NSG 322 TOPIC 12 FEEDING EATING DISORDERS
1. What are common S/S associated with binge/purge AN?
Answer:
- Enlarged parotidglands
- Hypokalemic alkalosis
2. What disorder has the following S/S?
- Lanugo
- Carotenemia
- Acrocyanosis
- Cachexia
- Osteoporosis
- Fatty liver
- Amenorrhea
- Constipation
- Hematuria
- Proteinuria
- Hypotension
- Bradycardia
- Sudden cardiac arrest
- Electrolyte changes
- Low T3/T4
- Leukopenia
- Anemia
Answer: Anorexia nervosa
3. What are nursing interventions associated with anorexia nervosa?
Answer:
- Weighclient consistently
- Don't share weight with client
- Monitor client during and after meals
- Ensure clients go to group therapy RIGHT AFTER eating
- Monitor clients I/Os
- Avoid parental or authoritative role
4. What is a life-threatening complication of anorexia treatment?
Answer: Refeedingsyndrome
, 5. Refeeding syndrome causes risk for what?
Answer: Cardiovascular collapse (CHF)
6. What are nursing interventions for referring syndrome?
Answer:
- Enteral tube
- Go slow
- Ask HCP or nutrition for help
- Max weight gain of 2-3lbs/week
7. What is drug therapy for anorexia nervosa?
Answer:
- Olanzapine (MAIN CHOICE -helps with weight gain)
- TCAs
- SSRIs
8. What is the priority assessment for a client with bulimia nervosa?
Answer: Need formedical stabilization
9. How is severity of bulimia nervosa determined?
Answer: Frequency of purge behavior
10. What is the purge frequency severity scale?
Answer:
- Moderate = 4-7x a day
- Severe = 8-13
- Extreme = 14+
11. What disorder has the following S/S?
- Depression
- Impulsive behaviors
- Binge eating
1. What are common S/S associated with binge/purge AN?
Answer:
- Enlarged parotidglands
- Hypokalemic alkalosis
2. What disorder has the following S/S?
- Lanugo
- Carotenemia
- Acrocyanosis
- Cachexia
- Osteoporosis
- Fatty liver
- Amenorrhea
- Constipation
- Hematuria
- Proteinuria
- Hypotension
- Bradycardia
- Sudden cardiac arrest
- Electrolyte changes
- Low T3/T4
- Leukopenia
- Anemia
Answer: Anorexia nervosa
3. What are nursing interventions associated with anorexia nervosa?
Answer:
- Weighclient consistently
- Don't share weight with client
- Monitor client during and after meals
- Ensure clients go to group therapy RIGHT AFTER eating
- Monitor clients I/Os
- Avoid parental or authoritative role
4. What is a life-threatening complication of anorexia treatment?
Answer: Refeedingsyndrome
, 5. Refeeding syndrome causes risk for what?
Answer: Cardiovascular collapse (CHF)
6. What are nursing interventions for referring syndrome?
Answer:
- Enteral tube
- Go slow
- Ask HCP or nutrition for help
- Max weight gain of 2-3lbs/week
7. What is drug therapy for anorexia nervosa?
Answer:
- Olanzapine (MAIN CHOICE -helps with weight gain)
- TCAs
- SSRIs
8. What is the priority assessment for a client with bulimia nervosa?
Answer: Need formedical stabilization
9. How is severity of bulimia nervosa determined?
Answer: Frequency of purge behavior
10. What is the purge frequency severity scale?
Answer:
- Moderate = 4-7x a day
- Severe = 8-13
- Extreme = 14+
11. What disorder has the following S/S?
- Depression
- Impulsive behaviors
- Binge eating