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.

Answer and Explanation

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.

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Correct Answer is A,D,B,C

Explanation

A. Clear liquid. Clear liquids are the first step in advancing the diet after a period of nothing by mouth (NPO). They are easy to digest and help prevent dehydration.
D. Full liquid. Full liquids are the next step after clear liquids and include liquids and foods that are smooth and easily poured or formed into a liquid at room or body temperature. Examples
include milk, yogurt, and cream-based soups.

B. Pureed. Pureed foods are soft and smooth, requiring minimal chewing. They are often recommended for individuals who have difficulty swallowing or have undergone oral or facial surgery.
C. Mechanical soft. Mechanical soft foods are semi-solid and easily mashed or broken down with a fork. They are suitable for individuals with difficulty chewing or swallowing but can tolerate more texture than pureed foods.

A. Caloric intake between 800 and 1,000 kcal per day. B. Fat intake between 20 to 30 percent of total daily intake. C. A three to five lb (2.3 kg) weight loss per week. D. Maintain a cholesterol level between 225 mg/dL (5.8 mmol/L) and 240 mg/dL (6.2 mmol/L).

Correct Answer is C

Explanation

A. Caloric intake between 800 and 1,000 kcal per day. This caloric intake range is very low and may not provide sufficient nutrients for health and well-being. It is not appropriate for most
individuals and could lead to nutritional deficiencies and other health problems.

B. Fat intake between 20 to 30 percent of total daily intake. While monitoring fat intake can be part of a weight loss program, focusing solely on fat intake without considering overall caloric intake and other dietary factors may not be effective for weight loss.
C. A three to five lb (2.3 kg) weight loss per week. This goal is reasonable and achievable for

individuals who are approximately fifteen percent over their ideal weight. It represents a gradual and sustainable rate of weight loss that can lead to long-term success.
D. Maintain a cholesterol level between 225 mg/dL (5.8 mmol/L) and 240 mg/dL (6.2 mmol/L).

While managing cholesterol levels is important for cardiovascular health, it is not directly related to weight reduction goals. This option is not appropriate for a weight loss teaching program.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Correct Answer is A,D,B,C

Explanation

The nurse is planning a weight reduction teaching program to be implemented at a community health center. Which goal is best for clients who are approximately fifteen percent over their ideal weight and wish to participate in the weight loss program?

Correct Answer is C

Explanation

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