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. A client who has rubella may be at risk for acquiring varicella from the client with herpes zoster.
B. A client who has had varicella is immune to varicella and is not at risk for acquiring herpes zoster from the client.
C. A client who is HIV-positive may be at risk for acquiring varicella from the client with herpes zoster.
D. A client who has tuberculosis may be at risk for acquiring varicella from the client with herpes zoster.
Correct Answer is A,D,B,C,E
Explanation
A. Unlock and remove the inner cannula is the first step because it allows access to the inner cannula for cleaning.
B. Scrub the inside and outside of the inner cannula with a small brush is the third step because it removes debris and secretions from the inner cannula.
C. Wipe the inside of the inner cannula with a folded pipe cleaner is the fourth step because it further cleans the inner cannula.
D. Pour 2.54 cm (1 in) of 0.9% sodium chloride solution into the sterile basin is the second step because it provides the solution for cleaning the inner cannula.
E. Cleanse the stoma site with 0.9% sodium chloride solution is the final step because it cleans the stoma site before replacing the inner cannula.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.