Which of the following physical findings would lead the nurse to ...

[michelleunicorn]

Which of the following physical findings would lead the nurse to suspect that the client has bulimia nervosa?
 
  1. A skeletal appearance
  2. Lanugo growth on face and extremities
  3. Abrasions and calluses on the knuckles
  4. Sunken eyes

Question 2

In order to improve diet, an eager mental health client bought a juicing machine. The nurse knows that grapefruit juice may interfere with some psychotropic medications.
 
  Upon checking the client's medical records, the nurse finds the client's medication should not cause a problem with including grapefruit juice in the client's diet. The client is probably taking: 1. Antidepressants.
  2. Anticonvulsants.
  3. Atypical antipsychotics.
  4. Benzodiazepines.

[miss_1456@hotmail.com]

Answer to Question 1

3
Rationale: Physical findings 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.

Answer to Question 2

3
Rationale: Grapefruit juice is not contraindicated for atypical antipsychotics. There are commonly used natural medicines that should not be taken in combination with psychotropic medications because they either cancel out the therapeutic effect, potentiate the effects above and beyond what is therapeutic, or cause untoward side effects. Grapefruit juice is contraindicated for some anticonvulsants, antidepressants, and benzodiazepines such as carbamazepine (Tegretol), clomipramine (Anafranil), and buspirone (BuSpar).