The nurse is caring for a client newly admitted to the mental health unit with bulimia nervosa.
Which client statement requires immediate follow-up?
The nurse is caring for a client newly admitted to the mental health unit with bulimia nervosa.
Which client statement requires immediate follow-up?
A. “These sores in my mouth hurt."
[11%]
B. “I feel so bloated after eating.”
[7%]
C. “I barely slept at all last night.”
[2%]
D. “I feel really dizzy right now.”
[80%]
Statistics
Subject/Lesson
Subject
Mental Health
Lesson
Mental Health
Client Need
Test Plan
Management of Care
Related Topic
Establishing Priorities
Item Type
Item Type
Analysis
Explanation
Choice D is correct. The physical (basic) needs of the client with a mental health disorder are prioritized over psychosocial needs. Frequent episodes of vomiting and laxative use, common behaviors in individuals with bulimia nervosa, can lead to significant fluid loss and dehydration, and electrolyte imbalance such as hypokalemia. These conditions can be life-threatening if not addressed promptly. Dehydration can also result in dizziness, lightheadedness, and a drop in blood pressure, which can contribute to feeling dizzy.
Choice A is incorrect. This statement indicates physical discomfort related to mouth sores, which should be assessed and addressed. However, it is not suggestive of an immediate safety concern.
Choice B is incorrect. Bloating is a common complaint among individuals recovering from disordered eating as their body adjusts to food intake. While it can cause discomfort and distress, it does not indicate an immediate medical emergency.
Choice C is incorrect. Sleep disturbances are common in individuals with eating disorders due to anxiety, malnutrition, or disrupted routines. However, lack of sleep is not an immediate life-threatening concern and does not require urgent medical intervention.
Related Videos
4 Key Topics
Bulimia Nervosa
32.4 Eating Disorders
Hierarchy of Needs
15.6 Prioritization Part 2
Additional Info
