When teaching a patient with binge-purge bulimia, the nurse should give priority to 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 patient can self-diagnose potassium deficiency and adjust the diet or seek medical assistance. Daily weight gain may not be desirable for a patient with bulimia nervosa. Self-esteem is an identifiable problem but is of lesser priority than the risk for hypokalemia.
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