Nutritional Disorders

client is being seen in the health clinic. During the nursing assessment, the client states that she has had amenorrhea for the last 6 months. The client weighs 80 pounds and is 5 feet 2 inches tall. The client states that she usually eats salads to not gain weight. Which diagnosis supports these patient findings? Anorexia nervosa Bulimia nervosa Depression Anxiety disorder

Anorexia nervosa

A client with obesity is suspected of having nonalcoholic fatty liver disease. Which diagnostic labs does the nurse anticipate the client needing? Select all that apply. You Answered Glycosylated hemoglobin Fasting glucose Aspartate aminotransferase (AST) Alanine aminotransferase( ALT) You Answered Triglycerides

Aspartate aminotransferase (AST) Alanine aminotransferase( ALT)

The nurse is teaching a group of clients with obesity about the risks of disease associated with obesity. Which respiratory conditions or diseases will the nurse include in the teaching, which are associated with obesity? Select all that apply. Asthma Central sleep apnea Infection Emphysema Obstructive sleep apnea

Asthma Infection Obstructive sleep apnea

A nurse is performing an admission assessment for an adolescent client with an eating disorder who is being admitted to the psychiatric unit. Which statement would the nurse interpret as most likely supporting the client's diagnosis? My father was always very thin. I've never really liked myself. I have a lot of confidence in myself. I feel really close to my parents and my brother.

I've never really liked myself.

A nurse cares for clients with obesity who undergo bariatric surgery. Which clients will the nurse identify as having increased risk of infection after surgery? Select all that apply. Older adults Adolescents Adults with greater body mass Males Females

Older adults Adults with greater body mass

A 21-year-old client admits to recently using diuretics and laxatives to lose weight quickly. The client doesn't want to feel fat in a bathing suit on vacation. The client's sodium level is 150 mEq/L; potassium level is 3.2 mEq/L. The client is 5 feet tall, weighs 100 pounds, and has lost 15 pounds in 3 weeks. Which goal is a priority at this time? Stabilize electrolyte levels. Assist client to begin gaining weight at the rate of 2 to 3 pounds per week until reaching 112 pounds. Help build self-esteem. Develop a contract with the client to stop using laxatives and diuretics.

Stabilize electrolyte levels.

An obese client is admitted to the facility for abusing amphetamines in an attempt to lose weight. Which nursing intervention is appropriate for this client? Encouraging the client to suppress feelings regarding obesity Reinforcing the client's concerns over physical appearance Using an abrupt, forceful manner to communicate with the client Teaching the client alternative ways to lose weight

Teaching the client alternative ways to lose weight

A nurse is initiating a group for adolescent girls diagnosed with anorexia nervosa. Many of the clients in the group are irritable and resent having to attend. One of them comments, "This is a stupid waste of time!" Which response by the nurse would be most appropriate? If you feel that way, then you can just leave. You sound irritated; tell me about what is bothering you. You were assigned to this group by your therapist, so you must participate. Sit down and be quiet; your peers would appreciate some peace and quiet.

You sound irritated; tell me about what is bothering you.

Understanding the definition of eating disorders is important in communicating facts while managing these conditions. Which is not an eating disorder? anorexia nervosa binge eating obesity bulimia nervosa

obesity

A nurse working in a bariatric clinic assesses various clients with obesity. Which clients will the nurse recognize as meeting the selection criteria for bariatric surgery? Select all that apply. 45-year-old female with BMI of 41 kg/m2 and Cushing's disease due to a pituitary tumor. 52-year-old male with BMI of 40 kg/m2 and unmedicated schizophrenia 48-year-old female with BMI 36 k/m2 and uncontrolled type 2 diabetes. 34-year-old male with BMI 30 k/m2 and metabolic syndrome with hypertension. 55-year-old female with BMI 29 k/m2 and medicated type 2 diabetes.

48-year-old female with BMI 36 k/m2 and uncontrolled type 2 diabetes. 34-year-old male with BMI 30 k/m2 and metabolic syndrome with hypertension.

What criteria describes a client with severe or extreme obesity? A BMI >35 kg/m2 Waist-to-hip ratio <30 inches in females A BMI >40 kg/m2 Waist-to-hip ratio <33 inches in males

A BMI >40 kg/m2

The nurse has been teaching a client about bulimia. Which statement by the client indicates that the education has been effective? I know if I eat pasta, I'll binge. I'll take my medication when I feel the urge to binge. I'll eat small meals and snacks regularly. How I feel about my body has little to do with my binging.

I'll eat small meals and snacks regularly.