A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal.
The nurse should monitor the client for which of the following manifestations?

Choice A rationale:

The statement, "I might need to be hospitalized to stabilize my physical condition," indicates a good understanding of the severity of the eating disorder. Hospitalization may be necessary in cases of severe malnutrition or other medical complications associated with eating disorders.

Choice B rationale:

The statement, "Psychotherapy and medication can help address the psychological aspects of my disorder," demonstrates an accurate understanding of the treatment options for eating disorders. Psychotherapy and medication are often important components of treatment.

Choice C rationale:

The statement, "Relapse prevention strategies are not necessary once I have recovered," indicates a need for further teaching. Relapse prevention strategies are crucial in maintaining recovery and preventing a recurrence of disordered eating behaviors. It is important to educate the patient about the long-term strategies required for sustained recovery.

Choice D rationale:

The statement, "Social support, such as family involvement or peer support, can be helpful in maintaining recovery," is correct. Social support is an essential part of recovery from eating disorders. It can provide emotional support and help in maintaining progress.

Choice A rationale:

(Statement then rationale) Choice A is the correct option. A blood pH of 7.60 indicates severe metabolic alkalosis, which is a life-threatening condition. Metabolic alkalosis can lead to various complications, including cardiac arrhythmias, muscle weakness, and even seizures. Immediate intervention is required to address the underlying cause and correct the pH imbalance. The nurse should initiate treatments to restore the acid-base balance promptly.

Choice B rationale:

(Statement then rationale) Choice B is not the correct option. While a BUN level of 21 mg/dL is above the normal range, it alone does not require immediate intervention. Elevated BUN can be caused by various factors and may not be immediately life-threatening. It is important to assess the client's overall clinical condition and consider other lab values to make a comprehensive assessment.

Choice C rationale:

(Statement then rationale) Choice C is not the correct option. +2 edema of the lower extremities, while indicating fluid retention, is not an immediate life-threatening condition. Edema should be assessed and addressed, but it does not require emergency intervention as much as a severely altered blood pH does.

Choice D rationale:

(Statement then rationale) Choice D is also not the correct answer. Lanugo covering the body is a physical manifestation often seen in clients with anorexia nervosa and indicates malnutrition. While it is concerning and requires attention, it is not an acute, life-threatening issue. Nutritional rehabilitation and support are needed, but immediate intervention is necessary for the severe metabolic alkalosis indicated by a blood pH of 7.60. Now, let's proceed to the next question.