The nurse is developing a plan of care for a 16-year-old client with bulimia nervosa. Which interventions would be included in the plan of care? (Select all that apply.)

Choice A reason: Monitoring after meals reduces opportunities for purging behaviors such as vomiting or excessive exercise, which are common in bulimia nervosa. Choice B reason: Electrolyte disturbances, particularly hypokalemia, are common due to vomiting and laxative abuse. Ongoing assessment is critical for patient safety. Choice C reason: Continuing laxative use perpetuates the disorder and poses health risks such as dehydration and bowel damage. This is contraindicated. Choice D reason: Food diaries are sometimes used in therapy to help patients increase awareness of eating patterns. Outright prohibition may remove a useful therapeutic tool unless misused. Choice E reason: Patients with bulimia may attempt to conceal evidence of binge eating. Being attentive to hidden or discarded wrappers is an important part of monitoring.