What findings support hospitalization for a client with an eating disorder?

Hospitalization for a client with an eating disorder is often indicated when there are significant physiological disturbances that pose a risk to the individual's health. The finding of blood pressure readings showing 88/68 sitting and 78/64 standing indicates hypotension and suggests possible orthostatic changes, which can be serious symptoms of dehydration or electrolyte imbalances often seen in individuals with eating disorders. These signs signify that the client is at risk for severe complications, including cardiovascular events, and therefore, inpatient treatment is warranted to ensure close monitoring and intervention.

In contrast, a stable heart rate of 80 bpm, a normal body temperature of 98.6°F (37°C), and normal ECG results suggest no acute physiological compromise. These findings are not indicative of the kinds of critical state that would necessitate hospitalization, as they do not show evidence of life-threatening conditions or deterioration in health that would require intensive medical support.