Difficulty: Medium
Average Score: 79%
Simulated
Complete the diagram by dragging from the choices area to specify which condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct answer
A: Anorexia nervosa, B: Screen the client for suicidal ideation,Attach the client to a cardiorespiratory monitor, C: Weight, Electrolytes
Rationale
The client's condition is most consistent with Anorexia Nervosa, a eating disorder characterized by severely low weight and a preoccupation with body image, which carries a high risk for medical instability and comorbid depression with suicidal ideation. The primary actions are screening for suicidal ideation due to the high correlation with major depressive disorder and attaching to a cardiorespiratory monitor to detect life-threatening complications like bradycardia or arrhythmias from malnutrition. The key parameters to monitor are weight to track nutritional status and electrolytes to identify imbalances such as hypokalemia, which can cause cardiac arrhythmias. Reorienting the client and monitoring orientation/eye movements are not primary interventions for the core pathophysiology of anorexia nervosa.