A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?
The client verbalizes regret about never marrying.
The client has poorly fitting dentures.
The client has no living family.
The client is sedentary throughout most of the day.
The Correct Answer is D
Rationale:
A. While the client's feelings about never marrying are important, they do not represent an immediate health risk or safety concern.
B. Poorly fitting dentures can affect the client's quality of life and ability to eat, but they do not represent an immediate health risk or safety concern.
C. While having no living family can be a social concern, it does not represent an immediate health risk or safety concern.
D. The client being sedentary throughout most of the day is a risk factor for numerous health problems, including cardiovascular disease, obesity, and decreased mobility. It is also a modifiable risk factor that can be addressed to improve the client's health and quality of life. Encouraging the client to engage in regular physical activity is a priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
Explanation
A. Despite the client reporting thirst and frequent urination, the client's urine specific gravity of 1.010 is within the normal range (1.005 to 1.030). The above symptoms could be associated with the hyperglycemia.
B. There is no indication of a pneumothorax in the nurse's notes or diagnostic results.
C. The casual glucose level of 300 mg/dL is significantly above the normal range (less than 200 mg/dL), indicating hyperglycemia.
D. The client’s WBC level is elevated, 11,500/mm3 (5,000 to 10,000/mm3) thus indicating an infection.
Correct Answer is D
Explanation
Rationale:
A. Tortuous veins are a common finding in clients with deep-vein thrombosis and may not require immediate reporting.
B. Clammy skin may be a sign of poor circulation but is not specific to deep-vein thrombosis and may not require immediate reporting.
C. Bradycardia is not typically associated with deep-vein thrombosis and may not require immediate reporting.
D. Calf swelling is a common sign of deep-vein thrombosis and should be reported to the provider immediately.
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