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 B

Explanation

Choice A rationale

This statement is incorrect because client information should only be shared with staff currently involved in the client’s care, not past providers, to maintain confidentiality.

Choice B rationale

Clients retain the legal right to privacy of health information even after death, according to HIPAA regulations, which protect the privacy of health information at all times.

Choice C rationale

This statement is incorrect because client consent is necessary to disclose health information to family, not provider consent, ensuring clients’ privacy rights.

Choice D rationale

This statement is incorrect because discussing a client’s health information with an employer violates confidentiality unless the client has given explicit permission.

A. Fluctuating level of orientation. B. Consistent state of depression. C. Demonstrates obsessive behaviors. D. Short-term memory loss.

Correct Answer is A

Explanation

Choice A rationale

A fluctuating level of orientation is a hallmark sign of delirium. Delirium is characterized by an acute and fluctuating course of altered mental status, including changes in attention, awareness, and cognition.

Choice B rationale

A consistent state of depression is not indicative of delirium. While depression can affect mental status, it does not typically present with the acute, fluctuating changes seen in delirium.

Choice C rationale

Demonstrating obsessive behaviors is more characteristic of obsessive-compulsive disorder and does not typically indicate delirium.

Choice D rationale

Short-term memory loss can be a feature of many conditions, including dementia, but does not specifically indicate delirium, which is distinguished by its rapid onset and fluctuating nature. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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?