The nurse is providing care to a client who is diagnosed with bulimia. Which clinical manifestations does the nurse anticipate when conducting the physical assessment?
Select all that apply.
A) Increased urine output
B) Hoarseness when speaking
C) Poor skin turgor
D) Low body temperature
E) Elevated blood pressure
Answer: B, C
Physical signs of bulimia nervosa include hoarseness and esophagitis, dental enamel erosion, enlarged parotid glands, abrasions or calluses on knuckles from inducing vomiting, amenorrhea in about 40% of cases, concentrated urine, decreased urine output, hypotension, elevated temperature, poor skin turgor, and weakness. Elevated blood pressure, low body temperature, and increased urine output are not typically found in a client with bulimia.
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