An adolescent teen has bulimia. Which assessment finding should the nurse expect to assess?
a. Diarrhea
b. Amenorrhea
c. Cold intolerance
d. Erosion of tooth enamel
ANS: D
Some of the signs of bulimia include erosion of tooth enamel, increased dental caries from vomited gastric acid, throat complaints, fluid and electrolyte disturbances, and abdominal complaints from laxative abuse. Diarrhea is not a result of the vomiting. It may occur in patients with bulimia who also abuse laxatives. Amenorrhea and cold intolerance are characteristics of anorexia nervosa, which some bulimics have. These symptoms are related to the extreme low weight.
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