A nurse is collecting data from an older adult client who lives alone. Which of the following findings should the nurse identify as the priority?
The client verbalizes regret about never marrying.
The client has poorly fitting dentures.
The client has no living family.
The client is sedentary throughout most of the day.
The Correct Answer is D
Rationale:
A. While the client's feelings about never marrying are important, they do not represent an immediate health risk or safety concern.
B. Poorly fitting dentures can affect the client's quality of life and ability to eat, but they do not represent an immediate health risk or safety concern.
C. While having no living family can be a social concern, it does not represent an immediate health risk or safety concern.
D. The client being sedentary throughout most of the day is a risk factor for numerous health problems, including cardiovascular disease, obesity, and decreased mobility. It is also a modifiable risk factor that can be addressed to improve the client's health and quality of life. Encouraging the client to engage in regular physical activity is a priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Clamping the tube when going for a walk is not recommended because it can cause urine to back up into the bladder.
B. Keeping the drainage bag below the level of the waist is recommended to prevent reflux of urine and reduce the risk of infection.
C. Emptying the drainage bag once a day may not be frequent enough to prevent urinary stasis and infection.
D. Applying antiseptic ointment to the tip of the penis is not recommended because it can cause irritation and discomfort.

Correct Answer is B
Explanation
Rationale:
A. Holding an object away from the body may increase the strain on the back muscles and increase the risk of injury.
B. Tightening the abdominal muscles helps provide support for the back and reduces the risk of injury.
C. Bending at the waist can strain the back muscles and increase the risk of injury. The correct technique is to bend at the knees and hips while keeping the back straight.
D. Keeping legs straight while lifting can increase the strain on the back muscles and increase the risk of injury. The correct technique is to bend at the knees and hips while keeping the back straight.
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