A nurse is collecting data from a client who has bulimia nervosa.
Which of the following findings should the nurse expect?
Lanugo.
Muscle wasting.
Hypokalemia.
Hypomagnesemia.
The Correct Answer is C
Choice A rationale
Lanugo, fine hair growth on the skin, is more commonly associated with anorexia nervosa rather than bulimia nervosa. It develops as the body's response to severe weight loss and malnutrition in anorexia, and is not a typical finding in bulimia nervosa, which involves binge eating and purging behaviors.
Choice B rationale
Muscle wasting is more characteristic of anorexia nervosa due to prolonged starvation and insufficient protein intake. While bulimia nervosa can lead to nutritional deficiencies, muscle wasting is less common compared to the profound weight loss seen in anorexia nervosa.
Choice C rationale
Hypokalemia, low potassium levels, is a common finding in bulimia nervosa due to repeated episodes of vomiting and use of laxatives or diuretics. These behaviors lead to significant electrolyte imbalances, including potassium loss, which can cause serious cardiac and muscular complications.
Choice D rationale
Hypomagnesemia, low magnesium levels, can occur in individuals with bulimia nervosa due to poor dietary intake and frequent purging. However, it is less commonly recognized as a primary finding compared to hypokalemia. Monitoring and correcting electrolyte imbalances are essential in the management of bulimia nervosa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Generalizing that everyone feels depressed during grief can minimize the client's individual experience and feelings.
Choice B rationale
Sharing personal experiences can shift the focus away from the client and may not be helpful.
Choice C rationale
Telling the client to start participating in usual activities can be premature and dismissive of their current emotional state.
Choice D rationale
Asking about the client's relationship with their partner encourages them to express their feelings and helps the nurse understand their experience and provide support. .
Correct Answer is B
Explanation
Choice A rationale
Forming a close support network is important in recovery, but it is not the first step. Initial recognition and acceptance of the problem must come first before external support can be effectively utilized.
Choice B rationale
Acknowledging an inability to control drinking is crucial as it represents acceptance of the problem. Without this self-awareness, the individual is unlikely to seek or benefit from treatment options.
Choice C rationale
Incorporating spirituality can be beneficial for some individuals during recovery, providing a sense of purpose and community. However, it is not the initial step. Recognition of the problem must precede other interventions.
Choice D rationale
Agreeing to a prescription for an alcohol use deterrent can be part of the treatment plan. However, the individual must first recognize and accept their inability to control drinking to commit to taking medications as prescribed.
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