medium · NCLEX-RN psychosocial

The nurse is caring for a client with bulimia nervosa who uses ipecac syrup to induce vomiting.

Which assessment finding is the most critical indicator of ipecac-induced toxicity?

  1. Hyperactive bowel sounds in all four quadrants
  2. Decreased exercise tolerance and new-onset peripheral edema
  3. Calluses on the dorsal surface of the hand (Russell's sign)
  4. Visible dental caries and loss of tooth enamel

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