A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?

A. Clients with bulimia nervosa typically maintain a normal body weight or may be slightly above or below normal. Unlike anorexia nervosa, bulimia does not usually present with significantly low body weight. Therefore, a lower than normal expected reference range of body weight is not the most expected finding. B. Frequent self-induced vomiting leads to loss of gastric acid and potassium, resulting in hypokalemia, not hyperkalemia. Hypokalemia can cause muscle weakness, cardiac dysrhythmias, and fatigue. C. Repeated exposure of the teeth to gastric acid from vomiting leads to enamel erosion and dental decay. The acidic stomach contents break down tooth enamel over time, making dental problems a common physical finding in bulimia nervosa. D. Amenorrhea is more commonly associated with anorexia nervosa, especially in clients with significantly low body fat and malnutrition. Although menstrual irregularities can occur in bulimia, they are not as consistently present as in anorexia.