Frequent vomiting causes tenderness and swelling of the parotid glands. The reduced metabolism that occurs with severe weight loss produces bradycardia and cold extremities

Nurse Sofia is assessing a 15-year-old female who’s being admitted for treatment of anorexia nervosa. Which clinical manifestation is the nurse most likely to find?
a. Tachycardia
b. Warm, flushed extremities
c. Parotid gland tenderness
d. Coarse hair growth.

Answer C.
Frequent vomiting causes tenderness and swelling of the parotid glands. The reduced metabolism that occurs with severe weight loss produces bradycardia and cold extremities. Soft, downlike hair (called lanugo) may cover the extremities, shoulders, and face of an anorexic client.
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