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NGN: Anorexia Nervosa Unfolding Case Study Terms in this set (7) NURSING NOTES INFO FOR CASE STUDY 1915: Presented to the center with report of abdominal discomfort and bloating since yesterday morning; no BM x 5 days. Bowel sounds hy$7.99
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NGN: Anorexia Nervosa Unfolding Case Study Terms in this set (7) NURSING NOTES INFO FOR CASE STUDY 1915: Presented to the center with report of abdominal discomfort and bloating since yesterday morning; no BM x 5 days. Bowel sounds hy
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Course
GED - General Educational Development
Institution
GED - General Educational Development
NGN: Anorexia Nervosa Unfolding Case Study
Terms in this set (7)
NURSING NOTES INFO FOR CASE STUDY 1915: Presented to the center with report of abdominal discomfort and bloating since yesterday morning; no BM x 5 days. Bowel sounds hypoactive in all 4 quadran...
NGN: Anorexia Nervosa Unfolding Case Study
Jeremiah
Terms in this set (7)
1915: Presented to the center with report of abdominal discomfort and bloating since
yesterday morning; no BM x 5 days. Bowel sounds hypoactive in all 4 quadrants. States
doesn’t eat much but exercises every day for at least two hours. Has not felt like
exercising for
two days due to fatigue, weakness, and lack of energy. Sometimes has shortness of
breath
when exercising. Worries excessively about “getting fat” because the client is getting
married
next year and wants to fit into the wedding gown. Current medications include a multi-
vitamin, lorazepam 3 mg orally twice daily, and furosemide 40 mg orally every morning
to
eliminate “water weight.” Current weight 101 lb (45.8 kg); height 68 in (172.7 cm). Skin is
very
NURSING NOTES INFO FOR CASE STUDY dry with light lanugo on face. T 96.2oF (35.7oC); HR 50 BPM; RR 18 bpm; BP 96/50
mmHg.
SpO2 95% on RA; no dyspnea.
2010: IV of 5% D/NS started in left forearm. NPO until abdominal imaging completed.
2030: ECG confirms sinus bradycardia with prolonged QT intervals. Abdominal CT
shows
colon dilation and large amount of formed stool in rectum. No intestinal obstruction
present.
2045: Two enemas administered with large amount of solid brown stool expelled.
Client
states feeling better but is tired and weak.
2115: Client’s parent arrived at center. Physician discussed with both the client and
parent the need for additional
medical treatment for bradycardia, electrolyte imbalances, and anorexia nervosa.
LABS
NGN: Anorexia Nervosa Unfolding Case Study
1/6
, 8/6/24, 7:35 AM
Rationale:
Anorexia nervosa (AN) is a common eating disorder,
which is potentially the most lethal mental health
disorder. Clients who have AN have an intense fear
of gaining weight even though they are typically
underweight with a BMI below 18.5. This client’s
current weight is 101 lb (45.8 kg) and height is 68
inches (172.7 cm)—a BMI of 15.4. The client also has
the purging type of AN because the client practices
excessive daily exercise and diuretic therapy to help
lose weight. These findings are not part of the
clinical presentation for clients who have sinus
bradycardia. Because clients with AN are
underweight causing deficits in nutrients essential
For each client finding listed below, select to for organ function, they experience multiple health
indicate which finding is associated with problems affecting various body systems. One of
which client condition. Some findings may the most common and life-threatening problems is
be consistent with more than one condition sinus bradycardia caused by dehydration, starvation,
hypokalemia, and myocardial atrophy. Myocardial
atrophy can prevent the heart from pumping
adequate oxygenated blood to the cells of the
body causing fatigue, lack of energy, shortness of
breath (especially on exertion), and/or hypotension.
In clients who have AN, hyponatremia and
hypokalemia contribute to these findings. For this
client, hypokalemia is likely worsened because the
client takes furosemide every day. Loop diuretic
therapy can cause both hypokalemia and
hyponatremia.
CJ Cognitive Skills: Analyze Cues
Content Area: Mental Health Nursing
Priority Concept: Stress and Coping
NGN: Anorexia Nervosa Unfolding Case Study
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