medium · NCLEX-RN Psychosocial Integrity

A client with bulimia nervosa is found in the bathroom 20 minutes after a meal. The client is diaphoretic, has a heart rate of 118/min, and the nurse smells a faint chemical odor.

What is the nurse's first action?

  1. Search the bathroom for hidden containers of syrup of ipecac
  2. Place the client on a 1:1 observation level immediately
  3. Assess the client's airway and obtain a set of vital signs
  4. Ask the client why they decided to purge despite the treatment plan

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