While providing health teaching for a client with binge-purge bulimia nervosa, the nurse should

prioritize information about

a. self-monitoring of daily food and fluid intake.
b. establishing the desired daily weight gain.
c. symptoms of hypokalemia.
d. self-esteem maintenance.


C
Hypokalemia results from potassium loss associated with vomiting. Physiological integrity can be
maintained if the client can self-diagnose potassium deficiency and adjust the diet or seek medical
assistance. Option A: This option is not useful if the client purges. Option B: Daily weight gain may
not be desirable for a client with bulimia nervosa. Option D: Self-esteem is an identifiable problem
but is of lesser priority than the risk for hypokalemia.

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