An older adult client with unintentional weight loss and a decline in physical health reports to the nurse of skipping meals to save money for prescribed medications. Which action is best for the home health nurse to implement?
Provide budgeting strategies.
Consult with social services.
Call the client's nearest relative.
Alert the adult protection agency.
The Correct Answer is B
A. Provide budgeting strategies. While this can be helpful, it does not address the immediate need for resources and assistance with both medications and food.
B. Consult with social services. Social services can help the client access resources such as food assistance programs, medication assistance programs, and other community resources to ensure the client’s nutritional and medical needs are met.
C. Call the client's nearest relative. This might provide some immediate support, but it is not a comprehensive solution. The relative may not be able to provide the needed resources or may not be in a position to help effectively.
D. Alert the adult protection agency. While this step might be necessary if there is evidence of neglect or abuse, it is not the most appropriate first action in a situation where the client needs assistance with resources.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Clients who are between the ages of 19 and 64-years-old. While adults in this age range do need to maintain good hydration, their water needs are not as increased as those of lactating mothers.
B. Older adult clients who are receiving dialysis twice a week. These clients typically have fluid restrictions to manage fluid balance and prevent complications related to dialysis and kidney function.
C. Adolescent females who are menstruating. Although menstruating females do need to stay hydrated, their water requirements are not as high as those of lactating mothers.
D. Lactating mothers who are breastfeeding. Breastfeeding mothers require significantly more water to support milk production. Increased fluid intake is necessary to replace the fluids lost through breastfeeding and ensure both the mother's and the baby's hydration needs are met.
Correct Answer is B
Explanation
A. Taco salad, refried beans, low-fat ice cream, and coffee. This meal may contain high levels of sodium, particularly in the taco salad and refried beans, which could exacerbate the client's
elevated serum sodium level.
B. Canned cream of mushroom soup, tuna salad, and water. This meal likely has a lower sodium content compared to the other options, as long as the canned cream of mushroom soup is chosen with a low-sodium option. Tuna salad can be prepared with low-sodium ingredients, and water is sodium-free.
C. Chicken salad on toast, fruit-flavored yogurt, and iced tea. Chicken salad and fruit-flavored yogurt can contain hidden sources of sodium, especially if they are commercially prepared or contain added sauces or flavorings. Iced tea may also contain sodium, depending on how it is prepared.
D. Bacon, lettuce, and tomato sandwich, grapes, and skim milk. Bacon is typically high in sodium, which would not be advisable for someone with elevated serum sodium levels. Skim milk and grapes are generally low in sodium, but the sandwich could significantly contribute to the client's sodium intake.
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