A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa. To promote the client’s physical health.. monitor vital signs, serum electrolyte levels, and acid-base balance

A female client is admitted to the psychiatric clinic for treatment of anorexia nervosa.
To promote the client’s physical health, nurse Tair should plan to:

a- severely restrict the client’s physical activities

b- weigh the client daily, after the evening meal

c- monitor vital signs, serum electrolyte levels, and acid-base balance

d- instruct the client to keep an accurate record of food and fluid intake

Answer C.
An anorexic client who requires hospitalization is in poor physical condition from starvation and may die as a result of arrhythmias, hypothermia, malnutrition, infection, or cardiac abnormalities secondary to electrolyte imbalances.
Therefore, monitoring the client’s vital signs, serum electrolyte level, and acid base balance is crucial.
Option A may worsen anxiety.
Option B is incorrect because a weight obtained after breakfast is more accurate than one obtained after the evening meal.
Option D would reward the client with attention for not eating and reinforce the control issues that are central to the underlying psychological problem; also, the client may record food and fluid intake inaccurately.