NCLEX-RN

Category - Basic Care

Meg Tager, a 19-year-old college student, is suffering from anorexia nervosa. Upon admission she weighs 87 lbs with a height of 5’8”. The client takes a break from school and enrolls in a rehabilitation program in an inpatient unit. The nurse caring for the client anticipates the rate of weight gain to be:
  1. 1-2 lbs/week
  2. 3-5 lbs/week
  3. 2-3 lbs/week
  4. one lb/day
Explanation
Answer: C - Inpatient programs require clients to gain 2-3 lbs/week during the initial phase of treatment. As an outpatient, the client is expected to gain at least one lb/week. Enteral treatment may be prescribed at first but this management is decreasing in popularity because it does not foster normal food intake. The client is started with 1,000-1,600 calories a day, which is gradually increased. The nurse should provide support for this client especially during early hospitalization.
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