A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

"I have binged and purged for years without my family or friends knowing."

"I feel an emotional high during my binge-purge episodes."

"I only use the laxatives when I am feeling constipated."

"I feel a sense of power by restricting my food intake."

Answer and Explanation

The Correct Answer is A

A.   This behavior reflects the secretive and recurring nature of binge-purge cycles characteristic of bulimia nervosa. The condition often involves a pattern of eating large amounts of food (binging) followed by compensatory behaviors such as self-induced vomiting (purging) to prevent weight gain.
B.   This statement is not characteristic of bulimia nervosa.
C.   This statement could indicate laxative abuse, which may occur in individuals with bulimia nervosa, but it is not specific to the disorder.
D.   This statement could indicate anorexia nervosa, which is characterized by restrictive eating, but it is not specific to bulimia nervosa.

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Correct Answer is D

Explanation

A. Clients with bulimia nervosa may have a normal or above-normal body weight, as bulimia nervosa is characterized by episodes of binge eating followed by compensatory behaviors such as vomiting or excessive exercise.
B. Amenorrhea, or the absence of menstruation, is more commonly associated with anorexia nervosa rather than bulimia nervosa.
C. Hyperkalemia, or high levels of potassium in the blood, is not a common finding in clients with bulimia nervosa.
D. Frequent self-induced vomiting can lead to dental erosion and decay due to exposure of the teeth to stomach acid.

A. Pupillary dilation B. Elevated heart rate C. Hypertension D. Tachypnea

Correct Answer is B

Explanation

A. Fentanyl, an opioid, typically causes pupillary constriction, not dilation. This is known as miosis.
B. Fentanyl can cause bradycardia or tachycardia, but tachycardia is more common in acute toxicity.
C. Fentanyl is more likely to cause hypotension (low blood pressure) rather than hypertension (high blood pressure).
D. Fentanyl can cause respiratory depression, leading to hypoventilation and possibly bradypnea or apnea, but tachypnea (rapid breathing) is less likely to occur as a direct effect of fentanyl toxicity.

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A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a client who has been brought to the emergency department and is experiencing acute fentanyl toxicity. The nurse should expect to observe which of the following adverse effects in this client?

Correct Answer is B

Explanation

Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?

A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?

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