A client with an active history of bulimia nervosa is being evaluated for anemia. Which is the most likely cause for this finding?
A) Petechial hemorrhage of the conjunctiva
B) Pharyngeal irritation and erosion
C) Overuse of diuretics
D) Swollen parotid glands
B
Feedback:
Repetitive regurgitation of gastric acids due to self-induced vomiting and use of emetics can cause pharyngeal irritation and erosion resulting in esophageal hemorrhage. Petechial hemorrhage of the conjunctiva can occur from forced vomiting but not significant for anemia. Overuse of diuretics is not significant for blood loss. Swollen parotid glands may be present with bulimia but not significant for anemia.
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