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

Lanugo.

Bradycardia.

Diarrhea.

Hypotension.

Russell's sign.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale:

(Statement then rationale) Choice A is one of the correct options. Lanugo, fine hair growth on the body, is a common physical finding in individuals with anorexia nervosa. It occurs as a result of the body's attempt to conserve heat due to a lack of subcutaneous fat and can be considered a clinical sign of severe malnutrition.

Choice B rationale:

(Statement then rationale) Choice B is another correct option. Bradycardia, or a slow heart rate, is often seen in individuals with anorexia nervosa. The body's physiological response to severe malnutrition includes a slowed heart rate to conserve energy. Bradycardia is a result of the reduced metabolic demands and is a common cardiovascular finding in anorexia nervosa.

Choice C rationale:

(Statement then rationale) Choice C is not the correct option. Diarrhea is not typically associated with anorexia nervosa. Instead, individuals with this condition may experience constipation due to a reduced intake of food and fiber. Diarrhea is more commonly associated with other gastrointestinal disorders or conditions.

Choice D rationale:

(Statement then rationale) Choice D is also not the correct option. Hypotension, or low blood pressure, is not a common finding in individuals with anorexia nervosa. In fact, individuals with severe malnutrition may initially have normal or even elevated blood pressure. Hypotension is more commonly associated with conditions like dehydration or certain cardiac issues.

Choice E rationale:

(Statement then rationale) Choice E is the third correct option. Russell's sign is a finding in individuals with anorexia nervosa who engage in self-induced vomiting. It refers to calluses or abrasions on the knuckles or dorsum of the hand, resulting from the repetitive contact with the teeth while inducing vomiting. Recognizing Russell's sign is essential for assessing the severity of purging behaviors in individuals with anorexia nervosa. .

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Correct Answer is C

Explanation

Choice A rationale:

Planning a menu with the client is a good practice for individuals with eating disorders. However, remaining with the client after meals is crucial to address the immediate concerns related to a binge eating disorder. Binge eating disorder is characterized by consuming large amounts of food in a short period, and the nurse needs to monitor the client for potential complications or behaviors after meals.

Choice B rationale:

Weighing the client every other day is not the most appropriate action for a client with a binge eating disorder. While weight monitoring can be important, it does not directly address the behavioral aspects of the disorder, such as episodes of overeating. It is more critical to provide support and monitoring immediately after meals to prevent or address binge episodes.

Choice D rationale:

Offering snacks when the client is hungry is a generally healthy practice. However, in the context of binge eating disorder, the focus should be on structured meal times and monitoring for potential episodes of overeating. Offering snacks whenever the client is hungry may not be the best approach for managing this specific eating disorder. .

A. Increased appetite. B. Hypertension. C. Insomnia. D. Excessive energy.

Correct Answer is C

Explanation

Choice A rationale:

Increased appetite. Antidepressants may actually lead to decreased appetite in some individuals. Weight gain is a potential side effect, but it is often associated with increased appetite due to the improved mood that may lead to overeating, not as a direct side effect of the medication itself.

Choice B rationale:

Hypertension. Hypertension is not a common side effect of antidepressant use. While some medications may have cardiovascular side effects, they are generally not related to hypertension.

Choice D rationale:

Excessive energy. Antidepressants are not typically associated with increased energy levels. In fact, they are often used to treat symptoms of low energy and fatigue associated with depression.

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

Nursing Test Bank

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