Question

For a client who has bulimia nervosa, repeated vomiting erodes tooth enamel and predisposes the teeth to caries. Thus, the nurse should teach the guardians that regular dental checkups are important for a client who has bulimia nervosa

Nurse's Notes
The client reports a history of anxiety; diagnosed with Alzheimer's disease 2 months ago. The client's partner died 6 months ago. Reports decreased appetite, low energy levels, and insomnia for several weeks; some memory loss.
Graphic Results
SaO2 96% on room air
Respiratory rate 20/min
Blood pressure 112/76 mm Hg (lying)
Blood pressure 104/68 mm Hg (standing)
Heart rate 68/min
Temperature 36° C (96.8° F)
Medication Administration Record
Captopril 12.5 mg by mouth three times daily
Digoxin 0.125 mg by mouth each morning
Multivitamin with iron one by mouth daily
Docusate sodium 50 mg by mouth each evening
A) Use a screening tool to evaluate the client for depression.
B) Ask the provider to decrease the dosage of the client's blood pressure medication.
C) Instruct the client to decrease intake of vitamin B12.
D) Suggest the client go for a brisk walk 20 min just before bedtime.

Answer 1

Bulimia nervosa can lead to serious health issues, including electrolyte imbalance and dental problems, making regular dental checkups important for patient care.

Step-by-step explanation:

People with bulimia nervosa often suffer from the effects of repeated vomiting, which may include electrolyte imbalance, heart issues, and dental erosion. Regular dental checkups can help manage the risk of tooth decay resulting from the acidic damage to tooth enamel. Proper management of these symptoms, along with addressing mental health issues like anxiety and depression, are critical for patients with bulimia nervosa.