Evolve: Feeding, Eating and Elimination Disorders (Ch 18)

A client diagnosed with bulimia nervosa uses enemas and laxatives to purge to maintain weight. What is the likely physiological outcome of this practice?

Disruption of the fluid and electrolyte balance

A client who is 16 years old, 5 foot, 3 inches tall, and weighs 80 pounds eats one tiny meal daily and engages in a rigorous exercise program. Which nursing diagnosis addresses this assessment data?

Imbalanced nutrition: less than body requirements

Which coping mechanism is used excessively by clients diagnosed with bulimia nervosa to cope with their obsession with their body image?

Denial

Which subjective symptom should the nurse would expect to note during assessment of a client diagnosed with anorexia nervosa?

Fear of gaining weight

A client hospitalized with anorexia nervosa has a weight that is 65% of normal. For this client, what is a realistic short-term goal for the first week of hospitalization regarding the physical impact of his/her weight?

Gain a maximum of 3 lb.

Which diagnosis from the list below would be given priority for a client diagnosed with bulimia nervosa?

Risk for injury: electrolyte imbalance

The nurse working with clients diagnosed with eating disorders can help families develop effective coping mechanisms by implementing which intervention?

Teaching the family about the disorder and the client's behaviors

After stabilization of symptoms, what is the primary focus of treatment for a client diagnosed with anorexia nervosa?

Weight restoration

The nurse can determine that inpatient treatment for a client diagnosed with an eating disorder would be warranted when which assessment data is observed?

Has systolic blood pressure less than 70 mm Hg.

A client reveals that she induces vomiting as often as a dozen times a day. The nurse would expect assessment findings to support which electrolyte imbalance?

Hypokalemia

Biological theorists suggest that the cause of eating disorders may be related to which factor?

Serotonin imbalance

The client experiencing bulimia differs from the client diagnosed with anorexia nervosa by exhibiting which characteristic?

Maintaining a normal weight

Which intervention would be least useful for accurate assessment of the weight of a client diagnosed with anorexia nervosa?

Weigh fully clothed before breakfast.

Assessment of a client suspected of experiencing bulimia nervosa calls for the nurse to perform

inspection of the oral cavity.