A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?

"The food is not great, but it is nice not having to do all of my own cooking."

"I don't want to go to the activity room because none of the other residents can hear."

"The staff sometimes have to remind me to use a cane when I walk in the hall."

"When I go out, I've been using public transportation since I can't drive anymore

Answer and Explanation

The Correct Answer is B

Correct answer: B

A. "The food is not great, but it is nice not having to do all of my own cooking.":

This statement acknowledges a minor issue with the food but overall expresses satisfaction with the convenience of not having to cook, indicating some level of acceptance of the transition.

B. "I don't want to go to the activity room because none of the other residents can hear."

This statement suggests a feeling of disconnection or dissatisfaction with the activities available in the assisted living facility. The client may be expressing frustration or a sense of isolation because the other residents cannot hear, which could hinder their ability to engage socially and participate in activities. Difficulty accepting the transition may manifest as resistance or reluctance to participate in aspects of facility life, such as group activities, due to perceived limitations or barriers.

C. "The staff sometimes have to remind me to use a cane when I walk in the hall.":

While this statement may indicate some adjustment to the need for assistance or reminders, it does not necessarily suggest difficulty accepting the transition. Instead, it reflects a willingness to comply with safety recommendations provided by the staff.

D. "When I go out, I've been using public transportation since I can't drive anymore":

This statement acknowledges a change in transportation habits due to inability to drive, which may be a practical adaptation to the client's circumstances rather than a sign of difficulty accepting the transition to assisted living.

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Correct Answer is ["B","E","F"]

Explanation

A. Phosphorous level: While phosphorus is important for bone health, deficiencies are rare in individuals with a normal diet and are not typically associated with osteoporosis.

B. Vitamin D level: Vitamin D is essential for calcium absorption and bone health. Inadequate vitamin D levels can lead to decreased calcium absorption and increase the risk of osteoporosis.

C. Smoking history: Smoking is a risk factor for osteoporosis due to its adverse effects on bone metabolism, but the client is a nonsmoker, so this finding does not apply.

D. Alcohol use: Excessive alcohol consumption is a risk factor for osteoporosis, but the client does not drink alcohol, so this finding does not apply.

E. Activity level: A sedentary lifestyle is a risk factor for osteoporosis. Weight-bearing exercises and physical activity help maintain bone density and strength, reducing the risk of osteoporosis.

F. Lactose intolerant: Lactose intolerance may lead to decreased intake of dairy products, which are a significant source of calcium. Inadequate calcium intake can contribute to decreased bone density and increase the risk of osteoporosis.

A. Check the blood product's compatibility with the client's blood type. B. Prime the client's primary IV tubing with lactated Ringer's. C. Check that the client has a small gauge IV catheter in place. D. Confirm the identity of the client with the blood bank technician.

Correct Answer is A

Explanation

A. Check the blood product's compatibility with the client's blood type: Before administering packed red blood cells (RBCs) or any blood product, it is crucial to ensure that the blood product matches the client's blood type and is compatible. This is done to prevent transfusion reactions and ensure safe administration.

B. Prime the client's primary IV tubing with lactated Ringer's: While it is important to prime the IV tubing with an appropriate solution before starting the transfusion, this action does not directly indicate prior to the start of the infusion.

C. Check that the client has a small gauge IV catheter in place: Having an appropriate size and functioning IV catheter in place is important for administering blood products, but this action does not specifically indicate prior to the start of the infusion.

D. Confirm the identity of the client with the blood bank technician: Confirming the client's identity is an essential step in ensuring that the correct blood product is administered to the correct client. However, this action is typically done before the blood product is prepared and delivered to the client's location, rather than immediately before starting the infusion.

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A community health nurse is visiting an older adult client who recently moved into an assisted living apartment. Which of the following client statements indicates difficulty accepting their transition?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","E","F"]

Explanation

A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin, which of the following actions by the client indicates prior to the start of the infusion?

Correct Answer is A

Explanation

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