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

Explanation

A. Call the healthcare provider to clarify if the client may have ice cream as requested. Ice cream is not a clear liquid and may not be appropriate for a client scheduled for surgery. The nurse should clarify the client's dietary restrictions with the healthcare provider before providing ice cream.
B. Offer to prepare a chocolate-flavored liquid nutritional supplement poured over ice. While this option may provide some chocolate flavor, it may not satisfy the client's request for ice cream.
Additionally, the nurse should confirm with the healthcare provider before offering any alternative to the prescribed clear liquid diet.
C. Provide the chocolate ice cream after determining the presence of bowel sounds. This action does not address the appropriateness of ice cream for a clear liquid diet before surgery. The nurse should clarify with the healthcare provider before providing ice cream.
D. Explain that a popsicle or a cup of gelatin can be provided rather than ice cream. While popsicles and gelatin are clear liquids and may be appropriate for the client's clear liquid diet, this option does not address the client's specific request for chocolate ice cream. The nurse should clarify with the healthcare provider before providing any alternatives.

A. Cheese products. B. Egg white products. C. Soybean products. D. Shellfish products.

Correct Answer is C

Explanation

A. Cheese products. Vegans do not consume any animal products, including dairy, so cheese products are not suitable for a vegan diet.
B. Egg white products. Vegans avoid all animal-derived foods, including eggs, so egg white products are also not suitable.
C. Soybean products. Soybeans are a versatile plant-based protein source that can be used in various forms such as tofu, tempeh, and edamame. These products are essential in a vegan diet as they provide a good source of protein and other nutrients that might otherwise be lacking.
D. Shellfish products. Vegans do not consume any animal products, including shellfish, making this option inappropriate for a vegan diet.

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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 clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

Correct Answer is A

Explanation

The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

Correct Answer is C

Explanation

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