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An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone.
To which organization should the parish nurse refer this client?

The Social Security Administration office.

The Senior Citizen Center.

The Women, Infants, and Children office.

The Adult Day Care Center.

Answer and Explanation

The Correct Answer is B

Answer and explanation

The correct answer is Choice B.

Choice A rationale

The Social Security Administration office primarily provides financial support to retirees, disabled individuals, and families of deceased workers. While it might provide some financial assistance to the client, it does not directly address the client’s nutritional needs or potential social isolation.

Choice B rationale

The Senior Citizen Center offers a variety of services to older adults, including meal programs, health and wellness programs, and opportunities for social interaction. This could help address the client’s weight loss and potential social isolation.

Choice C rationale

The Women, Infants, and Children office provides nutritional support to low-income pregnant women, new mothers, and young children. It is not typically a resource for older adults.

Choice D rationale

The Adult Day Care Center provides care and companionship for older adults who need assistance or supervision during the day. While it could provide social interaction for the client, it does not directly address the client’s weight loss.

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Correct Answer is C

Explanation

Answer and explanation

The correct answer is C.

Choice A rationale

Patches of round lesions on both lower legs could be a sign of a skin condition such as ringworm. However, this condition is typically not urgent and can be treated with over-the- counter antifungal creams.

Choice B rationale

Red ring-shaped lesions with normal skin in the center could be a sign of ringworm. While this condition should be treated, it is not typically considered urgent.

Choice C rationale

Itchy, red, scaly patches with blisters that are draining could be a sign of a serious skin infection such as cellulitis. This condition can spread quickly and become serious if not treated promptly, so it should be prioritized for immediate intervention.

Choice D rationale

Several irritated circular bald, flaky scalp patches could be a sign of a scalp condition such as tinea capitis. While this condition should be treated, it is not typically considered urgent.

A. Check the client’s temperature, blood sugar, and urine output. B. Arrange for the client to be transported for laboratory tests and an electrocardiogram (ECG). C. Delegate care of the crying client to an unlicensed assistant. D. Direct the client to the shelter’s nutrition center to obtain water and food.

Correct Answer is D

Explanation

Answer and explanation

The correct answer is Choice D.

Choice A rationale

Checking the client’s temperature, blood sugar, and urine output could be important in certain situations, but in this case, it may not be the most immediate need. The client is wandering and crying, which suggests emotional distress rather than a physical health issue.

Choice B rationale

Arranging for the client to be transported for laboratory tests and an electrocardiogram (ECG) would be an overreaction in this situation. There’s no indication from the client’s behavior that they are experiencing a medical emergency.

Choice C rationale

Delegating care of the crying client to an unlicensed assistant is not the best choice. The client is likely experiencing emotional distress due to the traumatic event, and they would benefit from the care and attention of a trained professional.

Choice D rationale

Directing the client to the shelter’s nutrition center to obtain water and food is the best action in this situation. The client may be dehydrated or hungry, which could be contributing to their distress. Providing for these basic needs can help to calm the client and provide a sense of safety and stability.

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An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone.To which organization should the parish nurse refer this client?

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An older adult client has lost 5 lbs (2.3 kg) since their last check-up a month ago. The client maintains good hygiene, still drives, and lives alone.
To which organization should the parish nurse refer this client?