An outpatient diagnosed with anorexia nervosa has begun refeeding. The client gained 5 pounds in one week. What intervention should the nurse implement initially?

Choice A reason: Increasing the weight gain goal without assessing for complications may be unsafe. Rapid weight gain can signal fluid retention or refeeding syndrome, which requires clinical evaluation before adjusting goals. Choice B reason: Assessing lung sounds and extremities is essential to monitor for signs of fluid overload, edema, or cardiac complications associated with refeeding syndrome. This is the most appropriate initial nursing action. Choice C reason: Negative reinforcement is inappropriate and unethical in the care of clients with eating disorders. It can exacerbate psychological distress and hinder recovery. Choice D reason: Aerobic exercise is contraindicated during early refeeding due to the risk of cardiac strain and energy imbalance. Physical activity should be carefully managed and only introduced under medical supervision.