A nurse is assisting with the care of a client.
For each finding, click to specify if the finding is consistent with anorexia nervosa or bulimia nervosa. Each finding may support more than 1 disease process.
Lanugo
Disturbance in body image
Binge eating behavior
Very low weight
Peripheral edema
Self-induced vomiting
Rigorous exercise regimen
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A,B"},"F":{"answers":"A,B"},"G":{"answers":"A,B"}}
Lanugo (fine hair) is a classic sign of anorexia due to malnutrition.
Disturbance in body image
Both disorders involve distorted body image, even if the behaviors differ.
Binge eating behavior
Binge eating is characteristic of bulimia, often followed by purging.
Very low weight
Significant underweight is typical in anorexia, while bulimic individuals are often of normal weight.
Peripheral edema
Can occur in both due to malnutrition or purging, especially from electrolyte imbalances or refeeding syndrome.
Self-induced vomiting
Vomiting is a hallmark behavior of bulimia, not typically anorexia unless it's binge-purge type.
Rigorous exercise regimen
Compensatory over-exercising can occur in both disorders as a way to control weight.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Correct answer: The nurse recognizes that the toddler has likely developed Reye syndrome due to aspirin administration during a viral illness.
Reye syndrome is a rare but serious condition associated with aspirin use in children recovering from viral infections like influenza. It causes liver dysfunction and cerebral edema, manifesting as vomiting, lethargy, and altered mental status.
Correct Answer is C
Explanation
A. Hypermagnesemia
Hypomagnesemia is more likely due to vomiting and malnutrition.
B. Amenorrhea
More typical in anorexia nervosa; less common in bulimia.
C. Tooth erosion
Frequent vomiting in bulimia leads to enamel erosion from gastric acid.
D. Hyperkalemia
Bulimia is often associated with hypokalemia due to purging.
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