Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A 15-year-old female client with a BMI of 15 is admitted to the unit. The nurse assigned to care for the client is making a care plan. Which of the following interventions is the most appropriate?
  1. Allow the client to choose her favorite meals
  2. Decrease the client’s caloric intake per day by 250 kcal
  3. Observe the client during meals and for an hour afterward
  4. Insist to the client that she should adhere to the recommended daily caloric intake by eating nutritious foods
Explanation
Answer: C - The best action of the nurse is to supervise and observe the client during meals and for an hour afterward. A client with a BMI of 15 is severely underweight, which is a sign of anorexia, and has a tendency to vomit all the food taken in the bathroom after meals or refuse meals that are being offered.
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