Question

A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following intervention should the nurse include in the plan

a.Include a liquid supplement with meals.The nurse should include a liquid supplement for a client who is below their ideal body weight and might not be able to eat solid foods at first or might need the additional nutrition to gain weight.
b.Identify the client's trigger foods.MY ANSWERThe nurse should identify the trigger foods that initiate the client's binge and assist the client to understand their thoughts and behavior that relate to the food.
c.Allow the client at least 1 hr for each meal.The nurse should limit the client's meal times to about 30 min to prevent putting excessive focus on food.
d.Weigh the client at bedtime each day.The nurse should weigh the client immediately after they wake up and void and prior to oral intake. The nurse should weigh the client daily for the first week and then three times per week.

Answer 1

Appropriate interventions for a client with bulimia nervosa include identifying trigger foods and limiting meal times to about 30 minutes to prevent excessive focus on eating, rather than including liquid supplements or weighing the client at bedtime.

Step-by-step explanation:

When updating the plan of care for a client with bulimia nervosa, a nurse should include interventions that directly address the client's eating disorder behaviors and contribute to recovery. It is not appropriate to include a liquid supplement with meals for a client who is above their ideal body weight as they may not need additional nutrition to gain weight. Instead, one appropriate intervention would be to identify the client's trigger foods. This involves helping the client to recognize specific foods that may prompt binge eating episodes and understanding their associated thoughts and behaviors. Weighing the client should be done consistently in the morning after voiding and before eating or drinking to avoid any fluctuations due to meals and fluid intake, rather than at bedtime. Limiting meal times to approximately 30 minutes helps to prevent excessive focus on food, rather than allowing extensive periods for eating.