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The following scenario applies to the next 1 items
The nurse in the psychiatric unit is preparing to admit a client.
Item 1 of 1
Psychiatry Consultation
1349: 19-year-old female admitted inpatient following being rushed to the emergency department via EMS. For the past two months, she has intensified her training and trains for several hours during the day after what she perceives to be being overweight. She started to diet and lost 9 lbs (4.1 kg) over the past two weeks. This 9 lb (4.1 kg) weight loss is combined with the 11 lbs (5 kg) she lost the month prior.

The weight loss has stemmed from her joining her college's track team. She was criticized for her appearance of being 'fat.' During the past two weeks, her performance has considerably declined, and she pushed herself even harder in her training regimen. Her food intake became restricted, and she stopped eating anything containing fat. Her father was interviewed for collateral information as he became suspicious that she was using over-the-counter laxatives and was making herself vomit. However, he isn't sure that this is occurring. The client reports that her menstrual periods became irregular but did not cease. Her current body mass index is 17.

She has a medical history of asthma and acne vulgaris.

Nurses' Notes
1359: Client admitted and oriented to the room. She is drowsy but aroused to verbal stimuli. On assessment, the client's breathing is unlabored, and clear lung sounds are noted in the bilateral lung fields. Skin dry and flaky pale in tone; pulses 2+ and regular. Capillary refill is 3 seconds. Hypoactive bowel sounds in all quadrants. No abdominal tenderness. She reports nausea. Full range of motion in all extremities. Reports lower extremity muscle cramps. Denies any pain. Awaiting orders from the physician.

Vital Signs
1359: T 97.8° F (36.6° C) P 91 RR 18 BP 113/67 Pulse oximetry reading 98% on room air

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