An older adult client says to the nurse, "I'm gaining weight around my middle and my legs look like chicken legs." An appropriate response by the nurse to this client is:
1. "Older people often put on weight around the middle, but lose muscle in the legs, making the legs appear thinner. This is normal."
2. "Have you been doing any exercises to slim down your middle?"
3. "This is very unusual. I will let the healthcare provider know."
4. "Let's talk about your diet to see why you're gaining weight around your middle."
1
Rationale 1: Older adults experience a decrease in overall muscle mass and they lose subcutaneous fat in the face forearms and legs; however, there is an increase in fat deposits in the abdomen and hips. This is a normal occurrence in the older adult client.
Rationale 2: While exercise is important for overall health and the client should be encouraged to participate in 30 minutes of exercise on most days, this is a normal occurrence in the older adult and this should be explained to the client.
Rationale 3: This is not an unusual finding in an older adult client. It is not necessary to alert the healthcare provider.
Rationale 4: Excessive calorie intake would lead to weight gain all over the body, not just the middle.
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