Asked by sharon gordon on Apr 25, 2024

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A patient was diagnosed with anorexia nervosa. The history shows the patient virtually stopped eating 5 months ago and lost 25% of body weight. The serum potassium is currently 2.7 mg/dL. Which nursing diagnosis applies?

A) Adult failure to thrive related to abuse of laxatives as evidenced by electrolyte imbalances and weight loss
B) Disturbed energy field related to physical exertion in excess of energy produced through caloric intake as evidenced by weight loss and hyperkalemia
C) Ineffective health maintenance related to self-induced vomiting as evidenced by swollen parotid glands and hyperkalemia
D) Imbalanced nutrition: less than body requirements related to reduced oral intake as evidenced by loss of 25% of body weight and hypokalemia

Anorexia Nervosa

An eating disorder characterized by an abnormally low body weight, an intense fear of gaining weight, and a distorted perception of body weight or shape.

Hypokalemia

A medical condition characterized by lower-than-normal levels of potassium in the bloodstream, which can affect heart and muscular function.

Laxatives

Substances that promote bowel movements and are used to treat or prevent constipation, often by softening stools or increasing their passage through the bowels.

  • Realize and understand the physiological and psychological indicators of eating disorders, namely anorexia nervosa and bulimia nervosa.
  • Understand the criticality and approaches of tracking physiological metrics and complications in patients diagnosed with eating disorders.
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Andriana RuscittoApr 30, 2024
Final Answer :
D
Explanation :
The patient's history and lab result support the nursing diagnosis Imbalanced nutrition: less than body requirements. Data are not present that the patient uses laxatives, induces vomiting, or exercises excessively. The patient has hypokalemia rather than hyperkalemia.