A client with anorexia nervosa is admitted with dizziness, h… | MyMerci
Mental Health ConceptsPSI
Question
A client with anorexia nervosa is admitted with dizziness, heart rate 44/min, and potassium 2.8 mEq/L. Which concern is the priority?
1Selecting a preferred meal tray
2Encouraging group recreation immediately
3Discussing long-term career goals
4Risk for cardiac dysrhythmia from electrolyte imbalance✓ Correct answer
Explanation
Severe bradycardia and hypokalemia in anorexia nervosa create immediate risk for cardiac dysrhythmia. Physiologic stabilization is the priority before long-term psychosocial goals. Nutrition planning is important but must occur with medical safety monitoring.
In-depth explanation
Clinical Judgment Eating disorder care begins with medical stability when vital signs and electrolytes are dangerous.
Memory Tip Low potassium plus bradycardia: protect the heart.
Clinical scenario
Clinical Practice Guide Anorexia nervosa hospitalization focuses on cardiac monitoring, electrolytes, nutrition rehabilitation, refeeding risk, and psychiatric care.
Caution Refeeding must be monitored because electrolyte shifts can be dangerous.
Key concepts
Anorexia Nervosa — An eating disorder involving restriction, low weight, and fear of weight gain or body image disturbance.
Bradycardia — A slower-than-expected heart rate.
Electrolyte Imbalance — Abnormal levels of minerals such as potassium that affect organ function.