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A nurse is continuing to care for the client on day 7. Nurses’ Notes Diagnostic Results Vital Signs  History and Physical Day 1, 1000: Client is an 18-year-old female, brought in by parent who reports client has not been eating well for several months and has lost 9 kg (20 lb). Client states, “I don’t want to eat because I will gain weight. I feel so fat.”  Client reports loss of appetite and admits to inducing vomiting after meals. Client is emaciated in appearance and has edema of the lower extremities and lanugo. Reports last menstrual period was 6 months ago.  Client is 160 cm (63 in) tall, and today’s weight is 40 kg (88 lb). BMI 15.6 Client is a senior in high school and is on the track team. Requests friends be allowed to come visit. Day 2, 0700: Client refuses to eat breakfast. Client has flat affect, wants to stay in bed and refuses to get dressed. Client states, “Everything is hopeless, I want it all to end.” 12 hour intake was 230 mL, output was 260 mL. Today’s weight is 39.5 kg (87 lb). Day 3, 0630: Today’s weight is 39.5 kg (87 lb).0830: Client consumed 20% of breakfast. Client has poor skin turgor and flat affect.Day 7, 0630: Weight 40.1 kg (88.5 lb)0830: Client consumed 50% of breakfast and 120 mL (4 oz) of liquid supplement.  Reports difficulty sleeping and frequent waking during the night. Requesting to go back to bed and sleep, flat affect noted with slow, quiet speech. Client refused to attend group and individual therapy sessions yesterday, spent most of the day in bed. Has not showered or changed clothes in two days. Day 1, 1030: Basic metabolic profile (BMP):Sodium 152 mEq/L (136 to 145 mEq/L)Potassium 3.1 mEq/L (3.5 to 5 mEq/L)Calcium 9.5 mg/dL (7.6 to 10.4 mg/dL)Phosphate 2.8 mg/dL (3 to 4.5 mg/dL)Magnesium 1.1 mEq/L (1.3 to 2.1 mEq/L)Hgb 16 g/dL (12 to 16 g/dL)Hct 46% (37% to 47%)Day 1, 1030: ECG:  Brady dysrhythmia Day 2, 0630: BMP: Sodium 146 mEq/L (136 to 145 mEq/L)  Potassium 3.5 mEq/L (3.5 to 5 mEq/L)   Calcium 9.5 mg/dL (7.6 to 10.4 mg/dL) Phosphate 2.9 mg/dL (3 to 4.5 mg/dL) Magnesium 1.3 mEq/L (1.3 to 2.1 mEq/L)   Day 3, 0830: BMP: Sodium 150 mEq/L (136 to 145 mEq/L)  Potassium 3.3 mEq/L (3.5 to 5 mEq/L)   Calcium 9.5 mg/dL (7.6 to 10.4 mg/dL) Phosphate 2.8 mg/dL (3 to 4.5 mg/dL) Magnesium 1.1 mEq/L (1.3 to 2.1 mEq/L)Day 7, 0630: BMP: Sodium 145 mEq/L (136 to 145 mEq/L)  Potassium 3.5 mEq/L (3.5 to 5 mEq/L)   Calcium 9.5 mg/dL (7.6 to 10.4 mg/dL) Phosphate 3.1 mg/dL (3 to 4.5 mg/dL) Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L) Vital Signs Day 1, 1000:Temperature 35.5° C (95.9° F)Heart rate 50/minRespiratory rate 18/minBlood pressure 88/60 mm HgSaO2 94% on room air Day 2, 0700: Temperature 35.8° C (96.4° F) Heart rate 54/min Respiratory rate 16/min Blood pressure 84/52 mm Hg SaO2 96% on room air Day 3, 0830: Temperature 35.5° C (95.9° F) Heart rate 50/min Respiratory rate 16/min Blood pressure 90/64 mm Hg SaO2 95% on room airDay 7, 0830: Temperature 36.1° C (97° F) Heart rate 62/min Respiratory rate 18/min Blood pressure 92/60 mm Hg SaO2 96% on room air    History & Physical Day 1,1000: Tonsillectomy 13 years agoDenies use of alcohol and drugsNonsmoker The nurse is evaluating the client’s progress toward meeting treatment goals after one week of treatment. Which of the following findings indicates the client’s condition is improving? 

A psychiatric nurse working as a case manager in a community mental health center receives a call from the front desk that a visitor is asking for information about a client at the center.  Under what circumstances can the nurse release information to the visitor about the client?

The nurse is caring for a client recently admitted to the inpatient unit with a diagnosis of anorexia nervosa. The client has a known history of excessively exercising to avoid gaining weight. Which nursing action is most appropriate to address this behavior?  

A client with a diagnosis of Generalized Anxiety Disorder has been prescribed buspirone 15 mg daily by their healthcare provider. The client asks the nurse, “Why do I have to take this every day? My friend told me they take alprazolam and only have to take it when they feel anxious.” Which of the following responses by the nurse would be most appropriate to answer the client’s question? 

I understand that I must follow the following instructions: (1) You may not use any electronic device besides your computer to take the quiz. Attempting to use other devices during the quiz will result in an Honor Code violation.(2) Any attempt to access other webpages, communication tools, resources, or software other than Codio or Canvas will result in an Honor Code violation.(3) For all questions, you are responsible for making sure your code passes the test cases. Your overall score for the quiz is the score that is achieved by the autograder. (4) You must click “Check It!” at least once for each question, in order to attempt to receive credit for a particular question. (5) If your HonorLock is not active during any portion of your quiz, your quiz will be invalid. This means that your grade will be 0. (6) You must submit your Canvas quiz after, and only after, you have finished the Codio quiz and marked it as complete. You can access the quiz through the link HERE above; which will direct you to the Quiz. If it does not, click on the CANVAS link above, and from there go to Modules > Week 2: Data Types and Program Control I > Quiz 2 (Do Not Access Without HonorLock) (7) Please click “I accept these terms” to indicate that you have acccepted and will adhere to the terms. This constitutes your signature. WARNING: YOU MUST CLICK ON THE LINK “HERE” BELOW TO ACCESS AND COMPLETE THE CODIO QUIZ BEFORE SUBMITTING THIS QUIZ

Assignments are due on _________________________ of each week.

In a research study examining the effects of a drug to treat the effects of influenza, those who receive the new drug are in the _____, and those who receive a placebo are in the_____:

Module 5: Middle Childhood

Sam is secretly a homosexual and dates a person of the opposite sex named Cassandra to hide Sam’s sexual orientation. This puts Sam at an increased risk for all of these EXCEPT:

Martim is a four-month-old infant whose parent uses a high-pitched voice, simple words or phrases, and lots of repetition when they talk to Martim. Martim delights in their parent’s use of: