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The nurse should have a plan of care in place before assessing the patient. This includes information on medical history, current health status and any medications being taken. The next step is to assess for signs of dehydration, such as dry mouth or sunken eyes, which can be an indicator that the individual has not been able to keep down food or liquids for some time. Other physical indications are weight loss and muscle wasting due to malnourishment. Signs of depression may also be present with this eating disorder as well as suicidal thoughts or behaviors. Bulimia nervosa can have a negative impact on the body.

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The individual may be at risk for serious damage to their heart, kidneys or esophagus from frequent vomiting and self-induced stomach acid regurgitation that often results in scarring of these organs. In addition, untreated bulimia nervosa can lead to dental problems such as cavities, tooth decay and enamel erosion due to repeated exposure to gastric juices. It is important for an individual with this disorder not only get treatment but also maintain good oral health habits. The client should seek out treatment immediately if they suspect they suffer from bulimia nervosa because it could potentially ruin their physical and mental wellbeing without intervention by those qualified professionals who are trained

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