NURSfb1210fbCh32fbExamfb4
14.fbSchoolfbnursesfbshouldfbbefbparticularlyfbvigilantfbforfbsignsfboffbeatingfbdi
sordersfbrelatedfbtofbwhatfbtimeline?
a.fbFourth-gradersfbwhofbhavefbneverfbattendedfbanotherfbschool.
b.fbRebellious,fbaggressivefbgirlsfbatfbanyfbage.
c.fbPrefbandfbpostfbholidaysfbandfbpriorfbtofbsummerfbbreak.
d.fbAtfbtransitionsfbbetweenfbelementary,fbmiddle,fbandfbhighfbschool.fb-
fbcorrectfbanswer✔ ✔ ANS:fbD
Juniorfbhighfbandfbhighfbschoolfbstudentsfbarefbatfbparticularfbriskfbforfbeatingfbd
isorders,fbbasedfbonfbourfbculture'sfbemphasisfbonfbthinnessfbandfbthefbadolesce
nt'sfbneedfbforfbpeerfbapproval.fbStressfbmakesfbthefbadolescentfbmorefbvulnera
ble.fbTimesfboffbparticularfbstressfbarefbmovingfbfromfbonefbschoolfbtofbanother
—
thus,fbthefbneedfbforfbvigilancefbonfbthefbpartfboffbthefbschoolfbnurse.fbRiskfbisfblo
werfbinfbthefbotherfboptionsfbsincefbstressfbisfbnotfbgenerallyfbassociatedfbwithfbt
hesefbcharacteristics.
1.fbWhichfbassessmentfbfindingsfbrelatedfbtofbthefbsamefbpatientfbhelpfbconfirm
fbafbdiagnosis fboffbanorexiafbnervosa? fb(Selectfballfbthatfbapply.)
a.fbPatientfbreportsfbamenorrheafbforfb9fbmonths
b.fbPatientfbisfb5fbfeetfb4fbinchesfbtallfbandfbweighsfb85fblb
c.fbBloodfbpressurefb(BP)fb70/42fbmmfbHg
d.fbSkinfbturgorfbisfbpoor
, e.fbPulsefb68fbbeats/minfb-fbcorrectfbanswer✔ ✔ ANS:fbA,fbB,fbC,fbD
Datafbconfirmingfbamenorrhea,fblowfbweightfbrelatedfbtofbheight,fbhypotensio
nfbandfbpoorfbskinfbturgorfbarefbconsistentfbwithfbthefbmedicalfbdiagnosisfboffban
orexiafbnervosa.fbAfbpulsefbratefboffb68fbbeats/minfbisfblowfbnormal.
2.fbWhatfbpriorityfbnursingfbassessmentsfbshouldfbbefbmadefbearlyfbinfbthefbrefe
edingfbprocessfbforfbafbpatientfbwithfbanorexiafbnervosa?fb(Selectfballfbthatfbapp
ly.)
a.fbVitalfbsigns
b.fbSkinfbintegrity
c.fbPeripheralfbedema
d.fbLungfbandfbheartfbsounds
e.fbLevelfboffbconsciousnessfb-fbcorrectfbanswer✔ ✔ ANS:fbA,fbC,fbD,fbE
Iffbrefeedingfbresultsfbinfbtoofbrapidfbweightfbgain,fbthefbcardiovascularfbsyste
mfbmightfbbefbcompromised,fbgivingfbrisefbtofbsymptomsfbsuchfbasfbpulsefbirre
gularities,fbperipheralfbedema,fbabnormalfbheartfbsounds,fbandfbmoistfblungfbs
ounds.fbAlterationsfbinfboxygenationfbandfbcardiacfbperfusionfbwouldfbproduc
efbchangesfbinfbthefblevelfboffbconsciousness.fbChangesfbinfbskinfbintegrityfbwo
uldfbnotfbbefbafbpriority.
1.fbWhichfbassessmentfbfindingfbwouldfbthefbnursefbdocumentfbasfbsubjectivefb
evidencefboffbanorexiafbnervosa?
a.
Presencefboffblanugofbonfbbody
14.fbSchoolfbnursesfbshouldfbbefbparticularlyfbvigilantfbforfbsignsfboffbeatingfbdi
sordersfbrelatedfbtofbwhatfbtimeline?
a.fbFourth-gradersfbwhofbhavefbneverfbattendedfbanotherfbschool.
b.fbRebellious,fbaggressivefbgirlsfbatfbanyfbage.
c.fbPrefbandfbpostfbholidaysfbandfbpriorfbtofbsummerfbbreak.
d.fbAtfbtransitionsfbbetweenfbelementary,fbmiddle,fbandfbhighfbschool.fb-
fbcorrectfbanswer✔ ✔ ANS:fbD
Juniorfbhighfbandfbhighfbschoolfbstudentsfbarefbatfbparticularfbriskfbforfbeatingfbd
isorders,fbbasedfbonfbourfbculture'sfbemphasisfbonfbthinnessfbandfbthefbadolesce
nt'sfbneedfbforfbpeerfbapproval.fbStressfbmakesfbthefbadolescentfbmorefbvulnera
ble.fbTimesfboffbparticularfbstressfbarefbmovingfbfromfbonefbschoolfbtofbanother
—
thus,fbthefbneedfbforfbvigilancefbonfbthefbpartfboffbthefbschoolfbnurse.fbRiskfbisfblo
werfbinfbthefbotherfboptionsfbsincefbstressfbisfbnotfbgenerallyfbassociatedfbwithfbt
hesefbcharacteristics.
1.fbWhichfbassessmentfbfindingsfbrelatedfbtofbthefbsamefbpatientfbhelpfbconfirm
fbafbdiagnosis fboffbanorexiafbnervosa? fb(Selectfballfbthatfbapply.)
a.fbPatientfbreportsfbamenorrheafbforfb9fbmonths
b.fbPatientfbisfb5fbfeetfb4fbinchesfbtallfbandfbweighsfb85fblb
c.fbBloodfbpressurefb(BP)fb70/42fbmmfbHg
d.fbSkinfbturgorfbisfbpoor
, e.fbPulsefb68fbbeats/minfb-fbcorrectfbanswer✔ ✔ ANS:fbA,fbB,fbC,fbD
Datafbconfirmingfbamenorrhea,fblowfbweightfbrelatedfbtofbheight,fbhypotensio
nfbandfbpoorfbskinfbturgorfbarefbconsistentfbwithfbthefbmedicalfbdiagnosisfboffban
orexiafbnervosa.fbAfbpulsefbratefboffb68fbbeats/minfbisfblowfbnormal.
2.fbWhatfbpriorityfbnursingfbassessmentsfbshouldfbbefbmadefbearlyfbinfbthefbrefe
edingfbprocessfbforfbafbpatientfbwithfbanorexiafbnervosa?fb(Selectfballfbthatfbapp
ly.)
a.fbVitalfbsigns
b.fbSkinfbintegrity
c.fbPeripheralfbedema
d.fbLungfbandfbheartfbsounds
e.fbLevelfboffbconsciousnessfb-fbcorrectfbanswer✔ ✔ ANS:fbA,fbC,fbD,fbE
Iffbrefeedingfbresultsfbinfbtoofbrapidfbweightfbgain,fbthefbcardiovascularfbsyste
mfbmightfbbefbcompromised,fbgivingfbrisefbtofbsymptomsfbsuchfbasfbpulsefbirre
gularities,fbperipheralfbedema,fbabnormalfbheartfbsounds,fbandfbmoistfblungfbs
ounds.fbAlterationsfbinfboxygenationfbandfbcardiacfbperfusionfbwouldfbproduc
efbchangesfbinfbthefblevelfboffbconsciousness.fbChangesfbinfbskinfbintegrityfbwo
uldfbnotfbbefbafbpriority.
1.fbWhichfbassessmentfbfindingfbwouldfbthefbnursefbdocumentfbasfbsubjectivefb
evidencefboffbanorexiafbnervosa?
a.
Presencefboffblanugofbonfbbody
