Which physical finding will lead the nurse to suspect that the client has bulimia nervosa?
1. Sunken eyes
2. A skeletal appearance
3. Abrasions and calluses on the knuckles
4. Lanugo growth on face and extremities
Answer: 3
Explanation: Physical findings of a patient with bulimia nervosa include abrasions and calluses on the knuckles, called Russell's sign, from self-inducing vomiting. Sunken eyes, skeletal appearance, and lanugo growth are more commonly related to anorexia nervosa.
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