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 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.

A. Twenty-four hour food recall, preferences, and allergies. B. Body mass index (BMI) and serum albumin level. C. Weight loss history and body surface area (BSA). D. Triceps skin fold and mid-arm circumference.

Correct Answer is B

Explanation

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

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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 has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

Correct Answer is B

Explanation

The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

Correct Answer is B

Explanation

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