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    Vati PN Comprehensive Predictor Proctored Exam

    A nurse is contributing to the plan of care for a client who has bulimia nervosa. Which of the following Interventions should the nurse recommend?

    Explanation & Rationale

    A. Administer bupropion 1 hr before meals: Bupropion is contraindicated in clients with bulimia nervosa due to an increased risk of seizures. Antidepressants such as SSRIs, like fluoxetine, are preferred for managing bulimia and comorbid depression. B. Allow the client access to food throughout the day: Unrestricted access to food can trigger binge-eating episodes in clients with bulimia nervosa. Structured meal planning with scheduled eating times is more effective in reducing binge-purge behaviors. C. Weigh the client once weekly: Weekly weighing is insufficient for monitoring rapid weight fluctuations associated with bulimia. Daily or more frequent monitoring, combined with close observation, is recommended to identify sudden changes and ensure safety. D. Observe the client for 1 hr after meals: Post-meal observation helps prevent purging behaviors, such as self-induced vomiting or misuse of laxatives. This intervention directly addresses the core pathology of bulimia nervosa and supports safety and behavioral modification strategies.

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