The nurse knows that, if left untreated, the patient with bulimia nervosa is at risk for which priority nursing diagnosis?
1. Fatigue
2. Powerlessness
3. Risk for injury
4. Coping, Ineffective
Answer: 3
Explanation: Purging fulfills the need for self-control, power, and relief from tension. These needs are ways that the patient with bulimia nervosa ineffectively copes with stressors and their feelings. The body may become fatigued from the biological stress, but the priority diagnosis would be a risk for injury because the patient is unable to control the binge and purge cycles independently, and this may increase risk for injury in a number of areas, including cardiovascular issues, gastrointestinal illness, and damage to tooth enamel.
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