A nurse is collecting data from a female client who has bulimia nervosa.
Which of the following manifestations should the nurse expect?
Increased potassium level.
Increased number of dental caries.
Increased bleeding with menstruation.
Increased blood pressure.
The Correct Answer is B
Choice A rationale
Clients with bulimia nervosa are at risk for hypokalemia (decreased potassium level) due to recurrent vomiting or misuse of laxatives or diuretics, which can lead to significant electrolyte imbalances. Normal serum potassium levels range from 3.5 to 5.0 mEq/L.
Choice B rationale
An increased number of dental caries is a common manifestation in clients with bulimia nervosa. The stomach acid brought up during frequent vomiting erodes tooth enamel, making the teeth more susceptible to decay and the formation of cavities.
Choice C rationale
Bulimia nervosa is not typically associated with increased bleeding during menstruation (menorrhagia). Menstrual irregularities, including amenorrhea (absence of menstruation), can occur due to hormonal imbalances related to eating disorders and weight fluctuations.
Choice D rationale
Blood pressure can vary in individuals with bulimia nervosa. While dehydration from purging behaviors might initially cause low blood pressure, compensatory mechanisms or anxiety related to the disorder could also lead to normal or even elevated blood pressure in some cases.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
Step 1 is: Determine the desired dose: 7.5 mg.
Step 2 is: Determine the concentration on hand: 2.5 mg ÷ 5 mL.
Step 3 is: Set up the calculation: (7.5 mg × 5 mL) ÷ 2.5 mg.
Step 4 is: Perform the multiplication: 37.5 mg·mL ÷ 2.5 mg.
Step 5 is: Perform the division: 15 mL.
Final answer: The nurse should administer 15 mL.
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"B"}}
Explanation
- Taking responsibility for actions – Improvement: Indicates self-awareness and emotional progress.
- Talking about feelings in therapy – Improvement: Actively engaging in therapy is a positive sign.
- Reporting headache pain – Unrelated: Physical symptoms like mild headaches may not be directly related to the condition.
- Notifying staff of a new self-inflicted wound – Worsening: Self-harm remains a concern, though acknowledging it shows some insight.
- Listening attentively to peers – Improvement: Demonstrates increased engagement and emotional openness.
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