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


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

• Frequent vomiting causes hypertrophy of the parotid glands and puffy cheeks. Edema is often noted.

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

• Incorrect: Hypotension can occur due to dehydration and electrolyte imbalances.

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

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