Nokea
A client has been diagnosed with bulimia nervosa. Which assessment finding(s) contribute to this diagnosis? Select all that apply.
- A. Electrolyte imbalance
- B. Dehydration
- C. Chronic sore throat
- D. Pulmonary embolism
- E. Constipation
Correct Answer: A,B,C,E
Rationale: Self-induced vomiting and use of emetics such as ipecac damage teeth, cause chronic sore throat and risk of esophageal erosion and abuse of laxatives and enemas contributes to constipation. The non-prescribed use of diuretics and diet pills predisposes to liquid, electrolyte, and cardiac problems. Pulmonary embolism is not usually assessed for with bulimia nervosa.
You may also like to solve these questions
Increases in which neurotransmitter contribute to restrictive eating?
- A. Serotonin
- B. Dopamine
- C. Norepinephrine
- D. Tryptophan
Correct Answer: A
Rationale: Increased serotonin levels contribute to restricted eating. Dopamine, norepinephrine, and tryptophan are not associated with restrictive eating.
The nurse is providing a teaching seminar to a group of teenagers on the subject of healthy eating. A scale is used to calculate body mass index (BMI) for each individual participant. A participant asks the nurse if a BMI of 25 is normal.
- A. A BMI of 25 is normal.
- B. The BMI formula does not include ratio of fat to muscle mass.
- C. BMI is just one tool for healthy lifestyle.
- D. Keeping your BMI below 30 is ideal.
Correct Answer: C
Rationale: The healthy interpretation of BMI ranges from 18.5 to 24.9. Knowing that teenagers are very susceptible to eating disorders and desire for thinness, the nurse takes the focus off the number (25) and addresses healthy lifestyle. BMI is only one tool used for anthropometric data collection. Ratio of fat to lean muscle mass is not included in BMI. A BMI of 30 is indicative of obesity and would not be considered ideal.
A nurse explains to the client that which of the following is a healthy BMI range?
- A. 7 to 16
- B. 16 to 18.5
- C. 18.5 to 24.9
- D. 25 to 32
Correct Answer: C
Rationale: A healthy BMI is 18.5 to 24.9. A BMI of 7 to 16 is categorized as anorectic. A BMI of 16 to 18 is considered underweight. A BMI of 25 to 32 is classified as overweight to obese.
When taking a client's history, the client reports to the nurse inappropriate use of diuretics and laxatives, secreteating of high-calorie and high-carbohydrate foods, and alternately bingeing and fasting. Based on this information, which eating disorder should the nurse suspect?
- A. Bulimia nervosa
- B. Anorexia nervosa
- C. Binge eating
- D. Compulsive overeating
Correct Answer: A
Rationale: Behavioral signs and symptoms of bulimia nervosa include excessive exercise; use of diuretics, and laxatives, secret eating of high-calorie, high-carbohydrate foods, and alternately bingeing and fasting. Anorexia nervosa is characterized by behavioral signs and symptoms including restriction of food choices and intake, ritualistic handling of food (e.g., cutting into tiny pieces, arranging food in a certain way), weighing oneself frequently, and denial of hunger. Binge eating and compulsive overeating are characterized by frequent dieting, restricting activities because of embarrassment about weight, eating when not hungry, rapid eating, and eating alone.
A teenager who is attending a clinic for eating disorders has shown improvement in weight, but the laboratory values remain poor. Which behavior would the nurse identify as the likely cause of this finding?
- A. Pushing food around the plate
- B. Inducing vomiting after meals
- C. Drinking water before weighing
- D. Disposing of food
Correct Answer: C
Rationale: Drinking large volumes of water prior to being weighed is manipulative behavior that is likely the cause of improved weight without improved laboratory values. Pushing food around the plate to distort amount of food eaten, inducing vomiting, and disposing of food are all forms of manipulation but would not account for improvement of weight.