Question

A nurse is admitting a client who has anorexia nervosa and is at 60% of ideal body weight. Which of the following interventions should the nurse include in the plan of care? a. Encourage the client to drink 125 mL of fluid each hour while awake. b. Allow the client to eat independently in their room. c. Weigh the client twice weekly. d. Measure the client's vital signs once each day.

Answer 1

The appropriate nursing intervention for a client with anorexia nervosa at 60% of ideal body weight is to weigh the client twice weekly, as it is critical for tracking treatment progress. Other interventions such as fluid intake and meal supervision should be personalized to the client's needs, and vital sign monitoring may be required more frequently than once daily based on their health status.

Step-by-step explanation:

Nursing Care for a Client with Anorexia Nervosa

When caring for a client who has anorexia nervosa and is at 60% of ideal body weight, the primary intervention should be c. Weigh the client twice weekly. Regular monitoring of weight is crucial for assessing the client's progress and response to treatment. Interventions such as encouraging the client to drink fluids and monitoring vital signs are important; however, the frequency and method must be tailored to meet the needs of the individual. Specifically:

• a. Encourage the client to drink 125 mL of fluid each hour while awake can help to prevent dehydration, but the fluid intake should be balanced to avoid potential complications like water intoxication, especially if the client has a history of fluid or electrolyte imbalances.
• b. Allow the client to eat independently in their room may not be the best intervention initially as it could lead to the continuation of restrictive eating behaviors without supervision. Meal supervision or support during meals may be more beneficial during the early stages of treatment.
• d. Measure the client's vital signs once each day is also important, but depending on the severity of their condition, more frequent monitoring may be required to ensure their physiological stability.

While there is no one-size-fits-all approach to the treatment of anorexia nervosa, a structured and evidence-based plan of care is essentially needed to promote recovery.

Answer 2

The key intervention for an anorexia nervosa patient at 60% of ideal body weight could include weighing them twice weekly, though a comprehensive care plan would involve multiple elements tailored to the individual's needs. For assessing BMI, categorizations can range from underweight to obese, which can indicate various health and nutritional concerns.

Step-by-step explanation:

The appropriate intervention for a nurse to include in the plan of care for a client with anorexia nervosa who is at 60% of ideal body weight involves multiple aspects. One of the interventions might be 'c. Weigh the client twice weekly.' Regularly monitoring the client's weight is essential to gauge recovery progress and ensure that the treatment plan is effective. However, it is also vital that this is done in a controlled and supportive environment to avoid any unnecessary stress for the client. Other interventions, such as those focused on nutrition, hydration, and vital signs monitoring, may also be needed, but the specifics of these would be tailored to the individual's needs. It is worth noting that recovery from eating disorders like anorexia nervosa generally involves a combination of medical, nutritional, and psychological interventions. Concerning the BMI assessment and associated health concerns: An adult with a BMI of 41 kg/m^2 would be classified as having morbid obesity. An adult with a BMI of 24 kg/m^2 falls within the normal weight range. An adult with a BMI of 17 kg/m^2 is considered underweight. A child with a BMI of 27 kg/m^2 could be overweight or obese, depending on age and growth percentiles. The nutrients that provide energy for the body are carbohydrates, fats, and proteins.