A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.36 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)

Choice A reason: Bradycardia is common in eating disorders due to malnutrition and decreased metabolic demand. The body slows cardiac function to conserve energy. Choice B reason: Altered body image is a hallmark of eating disorders. Clients often perceive themselves as overweight despite being underweight. This distorted perception drives restrictive behaviors. Choice C reason: Clients with eating disorders typically do not verbalize a desire to gain weight. Instead, they fear weight gain and resist interventions aimed at restoring healthy weight. Choice D reason: Amenorrhea occurs due to hormonal disruption from malnutrition. Low body fat and altered hypothalamic function suppress menstruation. Choice E reason: Hyperactivity is not a typical manifestation. Clients are more likely to experience fatigue, weakness, and decreased energy due to malnutrition.