A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). In assessment, which of the following manifestations should the nurse expect? (Select all that apply.)

Choice A reason: Amenorrhea is common in adolescents with eating disorders due to low body fat and hormonal disruption. Choice B reason: Bradycardia occurs as a physiological adaptation to malnutrition and decreased metabolic demand. Choice C reason: Altered body image is a hallmark psychological manifestation of eating disorders, where clients perceive themselves as overweight despite being underweight. Choice D reason: Hyperactivity is not a typical manifestation of anorexia nervosa. Clients often experience fatigue and weakness due to malnutrition. Choice E reason: Clients with eating disorders usually verbalize a desire to lose weight, not gain weight. This option is inconsistent with the condition.