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?

Answer and explanation

The correct answer is Choice C.

Choice A rationale

While ensuring safe drinking water is important during a disaster, it may not be the most important content for a community health nurse to include in a disaster management class in a Gulf Coast town that caters to tourists.

Choice B rationale

Knowing available evacuation routes from the town is crucial during a disaster. However, in a Gulf Coast town that caters to tourists, the most significant threat is likely to be hurricanes.

Choice C rationale

Given the geographical location of the Gulf Coast town, hurricane preparedness for families and businesses is the most important content to include in the class. Hurricanes are a common natural disaster in this area, and being prepared can help reduce the impact of such events.

Choice D rationale

While it’s important to know what actions to take during a tornado, tornadoes are not as common as hurricanes in Gulf Coast towns. Therefore, hurricane preparedness would be more relevant to include in the class.

Answer and explanation The correct answer is D. Choice A rationale

Giving a complete bed bath to further assess the client may not be the most appropriate intervention in this case. The client is semi-conscious and cries out in pain when turned or moved. A complete bed bath could potentially cause unnecessary discomfort and distress.

Choice B rationale

Removing the fentanyl patch as directed by prescription may not be the best course of action. Fentanyl is a powerful opioid used to manage severe pain. The client’s parents report that their child cries out in pain when turned or moved, suggesting that the client is experiencing significant pain. Removing the fentanyl patch could potentially exacerbate the client’s pain.

Choice C rationale

Calling for ambulance transportation to the hospital immediately may not be necessary at this time. The client’s vital signs are stable, and there is no indication of an immediate medical emergency based on the information provided.

Choice D rationale

Discussing end-of-life decisions with the client’s parents is the most appropriate intervention. The client is semi-conscious, sleeps most of the time, and is in significant pain. These symptoms suggest that the client’s condition is deteriorating. It is important to have conversations about end-of-life care preferences and decisions to ensure that the client’s wishes are respected and that the parents are prepared.