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. Positioning the client in high-Fowler’s improves ventilation but is not the highest priority in reversing bronchospasm.
B. Administering a nebulized beta-adrenergic (e.g., albuterol) is the highest priority because it rapidly relaxes bronchial smooth muscle, relieves airway obstruction, and improves airflow.
C. Providing rest is supportive but does not address the immediate airway compromise.
D. Oxygen therapy may be needed, but it does not relieve bronchospasm; bronchodilator administration takes priority in an acute asthma attack.
Correct Answer is C
Explanation
Rationale:
A. Improvement with antihistamines is characteristic of allergic asthma, not nonallergic asthma.
B. Symptoms triggered by pollen exposure indicate allergic asthma.
C. Wheezing and shortness of breath during exercise is a hallmark of nonallergic (exercise-induced) asthma, which is triggered by physical activity rather than allergens.
D. Symptoms occurring only during spring and fall are linked to seasonal allergic asthma, not nonallergic asthma.
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