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 D

Explanation

Choice A rationale

Blaming the adolescent for the assault can increase feelings of shame and guilt, exacerbating the trauma and hindering recovery. It's important to provide support without assigning blame.

Choice B rationale

Anticipating self-blame, while acknowledging a common response, doesn't offer the positive support needed for recovery. The focus should be on affirming the adolescent's lack of culpability.

Choice C rationale

Solely focusing on the future might dismiss the adolescent's current emotional needs and the process of working through their trauma. A balanced approach is necessary.

Choice D rationale

Actively monitoring the adolescent's relationships can demonstrate vigilance and support, helping to create a safe environment for recovery.

A. "Can you see these spiders crawling all over me?" B. "The aliens are going to abduct me tonight.”. C. "Are you planning to kill me?" D. "The voices told me to quit eating the food here.”.

Correct Answer is D

Explanation

Choice A rationale

The statement "Can you see these spiders crawling all over me?" indicates a visual hallucination, not a command hallucination.

Choice B rationale

The statement "The aliens are going to abduct me tonight.”. reflects a delusional belief, not a command hallucination.

Choice C rationale

The statement "Are you planning to kill me?" suggests paranoia and suspicion, not a command hallucination.

Choice D rationale

The statement "The voices told me to quit eating the food here.”. is indicative of a command hallucination, where the client hears voices instructing them to take specific actions.

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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?