A client admitted with anorexia nervosa should be assessed for which physical finding often seen in severe malnutrition?

• A. Lanugo type hair on body
• B. Jaundice
• C. Peripheral edema
• D. Finger clubbing

Answer: (B)

When malnutrition becomes severe, the liver often bears the load of changed metabolism. Fat can accumulate in liver cells (hepatic steatosis) and bilirubin processing can be impaired, leading to cholestasis and elevated bilirubin. This manifests as jaundice, a yellowing of the skin and eyes, and sometimes dark urine. In a client with anorexia nervosa, jaundice thus signals hepatic involvement that requires careful assessment and monitoring. While other findings like lanugo hair and edema are common in severe malnutrition, jaundice specifically points to liver/biliary system changes that can have serious implications for treatment and safety, making it a notable finding to assess for in this context.