A teenage female has been admitted for complications resulting from bulimia nervosa. She has abused laxatives for many years and has been self-inducing vomiting since the age of 9
The nurse's admission assessment should pay close attention to which of the following complications that can arise from this disorder? Select all that apply. Assess for
A)
dry, cracked lips and poor skin turgor.
B)
missing tooth enamel and increased number of dental cavities.
C)
painful swallowing and stomach cramping related to reflux and esophagitis.
D)
fruity breath and labored, deep, gasping respirations.
E)
jaundice of the skin and eyes.
Ans:
A, B, C
Feedback:
Distracters A, B, and C are associated with complications of bulimia nervosa. Answer choice A relates to dehydration/fluid volume deficit; answer choice B relates to dental abnormalities associated with high acid content of the vomitus; answer choice C relates to esophagitis. Answer choice D is indicative of DKA primarily caused by undiagnosed or undertreated diabetes. Jaundice of the skin and eyes is usually associated with liver disease.
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