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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Rationale:

A. Ensuring that four fingers fit between the restraint and the client's body is important to prevent injury and discomfort.

B. Applying the belt restraint over the client's gown may lead to slippage and ineffective restraint.

C. Checking the client's skin integrity every 4 hours is important, but it is not specific to the use of a belt restraint.

D. Tying the belt restraint to the side rail of the bed is not appropriate because it can restrict movement and cause injury.

A. Photograph B. Medical diagnosis C. Room number D. Age

Correct Answer is A

Explanation

Rationale:

A. A photograph is a unique identifier that helps ensure the correct client receives the correct medications.

B. A medical diagnosis is not a unique identifier and may not be accurate if the client has multiple diagnoses.

C. A room number is not a unique identifier and may not be accurate if the client has been moved to a different room.

D. Age is not a unique identifier and may not be accurate if the client has multiple ages.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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