. Which clinical manifestations should the nurse expect to assess? (Select all that apply.)

Correct Answer: B

Rationale: Facial edema is a common clinical manifestation of nephrotic syndrome due to fluid retention and protein loss in the urine.

Question 4 of 5

The following are known to be causes of hepatitis except:

Correct Answer: C

Rationale: Hepatitis is inflammation of the liver, and it can be caused by viruses, toxins, or chemicals and drugs. Bacteria, however, do not typically cause hepatitis. Common viral causes of hepatitis include hepatitis A, B, and C. Toxins like alcohol and certain medications, as well as exposure to chemicals, can also lead to hepatitis. Therefore, bacteria are not considered one of the primary causes of hepatitis.

Question 5 of 5

The nurse is seeing an adolescent boy and his parents in the clinic for the first time. What should the nurse do first?

Correct Answer: A

Rationale: When meeting a new patient and their family for the first time, it is important for the nurse to first introduce themselves. This establishes a professional relationship and helps to build trust. By introducing themselves, the nurse demonstrates respect and initiates communication with the adolescent and their parents. It also sets a positive tone for the interaction and creates a welcoming environment for further discussion. The introduction should include the nurse's name, role, and purpose of the visit.

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