A nurse assesses an older adult client who lives alone and is unable to drive a vehicle. Which of the following assessment areas of the nutritional history will most likely impact the client's nutritional status?

Accessibility

Food preparation

Food preferences

Finances

Answer and Explanation

The Correct Answer is A

A) Accessibility:

Accessibility refers to the client's ability to obtain food, which is crucial for nutritional status, especially for someone who lives alone and cannot drive. Difficulty in accessing grocery stores or markets can limit the variety and availability of nutritious food options, potentially leading to poor nutritional intake.

B) Food preparation:

Food preparation skills are important, but if the client has difficulty accessing food in the first place (due to transportation limitations), their ability to prepare meals becomes secondary. Accessibility to food sources is a more immediate concern for nutritional status.

C) Food preferences:

While food preferences can influence dietary choices, the ability to access food is a more fundamental issue that directly impacts nutritional intake, especially for someone who lives alone and has limited mobility.

D) Finances:

Financial constraints can certainly affect food choices and access to nutritious options. However, in this scenario, the primary concern is the physical accessibility to food sources, which directly impacts the client's ability to maintain adequate nutrition.

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Correct Answer is A

Explanation

A. 20 represents the distance you are placed from the chart and 40 represents the distance a normal eye reads the chart:

This is correct. The first number (20) represents the distance in feet the patient is from the Snellen chart. The second number (40) indicates the distance at which a person with normal vision can read the same line. Therefore, 20/40 means that what the patient can read at 20 feet, a person with normal vision can read at 40 feet.

B. 20 represents the distance a normal eye can read and 40 represents the distance your eye reads the chart:

This is incorrect. The first number should represent the distance the patient is from the chart, not the normal eye's reading distance.

C. 20 represents the distance you are placed from the chart and 40 represents the distance your eye reads the chart:

This is incorrect. While the first number is correct (the distance from the chart), the second number should represent the distance a person with normal vision can read the same line, not the patient's distance.

D. 40 represents the distance you are placed from the chart and 20 represents the distance a normal eye reads the chart:

This is incorrect. The standard for visual acuity measurements is that the first number represents the testing distance (usually 20 feet), and the second number represents the distance at which a normal eye can read the line.

A. "Let's discuss your risk factors for heart disease." B. "We should review the amount of protein in your diet." C. "Waist circumference can vary over the course of the day." D. "You probably have a vitamin deficiency."

Correct Answer is A

Explanation

A) "Let's discuss your risk factors for heart disease.":

A waist circumference of 43 inches (109 cm) in a male is considered elevated and indicates central obesity, which is a significant risk factor for cardiovascular diseases, including heart disease, hypertension, and type 2 diabetes. Addressing this finding by discussing risk factors for heart disease is appropriate and necessary for preventive healthcare.

B) "We should review the amount of protein in your diet.":

While diet is important, protein intake is not directly related to waist circumference. The primary concern with a large waist circumference is the associated risk of metabolic and cardiovascular conditions, rather than specific macronutrient consumption.

C) "Waist circumference can vary over the course of the day.":

Though there can be minor variations in waist circumference throughout the day due to factors like fluid retention or meals, a measurement of 43 inches is significantly above the threshold indicating central obesity. This warrants a discussion about health risks rather than focusing on daily fluctuations.

D) "You probably have a vitamin deficiency.":

Vitamin deficiencies are not directly indicated by waist circumference measurements. This statement is not appropriate given the finding, as the primary concern with a large waist circumference is its association with increased risk of chronic diseases rather than nutrient deficiencies.

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A nurse assesses an older adult client who lives alone and is unable to drive a vehicle. Which of the following assessment areas of the nutritional history will most likely impact the client's nutritional status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a complete physical examination on a patient. After examining the patient with the Snellen chart, the nurse documented distance vision in both eyes 20/40. The patient asks the nurse what 20/40 means:

Correct Answer is A

Explanation

The nurse measures a male client's waist circumference as 43 inches (109 cm). Which statement is most appropriate for the nurse to make given this finding?

Correct Answer is A

Explanation

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