A nurse is assessing an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect?

A. Lanugo: Adolescents with anorexia nervosa often develop lanugo, which is fine, downy hair that appears as the body attempts to conserve heat in response to significant weight loss and decreased subcutaneous fat. This finding is a classic physical adaptation seen in severe malnutrition. B. Hypertension: Anorexia nervosa is commonly associated with hypotension rather than hypertension due to decreased cardiac output, dehydration, and electrolyte imbalances. Elevated blood pressure is not an expected assessment finding in this condition. C. Tachycardia: Bradycardia is more commonly observed in anorexia nervosa as a result of decreased metabolic demand and cardiac muscle atrophy. Tachycardia may occur during complications or refeeding but is not a typical baseline finding. D. Fever: Clients with anorexia nervosa often have hypothermia rather than fever because of reduced energy stores and impaired thermoregulation. Fever would suggest infection or another underlying condition rather than anorexia nervosa itself.