A nurse conducts the physical assessment of a client with bulimia nervosa. What signs and symptoms does the assessment often reveal?

Choice A reason: Russell’s sign refers to calluses or abrasions on the knuckles from self-induced vomiting. It is a classic physical finding in bulimia nervosa. Choice B reason: Clients with bulimia nervosa are often of normal weight or slightly overweight. Being 35% underweight is more characteristic of anorexia nervosa. Choice C reason: Peripheral edema may occur but is not a consistent or defining feature of bulimia nervosa. It may result from electrolyte imbalance or laxative abuse. Choice D reason: Bradycardia is more commonly associated with anorexia nervosa due to severe malnutrition and low body weight.