NURS 218 Fall 25 Eating Disorder Sexual Dysfunction at Baton Rouge Community College

Correct Answer Is:

B. Allow the patient to describe their perception of the problem.

Explanation

The most effective way to identify and correct misperceptions is to first understand exactly how the patient views their gender-related concerns. Encouraging the patient to openly describe their thoughts, feelings, and perceptions allows the nurse to identify distortions, misinformation, or emotional conflicts that may be present. This patient-centered approach fosters trust and helps the nurse tailor education, emotional support, and therapeutic interventions that align with the patient’s lived experience.

Correct Answer Is:

D. I understand you have concerns about your weight, but right now tell me more about your recent invitation to the club at your school. That's a great accomplishment.

Explanation

This response combines empathy with therapeutic redirection. It acknowledges the patient’s fear without reinforcing distorted thinking about weight, which is essential in treating bulimia. At the same time, it shifts the focus toward a positive, reality-based achievement, helping to build self-esteem and promote healthier self-perception. Redirecting the conversation to strengths and recent successes supports recovery by encouraging the patient to develop identity and self-worth outside of weight and body image concerns.

Correct Answer Is:

D. 8-year-old boy on chemotherapy for myelogenous leukemia

Explanation

Chemotherapy for leukemia often causes significant alterations in sexual development, including delayed puberty, impaired fertility, hormonal suppression, and long-term reproductive complications. Although an 8-year-old is not sexually active, sexual functioning in pediatrics refers to growth and developmental milestones. Cancer treatment can profoundly impact testicular growth, sperm production, and endocrine function. Early assessment allows the nurse to monitor pubertal progression, address fertility preservation options, provide anticipatory guidance, and support the child and family in understanding potential long-term effects.

Correct Answer Is:

A Perform assessment and compare to baseline assessment
C Position the patient upright at at least 45° HOB
F Assess abdominal wound for amount and type of drainage
G Give pain medications as needed

Explanation

A Perform assessment and compare to baseline assessment
A full postoperative assessment is essential to identify early complications such as respiratory compromise, fluid imbalance, or bleeding. Comparing postoperative findings to baseline values allows the nurse to detect subtle but clinically important changes. Bariatric patients have increased postoperative risk, making a thorough assessment a priority upon arrival from surgery.

C Position the patient upright at at least 45° HOB
Positioning the patient upright decreases the risk of aspiration and promotes optimal ventilation. Bariatric surgery patients are at increased risk for hypoventilation, atelectasis, and respiratory depression following anesthesia. Upright positioning supports lung expansion and reduces strain on the diaphragm and surgical site, promoting safer and more comfortable recovery.

F Assess abdominal wound for amount and type of drainage
Postoperative bariatric patients require close monitoring of abdominal incisions or laparoscopic sites for signs of excessive bleeding, infection, or anastomotic leakage. Early detection of abnormal drainage characteristics—such as bright-red bleeding, foul odor, or cloudy fluid—allows prompt intervention and prevents severe postoperative complications.

G Give pain medications as needed
Adequate pain control helps the patient participate in deep breathing, coughing, and early ambulation, all essential for preventing postoperative complications. Bariatric surgery can cause significant discomfort, and poorly controlled pain increases risks such as hypoventilation, pneumonia, and delayed recovery. Providing analgesics as ordered supports healing and maintains patient comfort.

Correct Answer Is:

A. Voyeurism

Explanation

Voyeurism involves obtaining sexual arousal by secretly observing individuals who are naked, undressing, or engaging in sexual activity without their knowledge or consent. Placing a hidden camera in a locker room to film clients showering and dressing is a direct expression of voyeuristic behavior. Voyeurism is considered a paraphilic disorder when these urges cause distress, impairment, or result in illegal or harmful actions, as in this scenario.

Correct Answer Is:

C. Fetishism

Explanation

Fetishism involves sexual arousal linked to a nonliving object or a specific body part, but individuals with this paraphilia can typically maintain consensual, safe, and mutually satisfying sexual relationships with partners. Unlike paraphilias such as pedophilia, exhibitionism, or frotteurism—which involve nonconsenting individuals and are illegal or harmful—fetishism can be incorporated into a consensual adult relationship without violating boundaries or causing harm, allowing for rewarding sexual intimacy.

Correct Answer Is:

C. Confusion, ecchymosis, dark amber urine

Explanation

Liver failure affects multiple body systems, and three classic findings include confusion, which results from hepatic encephalopathy caused by the buildup of toxins such as ammonia; ecchymosis or easy bruising, due to impaired clotting factor production; and dark amber urine, which results from elevated bilirubin levels being excreted in the urine. These manifestations reflect impaired detoxification, impaired bilirubin processing, and decreased synthesis of coagulation proteins—hallmark features of advanced liver dysfunction.

Correct Answer Is:

C. I can stop taking my medication when I feel better.

Explanation

This statement reflects a dangerous misunderstanding. Treatment for tuberculosis requires taking multiple medications for the full prescribed duration, often 6–9 months. Stopping early, even if symptoms improve, can lead to treatment failure, relapse, and development of drug-resistant TB strains. Adherence is essential to eradicate the infection, prevent complications, and protect the public from transmission. This client requires additional teaching about strict medication adherence.

Correct Answer Is:

B. 8.75 mL

Explanation

To find the correct volume, the nurse must calculate based on the available concentration of 20 mg in 5 mL. First determine how many milliliters contain 1 mg: 5 mL ÷ 20 mg = 0.25 mL per mg. Multiply this value by the ordered dose: 35 mg × 0.25 mL = 8.75 mL per dose. This delivers the exact prescribed 35 mg using the available liquid concentration.