Author Question: Which physical finding will lead the nurse to suspect that the client has bulimia nervosa? 1. ... (Read 74 times)

Alygatorr01285 · **on:** Jul 19, 2018

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

Question 2

The nurse caring for a patient with a feeding and eating disorder knows that which diagnostic features differentiate anorexia nervosa from bulimia nervosa? Select all that apply.

1. Brain atrophy
2. Alterations in metabolism
3. Alterations in brain structure
4. Alterations in neurochemistry
5. Risk genes on chromosomes 1, 4, and 10

courtney_bruh · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

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.

Answer to Question 2

Answer: 2, 3, 4
Explanation: Patients with bulimia nervosa have shown brain atrophy in imaging studies, whereas patients with anorexia nervosa show alterations in brain structure, metabolism, and neurochemistry. The molecular genetic studies of both anorexia nervosa and bulimia nervosa patients identify chromosomal genes and regions that contribute to risk of developing eating disorders on chromosomes 1, 4, and 10.