NCLEX-PN

Category - Psychosocial Integrity

The nurse is caring for a 15-year-old client with a diagnosis of bulimia nervosa. Which of the following is the most important action of the nurse?
  1. Emphasize to the client about the complications of inadequate nutrition
  2. Weigh the client daily, before breakfast
  3. Offer foods low in calories and protein
  4. Observe the client within 2 hours after each meal
Explanation
Answer: D - The most important action of the nurse when caring for a client with bulimia is to observe and monitor the client within 1 to 2 hours after each meal. Clients with bulimia induce vomiting after eating to prevent weight gain. If underweight, the client must be offered foods high in calories and protein. The other options are not appropriate.
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