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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is caring for a client in an emergency department (ED). Exhibits The nurse reviews the Nurses’ Notes from Day 1 at 1100. Complete the following sentence by using the lists of options. The nurse should first address the client’s dropdown followed by the client’s dropdown.

    Explanation & Rationale

    The nurse should first address the client’s electrolyte imbalance followed by the client’s obsession with food. Rationale: Electrolyte imbalance: The client has low potassium (3 mEq/L) and low sodium (134 mEq/L), along with a history of recurrent vomiting. Electrolyte disturbances place the client at immediate risk for cardiac dysrhythmias, as evidenced by PVCs on ECG. This is a life-threatening priority according to the ABCs and Maslow’s hierarchy of needs, so it must be addressed first. Obsession with food: Once the immediate physiological risk is stabilized, the nurse should address the psychological aspect of bulimia, including the client’s preoccupation with food, binge-purge behaviors, and distorted eating patterns. This aligns with holistic care and ongoing mental health management.

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