What physical assessment finding is noticeable in a patient who has a history of bulimia?

prominent parotid glands.

25% underweight.

peripheral edema.

lanugo.

Answer and Explanation

The Correct Answer is A

A. Repeated vomiting in bulimia nervosa can cause swelling of the parotid glands, which is a common physical sign of the disorder.

B. Unlike anorexia nervosa, patients with bulimia are often normal weight or slightly overweight, not severely underweight.

C. Edema is not a typical finding in bulimia unless there is severe electrolyte imbalance, which is less common.

D. Lanugo (fine hair covering the body) is usually associated with anorexia nervosa, not bulimia nervosa.

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Correct Answer is ["B","C","F","I"]

Explanation

A. Blood pressure – Within normal range (115/76 mm Hg). No immediate concern.
B. Lithium level – 1.7 mEq/L is above the therapeutic range (0.8–1.2). Toxicity is likely, especially with the client’s symptoms (tremor, confusion, GI upset). Requires urgent follow-up.
C. Sodium level – 128 mEq/L indicates hyponatremia. Low sodium increases the risk for lithium toxicity because lithium and sodium compete for renal reabsorption.
D. WBC count – Within normal range (7,000/mm³).
E. TSH level – Mildly elevated (6). Suggests hypothyroidism (a side effect of lithium) but not immediately life-threatening. Requires follow-up, but not urgent.
F. BUN level –Elevated at 30 mg/dL (normal 10–20). Indicates impaired renal function, which reduces lithium clearance and increases toxicity risk.
G. Levothyroxine dosage – No immediate safety issue noted; managed long term.
H. Acetaminophen – Daily 325 mg is safe; not a concern.
I. Lithium dosage – Current dose (600 mg BID) is likely contributing to toxicity and must be reassessed immediately.

A. Word salad B. Echolalia C. Neologism D. Anhedonia

Correct Answer is A

Explanation

A. Word salad refers to a jumble of incoherent words and phrases without logical connection, as seen in the patient’s statement.
B. Echolalia is the repetition of another person’s spoken words, not unrelated word combinations.
C. Neologism is the invention of new, made-up words, not a random string of real words.
D. Anhedonia is the inability to experience pleasure, not a speech disturbance.

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What physical assessment finding is noticeable in a patient who has a history of bulimia?

Nursing Test Bank

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