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    ATI PN Mental Health Proctored Exam 2023 II

    A nurse is collecting data from a female client who has bulimia nervosa.Which of the following manifestations should the nurse expect?

    Explanation & Rationale

    Choice A rationaleClients with bulimia nervosa are at risk for hypokalemia (decreased potassium level) due to recurrent vomiting or misuse of laxatives or diuretics, which can lead to significant electrolyte imbalances. Normal serum potassium levels range from 3.5 to 5.0 mEq/L.Choice B rationaleAn increased number of dental caries is a common manifestation in clients with bulimia nervosa. The stomach acid brought up during frequent vomiting erodes tooth enamel, making the teeth more susceptible to decay and the formation of cavities.Choice C rationaleBulimia nervosa is not typically associated with increased bleeding during menstruation (menorrhagia). Menstrual irregularities, including amenorrhea (absence of menstruation), can occur due to hormonal imbalances related to eating disorders and weight fluctuations.Choice D rationaleBlood pressure can vary in individuals with bulimia nervosa. While dehydration from purging behaviors might initially cause low blood pressure, compensatory mechanisms or anxiety related to the disorder could also lead to normal or even elevated blood pressure in some cases.

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