NursingSprint

✔️ Cardiac status should be addressed first due to the client’s hypokalemia (K⁺ = 2.9 mEq/L), tachycardia (122/min), and weak, thready pulse. These are clear signs of potential cardiac instability, which is the highest priority using the ABC framework (Airway, Breathing, Circulation). Hypokalemia significantly increases the risk of cardiac arrhythmias, which can be life-threatening and require immediate correction. Bulimia nervosa with self-induced vomiting leads to potassium depletion, making cardiac monitoring and electrolyte correction urgent nursing actions.

✔️ Emotional state should be addressed after stabilizing the cardiac condition, as the client reports overwhelming stress, lack of control, tearfulness, trembling, and anxiety. These psychosocial findings suggest the client is in a crisis state, which significantly contributes to the cycle of bingeing and purging. Once physiological safety is ensured, addressing the underlying psychological stressors is essential to begin long-term recovery and reduce disordered eating behaviors.