A nurse is collecting data from an older adult client who has chronic obstructive pulmonary disease (COPD), arthritis, cataracts, and a BMI of 18.5. Which of the following findings should the nurse identify as a potential barrier to the client's nutritional goal? (Select All that Apply.)
The client relies on the public transit system for transportation
The client's adult child visits several times a week.
The client receives supplemental nutrition assistance
Diet restrictions to manage the client's condition
The client potential mobility impairment because of arthritis.
Correct Answer : A,D,E
Rationale:
A. Relying on public transit can limit the client’s ability to obtain groceries and attend medical or nutrition appointments, creating a barrier to adequate nutrition.
B. Having an adult child visit is a source of support and does not represent a barrier; it may help the client meet nutritional goals.
C. Receiving supplemental nutrition assistance increases access to food resources and is not a barrier.
D. Dietary restrictions for chronic conditions are part of the treatment plan and guide appropriate intake; they do not inherently prevent the client from meeting nutritional goals.
E. Mobility impairment from arthritis can make cooking, shopping, and feeding difficult, creating a significant barrier to proper nutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Decreased urinary output is not a compensatory response; it may indicate dehydration or renal dysfunction.
B. Increased respiratory rate is a compensatory mechanism. The low bicarbonate (HCO₃⁻ 18 mEq/L) indicates metabolic acidosis, and the body compensates by increasing ventilation to lower PaCO₂ and help normalize pH.
C. Peripheral edema is not a compensatory response to acid-base imbalance; it relates to fluid retention or cardiac issues.
D. Hypertension is unrelated to acid-base compensation; it may be present due to other comorbidities but is not a compensatory mechanism.
Correct Answer is A
Explanation
Rationale:
A. Kussmaul respirations are deep, rapid breathing that occur as a compensatory mechanism in metabolic acidosis (commonly seen in diabetic ketoacidosis). The body attempts to blow off excess CO₂ to reduce acidity.
B. Peripheral edema is not a feature of metabolic acidosis; it is usually related to fluid overload or right-sided heart failure.
C. Hypertension is not an expected finding; in fact, metabolic acidosis may be associated with hypotension due to vasodilation and dehydration in diabetic ketoacidosis.
D. Bradycardia is not typical; severe acidosis may cause arrhythmias, but tachycardia is more common initially as the body compensates.
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