the nurse is assessing a patient with binge eating disorder. what diagnosis should the nurse consider when the patient shows feelings of inadequacy?

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Answer 1

When assessing a patient with binge eating disorder, the nurse should consider the diagnosis of depression if the patient exhibits feelings of inadequacy.

Binge eating disorder (BED) is an eating disorder characterized by frequent and persistent episodes of binge eating, accompanied by feelings of lack of control and guilt. Binge-eating episodes may be followed by strict dieting, fasting, or excessive exercise. BED affects both men and women of all ages, races, and backgrounds.

Depression is a mood disorder characterized by persistent sadness, lack of interest or pleasure in activities, irritability, decreased energy, decreased self-esteem, feelings of guilt, and hopelessness. It may also manifest as physical symptoms such as changes in appetite, sleep disturbances, and decreased concentration. Depression is a common comorbidity in patients with eating disorders and should be screened for in all patients with BED.

These episodes must also be associated with at least three of the following: eating faster than normal, eating until uncomfortably full, eating large amounts of food when not feeling physically hungry, and/or eating alone due to embarrassment about the amount of food being consumed. Additionally, the patient must experience distress related to the binge eating.

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Related Questions

The nurse is assessing a client in an acute exacerbation of asthma. The client is wheezing, tachypnea, shortness of breath, spo2 89%. What treatments does the nurse anticipate?

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Answer:

The nurse should administer an albuterol treatment via nebulizer.

Explanation:

the lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney? the lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney? the dosage interval should be shortened. the dosage or the dosage interval may need to be reduced. the dosage should be increased. the drug should not be given.

Answers

The dosing regimen of drugs that are excreted by the kidney might be affected if the lab results of a newly admitted patient indicate renal impairment. The dosage or the dosage interval may need to be reduced.

Hence, option B is correct.

The kidney is a vital organ that helps filter and eliminate waste products and medications from the body. Drugs that are excreted by the kidney, also known as renally excreted drugs, may accumulate in the body of a patient with renal impairment because the kidney's ability to eliminate them is impaired.

A change in the dosing regimen of renally excreted drugs may be necessary in such cases. Dosing adjustments may include a reduction in the dosage or the dosage interval, depending on the severity of renal impairment. Dosage increases may be required in some situations to achieve a therapeutic effect, but this should only be done after careful consideration of the patient's renal function.

Renal impairment affects the clearance of drugs that are excreted by the kidney. As a result, the concentration of these drugs in the patient's body may rise to toxic levels, necessitating dosage adjustments to avoid adverse effects.

Correct writing of questions:

The lab results of a newly admitted patient indicate renal impairment. how might this affect the dosing regimen of drugs that are excreted by the kidney?

the dosage interval should be shortened.the dosage or the dosage interval may need to be reduced.the dosage should be increased.the drug should not be given.

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a client is receiving a parenteral nutrition admixture that contains carbohydrates, electrolytes, vitamins, trace minerals, and sterile water and is now scheduled to receive an intravenous fat emulsion (intralipid). what is the best action by the nurse?

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The best action by the nurse would be to hang the intralipid separately or after stopping the other solution.

Intravenous fat emulsion is used to supplement nutrition and provides the body with calories and fatty acids. Lipids or fats are the primary nutrient in intravenous fat emulsions. It is used as an adjunct therapy to parenteral nutrition or as a source of calories for hospitalized patients who are unable to eat food. Intralipid is a brand name of intravenous fat emulsion.

Therefore, the best action by the nurse for the patient who is now scheduled to receive an intravenous fat emulsion (intralipid) would be to hang the intralipid separately or after stopping the other solution.

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the nurse is caring for a client with a nasogastric (ng) tube after an episode of gi bleeding. which interventions are included in the nursing care plan? a. monitor and record intake and output every 8 hours. b. monitor hemoglobin and hematocrit laboratory values. c. ensure that suction is set on high continuous for levin tubes. d. measure the client's girth and/or assess for distention. e. check vital signs and orthostatic blood pressure every 4 hours and prn.

Answers

The nursing care plan in client with nasogastric tube after episode of GI bleeding includes monitoring hemoglobin and hematocrit laboratory values, measuring the client's girth and/or assessing for distention, and checking vital signs and orthostatic blood pressure every 4 hours and PRN, the correct options are (b), (d) and (e).

Monitoring hemoglobin and hematocrit laboratory values is an important nursing intervention for a client with GI bleeding as it helps assess for ongoing blood loss and anemia. A decrease in these values may indicate continued bleeding, and prompt intervention can be initiated in a nasogastric tube. Measuring the client's girth and/or assessing for distention, is important in evaluating the effectiveness of the NG tube in removing gastric contents and assessing for complications such as bowel obstruction or ileus. Checking vital signs and orthostatic blood pressure every 4 hours and PRN is necessary to monitor for any changes in the client's condition and evaluate the effectiveness of interventions such as fluid resuscitation. It also helps identify potential complications such as hypotension or orthostatic hypotension.

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The complete question is:

The nurse is caring for a client with a nasogastric (ng) tube after an episode of gi bleeding. which interventions are included in the nursing care plan?

a. monitor and record intake and output every 8 hours.

b. monitor hemoglobin and hematocrit laboratory values.

c. ensure that suction is set on high continuous for Levin tubes.

d. measure the client's girth and/or assess for distention.

e. check vital signs and orthostatic blood pressure every 4 hours and PRN.

The countercurrent mechanism functions primarily in the
A. canal corpuscle.
B. proximal convoluted tubule.
C. distal convoluted tubule.
D. nephron loop of Henle.

Answers

The countercurrent mechanism functions primarily in the nephron loop of Henle. The loop of Henle is a section of the nephron in the kidney that is responsible for water reabsorption and the concentration of urine.

So, the correct answer is D.

The countercurrent mechanism is the exchange of substances in opposite directions across a barrier such as a membrane or a capillary network by two fluids flowing parallel to each other. In other words, this mechanism requires two fluids to move in opposite directions, with a membrane that allows the flow of specific materials between them.

Countercurrent multiplication is a physiological mechanism in which fluid flows in opposite directions through adjacent segments of the nephron loop, resulting in the concentration of salts in the interstitial fluid of the renal medulla. This mechanism helps to generate and maintain the gradient of salt concentration in the medulla, which is essential for urine concentration. So, the countercurrent mechanism functions primarily in the nephron loop of Henle.

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the home health nurse is planning an educational session with a newly diagnosed client who has diabetes mellitus. what is the first action the nurse needs to take to develop a comprehensive education plan for the client?

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The first action that the home health nurse needs to take to develop a comprehensive education plan for the client with diabetes mellitus is to assess the client's current knowledge about diabetes and the treatments available.

A comprehensive education plan should be developed for clients who have been newly diagnosed with diabetes mellitus. The plan should include details about the disease, symptoms, diagnostic tests, complications, treatments, diet, physical activity, and self-care. Patients with diabetes need to learn how to check their blood sugar levels, how to administer insulin or other medications, and how to maintain a healthy lifestyle. The nurse should assess the patient's current knowledge of the disease and its treatments, including the client's understanding of the disease, its management, and its potential complications.

Based on the client's needs and abilities, the nurse can develop an education plan that includes the following elements:

Risk factors and symptoms of diabetes mellitus ,Self-care activities and disease management techniques

Medication management

Dietary restrictions

Physical activity and exercise , Stress management and relaxation techniques

Support resources and organizations that can provide additional assistance .

Hence, To develop a comprehensive education plan for the client with diabetes mellitus, the nurse should assess the patient's current knowledge about the disease and its treatments. The nurse can then develop an education plan that includes various elements to meet the client's needs and abilities.

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which of the following is not a weight loss approved drug by the fda? a. belviq b. ephedrine c. contrave d. saxendra e. orlistat

Answers

The FDA has approved most weight loss drugs that can be used to treat obesity. The correct option is b. ephedrine.

FDA stands for Food and Drug Administration. The FDA is a federal agency of the United States Department of Health and Human Services. It is responsible for ensuring that drugs, medical devices, and other products are safe and effective. The FDA is also responsible for making sure that food and cosmetics are safe to consume.

A weight-loss medication, also known as an anti-obesity drug or diet pill, is a medication that is used to treat obesity. This is an important drug that helps to reduce weight, thereby reducing obesity-related illnesses such as diabetes, high blood pressure, and high cholesterol. In general, weight loss drugs work in the following ways:

Reduce appetiteDecrease absorptionIncrease metabolism

Therefore, b. ephedrine is the FDA approved drug for weight loss.

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List three reasons a TST would be contraindicated in a patient.

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A TST (Tuberculin Skin Test) is a diagnostic test used to detect the presence of tuberculosis (TB) infection. However, there are some situations where a TST would be contraindicated or not recommended. Here are three reasons why a TST may not be appropriate for a patient:

1. Prior positive TST: If a patient has already had a positive TST result in the past, then they are considered to have a latent TB infection and do not need another TST. Instead, a different test such as interferon-gamma release assay (IGRA) may be used to monitor the patient's TB infection status.

2. Recent vaccination: If a patient has received a bacille Calmette-Guérin (BCG) vaccine within the past 4-6 weeks, then the vaccine may cause a false-positive TST result. Therefore, it is recommended to wait at least 4-6 weeks after BCG vaccination before administering a TST.

3. Immunosuppression: If a patient is immunocompromised due to a medical condition or medication use, then the TST may not be reliable in detecting TB infection. In such cases, an IGRA test may be more appropriate, or other diagnostic tests may be necessary to evaluate the patient's TB infection status.

It is important to note that the decision to perform a TST or any diagnostic test is based on the patient's individual medical history and risk factors. Before administering any diagnostic test, healthcare providers should review the patient's medical history and assess any contraindications or potential risks associated with the test.
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