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A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect? (Select all that apply.) .

Diarrhea

Hypotension.

Cold extremities.

Tooth erosion.

Lanugo.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale:

Diarrhea is not typically associated with anorexia nervosa. Constipation is more common due to reduced food intake.

Choice B rationale:

Hypotension can occur in anorexia nervosa due to decreased circulating blood volume from inadequate fluid and food intake.

Choice C rationale:

Cold extremities can be a sign of anorexia nervosa due to the body’s attempt to conserve heat in response to inadequate caloric intake.

Choice D rationale:

Tooth erosion can occur in anorexia nervosa due to frequent vomiting, which exposes the teeth to stomach acid.

Choice E rationale:

Lanugo, or fine body hair, can develop in anorexia nervosa as the body’s attempt to insulate itself due to loss of body fat.

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Correct Answer is B

Explanation

Choice A rationale:

Using restraints can lead to injury and is generally a last resort.

Choice B rationale:

Placing a lock at the top of doors can prevent the client from wandering outside and getting lost or injured.

Choice C rationale:

Encouraging napping during the day can actually disrupt the client’s sleep cycle and increase nighttime wakefulness.

Choice D rationale:

While medication can be helpful, non-pharmacological interventions should be tried first.

A. "The PSDA becomes applicable when a client reaches 65 years of age.”. B. "Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight.”. C. "As long as a person is not vomiting after eating, they do not have bulimia nervosa.”. D. "People who have bulimia nervosa are at risk for developing diabetes mellitus.”.

Correct Answer is B

Explanation

Choice A rationale:

This statement is incorrect. People with bulimia nervosa often consume large amounts of food in a short period of time, known as binge eating.

Choice B rationale:

This statement is correct. Despite the binge-purge cycle, individuals with bulimia nervosa can maintain an average or ideal body weight, making the disorder less noticeable.

Choice C rationale:

This statement is incorrect. While self-induced vomiting is a common method of purging in bulimia nervosa, other methods such as excessive exercise, fasting, or misuse of laxatives, diuretics, or enemas can also be used.

Choice D rationale:

This statement is incorrect. While bulimia nervosa can lead to various health complications, it is not directly associated with the development of diabetes mellitus.

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A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.) .

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A nurse is collecting data from a client who has anorexia nervosa.
Which of the following findings should the nurse expect? (Select all that apply.) .