Seizures
Shivering
Anxiety
Chest pain
Avoid shopping for large amounts of food
Control eating impulses
Identify anxiety-causing situations
Eat only three meals per day
Check the client frequently at irregular intervals throughout the night
Assure the client that the nurse will hold in confidence anything the client says
Repeatedly discuss previous suicide attempts with the client
Disregard decreased communication by the client because this is common with suicidal clients
Deferoxamine mesylate (Desferal)
Succimer (Chemet)
Flumazenil (Romazicon)
Acetylcysteine (Mucomyst)
Naloxone (Narcan)
Haloperidol (Haldol)
Magnesium sulfate
Chlordiazepoxide (Librium)
“I trust you not to purge.”
“How are you purging and when do you do it?”
“Don’t worry. I won’t allow you to purge today.”
“I know it’s important for you to feel in control. but I’ll monitor you for 90 minutes after you eat.”
“If you continue to talk like that. I’m going to stop speaking to you.”
“You told me you got fired from your last job for missing too many days after taking drugs all night.”
“Tell me more about how it felt to get high.”
“Don’t you know it’s illegal to use drugs?”
The client will establish adequate daily nutritional intake
The client will make a contract with the nurse that sets a target weight
The client will identify self-perceptions about body size as unrealistic
The client will verbalize the possible physiological consequences of self-starvation
The injury isn’t consistent with the history or the child’s age
The mother and father tell different stories regarding what happened
The family is poor
The parents are argumentative and demanding with emergency department personnel
They tend to overprotect their children
They usually have a history of substance abuse
They maintain emotional distance from their children
They alternate between loving and rejecting their children