Which of the following dietary guidelines would be appropriate for the elderly homebound client with advanced respiratory disease who informs the nurse that she has no energy to eat?
A) Snack on high-carbohydrate foods frequently
B) Eat smaller meals that are high in protein
C) Contact the physician for Ensure
D) Eat one large meal at noon
Ans: B
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The role of the liver in response to glycogen is to
a. decrease blood sugar levels when insulin production is inadequate. b. synthesize amino acids. c. break down the glycogen to glucose to maintain blood sugar levels. d. produce amino acids.
In the United States, which factors determine whether a client requires inpatient rather than outpatient care? (Select all that apply.)
a. Severity of the illness b. Level of dysfunction c. Suitability of the setting for treating the problem d. Anticipated diagnosis e. Level of client cooperation f. Ability to pay
MC A community forum is held to brainstorm improving the community. The forum chairperson is the nurse, who acts as moderator. Many residents attend and offer suggestions. They identify strengths and weaknesses, and discuss how best to develop
a plan of action. They reach a potential consensus on a plan. The forum decides to form a committee to further continue the momentum. Select the characteristics displayed by this forum that are indicative of healthy communities. (Select all that apply.) A. Embrace diversity among residents. B. Assess both needs and assets. C. Foster dialogue among residents to develop a shared vision for the community. D. Promote community leadership that fosters collaboration and partnerships. E. Engage in action based on a shared vision of the community.
An elderly client has no family in the same community, lives alone in a small house, and is having greater difficulty with mobility due to advanced osteoarthritis
Cognitively, this client is alert, is able to manage her own business matters, and does her own cooking, but does not enjoy "cooking for one." The home health nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. The nurse should recommend that the client: 1. See a psychiatrist since the client appears depressed. 2. Check out joint replacement options for the osteoarthritis. 3. Start thinking about long-term care. 4. Consider moving to an assisted living facility.