The nurse has reviewed today's Vital Signs and Nurses' Notes. The nurse has reviewed the Provider Orders from 2 weeks ago. Select the 2 findings that indicate an improvement in the adolescent's condition.
Explanation & Rationale
A. Compulsive behaviors: The adolescent continues to pace, fold and unfold blankets, and engage in rigid organizing behaviors, indicating that compulsive behaviors are still present and have not yet improved. B. BMI: The adolescent’s BMI increased from 16.1 (4th percentile) to 16.8 (9th percentile), reflecting weight gain and improvement in nutritional status, which is a positive clinical outcome in the treatment of anorexia nervosa. C. Sleep: The adolescent slept little overnight and was awake frequently, showing that sleep disturbances persist. No improvement in sleep patterns is evident at this time. D. Temperature: The adolescent’s temperature remains low at 35.8° C (96.4° F) two weeks ago and no updated reading shows normalization, indicating hypothermia has not resolved. E. Heart rate: The heart rate improved from 48/min two weeks ago to 60–70/min today (assuming 41.7 kg weight), reflecting improved cardiovascular stability and physiologic recovery from malnutrition.