NCLEX RN Practice Question # 573

NCLEX Examination.

Practice Question # 573.


 

Nclex

 

Anorexia nervosa (overview)

Description

  • Onset often is associated with a stressful life event.
  • The client intensely fears obesity.
  • Body image is distorted, and the client has a disturbed self-concept.
  • The client is preoccupied with foods that prevent weight gain and has a phobia against foods that produce weight gain.
  • The eating disorder can be life-threatening.
  • Death can occur from starvation, suicide, cardiomyopathies, or electrolyte imbalance.

Symptoms

Assessment

  • Refusal to eat and appetite loss
  • Appetite denial
  • Feelings of lack of control
  • Self-induced vomiting and self-administered enemas
  • Compulsive exercising
  • Overachiever and perfectionist
  • Decreased temperature, pulse, and blood pressure
  • Weight loss
  • Gastrointestinal disturbances
  • Constipation
  • Electrolyte imbalances
  • Scaly, dry skin
  • Presence of lanugo on extremities
  • Sleep disturbances
  • Hormone deficiencies
  • Amenorrhea for at least three consecutive
  • menstrual periods
  • Teeth and gum deterioration
  • Cyanosis and numbness of extremities
  • Esophageal varices from vomiting
  • Bone degeneration

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