A nurse is counseling a client diagnosed with bulimia nervosa about the symptom of tooth enamel deterioration.
Which explanation for this complication of bulimia nervosa should the nurse provide?
Food is rapidly ingested without proper mastication.
The emesis produced during purging is acidic and corrodes the tooth enamel.
Poor dental and oral hygiene leads to dental caries.
Purging causes the depletion of dietary calcium.
The Correct Answer is B
When people with bulimia nervosa frequently engage in self-induced vomiting, the gastric acids in their vomit can damage the tooth enamel.
This is called dental erosion and can create “bulimia teeth”.
Choice A, Food is rapidly ingested without proper mastication, is incorrect because it does not directly relate to tooth enamel deterioration.
Choice C, Poor dental and oral hygiene leads to dental caries, is incorrect because it refers to a different dental issue.
Choice D, Purging causes the depletion of dietary calcium, is incorrect because it does not directly relate to tooth enamel deterioration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
“You should place your baby on her back when sleeping to decrease the risk of SIDS.” According to Mayo Clinic, placing a baby on their back to sleep is one of the most important measures that can be taken to help protect a child from SIDS1.
Choice A is incorrect because there is no evidence that SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines.
Choice B is incorrect because SIDS rates have actually decreased dramatically since the American Academy of Pediatrics issued its safe sleep recommendations in 19922.
Choice C is incorrect because while sleep apnea may contribute to breathing problems, it is not considered the main cause of SIDS1.
Correct Answer is A
Explanation
“Spiral.” A spiral fracture is a type of fracture that is frequently associated with child abuse.

Choice B is incorrect because bowing fractures are not specifically associated with child abuse.
Choice C is incorrect because closed fractures are not specifically associated with child abuse.
Choice D is incorrect because greenstick fractures are not specifically associated with child abuse.
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