A client with bulimia nervosa is likely to exhibit which of the following manifestations?

• A. Increased blood pressure
• B. Increased number of dental caries
• C. Increased bleeding with menstruation
• D. Increased potassium level

Answer: (B)

Bulimia nervosa often involves repeated self-induced vomiting, which exposes the teeth to highly acidic gastric contents. Over time this acid erodes the enamel and promotes dental decay, so an increased number of dental caries is a common dental manifestation in these patients. The other options don’t fit as well: vomiting and purging typically do not raise blood pressure and are more likely to contribute to electrolyte disturbances such as low potassium and metabolic alkalosis rather than higher potassium levels. Heavy menstrual bleeding isn’t a typical feature, and many individuals with bulimia experience irregular or absent menses due to nutritional and hormonal changes.