Caring for the Patient Experiencing an Eating
Caring for the Patient Experiencing an Eating Disorder Jasmine, a 22-year-old, has been admitted to the Emergency Department with a possible diagnosis of an eating disorder. Jasmine was in her college anatomy class and briefly passed out when getting up from her chair at the end of class. 1. The nurse considers the ‘differential diagnosis’ (all the possibilities that may cause her to pass out) for Jasmine. Not including eating disorder, list three possibilities. 2. Part of an initial assessment occurs as the ‘general survey’. What would the nurse notice as part of the general survey? Remember this is visual only. 3. The nurse completes a set of VS. What would you anticipate as expected findings for her P, BP, and RR? 4. The physician asks the nurses opinion if Jasmine needs to be admitted to hospital or not. What would the nurse recommend, and why? 5. List the key, or cardinal, manifestations of anorexia nervosa; separately, list findings that are often found in patients with AN. 6. The lab has processed the bloodwork drawn on Jasmine. List 4 specific labs that would have been ordered, the anticipated findings congruent with AN, and the reason why. 7. Patients with AN are often vague when it comes to describing their eating habits. Based on this ‘tell me about your eating habits’, write down two possible ways Jasmine might respond, and the subsequent nursing response. 8. Jasmine thinks everyone is overreacting to this situation. The nurse points out to Jasmine that her ribs are clearly visible, and her backbone looks like a skeleton. Jasmine responds with ‘thank you’. Discuss why Jasmine would say this? 9. Select a priority nursing diagnosis for Jasmine. Identify an appropriate goal, and 3 interventions for your goal. 10. What biases might nurses have about adolescents such as the above case study?
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