A nurse is collecting data from a client who has bulimia nervosa.
Which of the following findings should the nurse expect?

Lanugo.

Muscle wasting.

Hypokalemia.

Hypomagnesemia.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Lanugo, fine hair growth on the skin, is more commonly associated with anorexia nervosa rather than bulimia nervosa. It develops as the body's response to severe weight loss and malnutrition in anorexia, and is not a typical finding in bulimia nervosa, which involves binge eating and purging behaviors.

Choice B rationale

Muscle wasting is more characteristic of anorexia nervosa due to prolonged starvation and insufficient protein intake. While bulimia nervosa can lead to nutritional deficiencies, muscle wasting is less common compared to the profound weight loss seen in anorexia nervosa.

Choice C rationale

Hypokalemia, low potassium levels, is a common finding in bulimia nervosa due to repeated episodes of vomiting and use of laxatives or diuretics. These behaviors lead to significant electrolyte imbalances, including potassium loss, which can cause serious cardiac and muscular complications.

Choice D rationale

Hypomagnesemia, low magnesium levels, can occur in individuals with bulimia nervosa due to poor dietary intake and frequent purging. However, it is less commonly recognized as a primary finding compared to hypokalemia. Monitoring and correcting electrolyte imbalances are essential in the management of bulimia nervosa.

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Correct Answer is A

Explanation

Choice A rationale

Limiting the client's need to make decisions helps reduce stress and confusion, which can exacerbate symptoms of delirium. Simplifying choices and providing a structured environment can aid in orientation and reduce cognitive overload.

Choice B rationale

Discouraging visitation from the client's family can increase feelings of isolation and anxiety. Family support can provide comfort and reassurance, which are beneficial for clients with delirium.

Choice C rationale

Keeping the client's room dark at night can disorient them further. Maintaining a well-lit environment helps with orientation and reduces the likelihood of hallucinations or worsening confusion.

Choice D rationale

Providing a high-stimulation environment can increase agitation and confusion. A calm, low-stimulation environment helps minimize stress and can aid in the recovery of clients with delirium.

A. Reduction in hand tremors. B. Absence of seizures. C. Decreased hallucinations. D. Improved mood.

Correct Answer is D

Explanation

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A nurse is collecting data from a client who has bulimia nervosa.Which of the following findings should the nurse expect?

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A nurse is collecting data from a client who has bulimia nervosa.
Which of the following findings should the nurse expect?