An adolescent is admitted to the psychiatric service in stable physical condition with the diagnosis of anorexia nervosa. The adolescent has lost 20 lb (9.1 kg) in 6 weeks and is very thin but is excessively concerned about being overweight. What is the most important initial nursing intervention? 1 Complimenting the physical appearance of the adolescent 2 Explaining the value of adequate nutrition to the adolescent 3 Exploring the reasons that the adolescent does not want to eat 4 Attempting to establish a trusting relationship with the adolescent A 5-foot 5-inch (165 cm) 15-year-old girl who weighs 80 lb (36.3 kg) is admitted to a mental health facility with a diagnosis of anorexia nervosa. The nurse recognizes what factor as the most likely cause of her problem? 1 A desire to control her life 2 The wish to be accepted by her peers 3 The media's emphasis on the beauty of thinness 4 A delusion in which she believes that she must be thin A client with myasthenia gravis has increased difficulty swallowing. Which action will the nurse take to prevent the aspiration of food? 1 Offer three large meals a day. 2 Assess the client's respiratory status before and after meals. 3 Seek a change in the diet prescription from soft foods to clear liquids. 4 Schedule meals with the peak effect of an anticholinesterase muscle stimulant During the administration of total parenteral nutrition (TPN), an assessment of the client reveals a bounding pulse, distended jugular veins, dyspnea, and cough.