The nurse is assessing a 15-year-old girl who has been admitted for bulimia nervosa. Which clinical manifestation is the nurse most likely to find?

Parotid gland tenderness

Explanation

•Frequent vomiting causes hypertrophy of the parotid glands and puffy cheeks.

•Bulimia nervosa is characterized by binge eating, inappropriate compensatory behavior to prevent weight gain, and excessive concern about body weight.

•Brittle hair and hair loss are common due to malnutrition and starvation.

•Hypotension can occur due to dehydration and electrolyte imbalances.

•Metabolic alkalosis can occur from the loss of stomach acid.

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