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.
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