A teenage girl is admitted due to anorexia nervosa. Which of the following statements, if made by the client, should the nurse be most concerned about?
  1. “I’m getting fatter and fatter each day.”
  2. “I missed my menstrual period again this month.”
  3. “My gums were bleeding.”
  4. “I’m too weak to move around.”
Explanation
Answer: D - A client with anorexia complaining of weakness is indicative of fluid volume deficit, which is the nurse’s immediate concern. Options A, B and C are usually seen in clients with anorexia. These clients should be followed up, but they are not a priority.
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