A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse identify as an indication that the client has an impaired nutritional status?

A. Polyuria is not a typical finding directly related to malnutrition in anorexia nervosa. Fluid imbalance may occur, but it is not a primary indicator of impaired nutritional status. B. Constipation is common in clients with anorexia nervosa due to decreased food intake, slowed gastrointestinal motility, and possible dehydration. This finding reflects impaired nutritional status and inadequate fiber and caloric intake. C. Increased bowel sounds are not characteristic of starvation. Decreased intake typically results in reduced gastrointestinal activity rather than increased. D. Hyperkalemia is not typical in anorexia nervosa. Clients are more likely to develop hypokalemia, especially if purging behaviors are present.