Term
Describe the clinical symptoms of anorexia nervosa |
|
Definition
Wt loss at least 15% of ideal or original body wt; hair loss, dry skin irregular heart rate decreased pulse, decreased BP, amenorrhea, dehydration, electrolyte imbalance |
|
|
Term
State two psychodynamic differences btwn anorexia and bulimia |
|
Definition
Anorexia: Deals with issues of control and a struggle btwn dependence and independence. Bulimia: Deals with loss of control (binge eating) and guilt (purging) |
|
|
Term
A client with anorexia has her friend bring her several cookbooks so she can plan a party when she is discharged. What nursing intervention is appropriate in addressing this behavior? |
|
Definition
Discuss activites that dont involve food and that can take place after discharge. Discuss the cookbooks with the treatment team and if the treatment plan so indicates take the book from the client |
|
|
Term
Anorexia nervosa may be precipitated by what facotrs |
|
Definition
Mother-daughter conflicts usually focusing on independence/dependence issues; discomfort with maturation; need for control; desire for perfection |
|
|
Term
What might the initial tx include for a client admitted to the hospital with a diagnosis of bulimia nervosa? |
|
Definition
Blood work to evaluate electrolyte status; replenisment of electrolytes and fluids as indicated; careful monitoring for evidence of vomiting |
|
|