The nurse is caring for several clients who have eating disorders. Based on appearance, how would th...

The nurse is caring for several clients who have eating disorders. Based on appearance, how would the nurse distinguish bulimic clients from anorectic clients?

A.By their teeth.
B.By body size and weight.
C.By looking for Mallory-Weiss tears.
D.The clients are indistinguishable upon physical examination.

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参考答案: B

参考解析: Behaviors of the anorectic client and the bulimic client are commonly similar, especially because both implement rituals to lose weight; however, the bulimic client tends to eat much more, due to the binge episodes, and therefore can be near-normal weight. Not all persons with the purge disorder have loss of enamel on teeth, especially if the disorder has developed recently. Mallory-Weiss tears are small tears in the esophageal mucosa caused by forceful vomiting, but they aren't always present in bulimic clients.

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