A 16-year-old girl presents with peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Her weight has fluctuated between 96 and 128 pounds over the past year. The nurse suspects the girl is suffering from
Rationale: Signs and symptoms of bulimia nervosa include peptic ulcers, constipation, low self-esteem, irregular menstrual cycle, and dental erosion. Gastric reflux, electrolyte imbalance, swollen salivary glands, and depression may also be seen. A client with bulimia nervosa may have a normal weight, but can also be underweight or overweight depending on diet, exercise, and binge habits.