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School

Yuba College *

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Course

1211

Subject

Nursing

Date

Nov 24, 2024

Type

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Pages

Uploaded by dhoot530

= < Patient Data The nurse is reviewing the patient’s orders and begins to plan for which goals will be most appropriate to meet this patient’s needs. History and Physical Laboratory Results ~ Orders Which goal will the nurse anticipate for this patient to meet during her stay at the eating disorder facility? Select all that apply. @ B |Increased cardiac output Select a tab to see patient information @ W Eats 75% of three meals daily @& B Increased body temperature to 97°F @ B Demonstrates improved self-acceptance and self-esteem @ (B Reports feeling decreased level of anxiety at mealtime Demonstrates control over impulsive behaviors Eats 100% of one meal daily @ (B Weight gain of 2 Ib. weekly W That's right! Rationale: The patient shows symptoms of decreased cardiac output with bradycardia and hypotension and will therefore benefit from increased cardiac output, which will increase both vital signs. Eating 75% of three meals as well as snacks is an appropriate outcome for this patient. The patient has hypothermia, and she needs to increase her body temperature to a normal level. A major issue associated with anorexia nervosa includes working on improving a patient’s low self-image and self-esteem, which cause the patient to continue with weight-loss strategies. The patient initially reported feeling like she must exercise immediately after her meals to prevent gaining weight, and her father reported peculiar handling of her food. An appropriate goal would be for the patient to feel a decreased level of anxiety with her meals. A weight gain of 2 Ib. per week is an appropriate outcome for this patient, and it is recommended that weight gain occur slowly to prevent cardiovascular complications as the body slowly transitions from a state of breakdown to a state of growth and repair. Impulsive behavior control would not be beneficial for this patient but instead would be more appropriate for a patient with bingeing and purging tendencies. Focusing on eating 100% of one meal per day is not as appropriate as looking at the food intake for the entire day to ensure that the patient is obtaining enough nutrients.

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