A nurse is interested in studying the incidence of infant death in a particular city and wants to compare that city's rate to the state's rate. Which state resource should the nurse select to gather this information?

A. The Senior Citizen Center: The Senior Citizen Center is a resource that offers a variety of services to older adults, including social activities, meal programs, and support services. Given the client's recent weight loss and living alone, referring them to the Senior Citizen Center could provide access to resources and support that might help address potential underlying issues such as social isolation or inadequate nutrition.

B. The Social Security Administration office: The Social Security Administration (SSA) office handles matters related to social security benefits, such as retirement, disability, and survivor benefits. While important, it does not provide the kind of immediate support and services related to the client's weight loss and daily needs.

C. The Adult Day Care Center: The Adult Day Care Center provides daytime care and activities for older adults who need supervision or assistance during the day. Since the client drives and lives alone, this may not be the most appropriate referral unless there are additional concerns about daily supervision or care needs.

D. The Women, Infant, and Children (WIC) office: The WIC program provides nutrition assistance to low-income pregnant women, new mothers, and young children. It is not relevant for older adults, so this would not be the appropriate agency for addressing the client’s needs related to weight loss.

A. Renal insufficiency: While annual screening for renal insufficiency is important for individuals with diabetes to detect early signs of diabetic nephropathy, it is not as directly related to the immediate risks associated with smoking and family history of heart disease.

B. Peripheral neuropathy: Screening for peripheral neuropathy is essential for diabetes management, but it is not the most critical in the context of the client's smoking history and family history of early heart disease.

C. Hyperlipidemia: Given the client’s significant risk factors—including smoking two packs of cigarettes daily and a family history of early cardiovascular events—it is crucial to screen for hyperlipidemia. Smoking and a family history of early heart attack both increase the risk of cardiovascular disease, which is often associated with high cholesterol levels. Addressing hyperlipidemia can help mitigate the risk of cardiovascular complications.

D. Retinopathy: Screening for diabetic retinopathy is important for managing diabetes and preventing vision problems. However, in the context of the client's smoking and family history, addressing hyperlipidemia is a more immediate concern related to cardiovascular health.