Eliopoulos Chapter 11- Nutrition and
Hydration
1. Even though a nursing assistant notices that an older patient's oral consumption has been
negative when you consider that being admitted to the care vicinity, the assistant isn't always
concerned considering "older people don't want to eat lots anyway." How must the nurse
respond to this assistant's remark?
A) "That's a delusion truely; older adults have increased caloric and nutritional desires."
B) "Actually, older adults who are unwell require greater calories than younger human beings
do in the course of their healing."
C) "You're right, however it's still critical that we offer vitamin dietary supplements mainly
while a affected person is recovering from an contamination."
D) "Even though it is proper that older human beings do not need pretty as many energy as
more youthful people, they need as many nutrients as you or I." - ANS-Ans: D
Feedback: While caloric want does decrease with age, nutrient necessities are tremendously
consistent throughout the existence span. Older adults do not have improved caloric and
dietary wishes. Older adults who are ill do not always require more energy because the
basal metabolic price declines 2% for every decade of lifestyles. Vitamin and mineral
supplements for older adults are undetermined.
2. A fitness-conscious resident of an assisted living facility is selling the price of fiber to a
fellow resident. Which assertion made with the aid of the resident approximately the benefits
of fiber is correct?
A) Improved bowel interest and extended metabolic price
B) Improved bowel interest and decreased serum cholesterol
C) Improved gastric emptying and prevention of colon most cancers
D) Increased nutrient absorption and reduced glucose tolerance - ANS-Ans: B
Feedback: Fiber is cited to decrease serum ldl cholesterol and sell exact bowel interest. It is
disregarded to improve nutrient absorption or gastric emptying or to increase overall
metabolic rate.
Three. During a domestic go to, the nurse is requested by an older couple if diet and
nutritional dietary supplements can compensate for negative food consumption. What need
to the nurse reply to this question?
A) "Supplements may be beneficial but keep away from people who include calcium."
B) "The risks of extra dosages mean that dietary supplements are exceptional averted
completely."
C) "Supplements ought to be concept of as supplements, not replacements, so it is great no
longer use them."
D) "Vitamin and nutrient supplements can be a beneficial quick-time period dietary degree,
however most effective if they do not interact with prescribed medicines." - ANS-Ans: D
, Feedback: There is a legitimate position for dietary supplements in assembly the nutritional
needs of older adults, however the chance of medication interactions should be taken into
consideration. It could be unnecessary to propose entire avoidance of all supplements or of
these that include calcium.
Four. An older lady asks what she will be able to do to reduce the threat of growing
osteoporosis. What must the nurse reply to this patient?
A) "The key to preventing osteoporosis is to remain bodily lively on a regular foundation."
B) "For girls who've complete menopause, diet D supplements are the excellent shape of
prevention."
C) "The exceptional thing that you could do is to maximize your calcium intake by including
dairy at most food and taking supplements as nicely."
D) "You want to ensure you are getting the encouraged day by day dose of calcium, which
may contain taking dietary supplements at each meal." - ANS-Ans: D
Feedback: Postmenopausal women want to make sure a each day consumption of calcium
of as a minimum 1 g. Supplements can be required. It might be faulty to encourage the
female to eat as tons calcium as feasible given the dangers associated with extra calcium
intake. Neither vitamin D supplementation nor exercising is the number one preventative
measure for the development of osteoporosis.
5. An older affected person with a history of renal failure is admitted with dehydration and
hyponatremia. The nurse identifies which evaluation findings as being constant with the
diagnosis of dehydration? (Select all that practice.)
A) Confusion
B) Shortness of breath
C) Decreased skin elasticity
D) Increased blood urea nitrogen (BUN)
E) Adventitious lung sounds on auscultation - ANS-Ans: A, C, D
Feedback: Confusion, reduced skin elasticity, and expanded BUN are all associated with
dehydration. Adventitious lung sounds and shortness of breath aren't related to dehydration
but instead with overhydration.
6. An older affected person is demonstrating symptoms of dehydration. Which motion must
the nurse initiate first?
A) Minimize meals consumption and maximize fluid consumption
B) Advocate for the initiation of intravenous rehydration
C) Initiate tracking and recording of fluid consumption and output
D) Ask that the doctor order blood work to confirm or rule out dehydration - ANS-Ans: C
Feedback: When dehydration is suspected, the nurse ought to display and report fluid intake
and output. This could probable precede IV rehydration and blood paintings, and minimizing
meals consumption would be an inappropriate action.
7. After receiving new dentures the nurse affords education to an older patient at the use
and their care. Which affected person announcement suggests that coaching about the
dentures has been powerful?
A) "I do now not have to brush and floss my tooth every day."
B) "I think that I'll must get those resized and altered from time to time."
Hydration
1. Even though a nursing assistant notices that an older patient's oral consumption has been
negative when you consider that being admitted to the care vicinity, the assistant isn't always
concerned considering "older people don't want to eat lots anyway." How must the nurse
respond to this assistant's remark?
A) "That's a delusion truely; older adults have increased caloric and nutritional desires."
B) "Actually, older adults who are unwell require greater calories than younger human beings
do in the course of their healing."
C) "You're right, however it's still critical that we offer vitamin dietary supplements mainly
while a affected person is recovering from an contamination."
D) "Even though it is proper that older human beings do not need pretty as many energy as
more youthful people, they need as many nutrients as you or I." - ANS-Ans: D
Feedback: While caloric want does decrease with age, nutrient necessities are tremendously
consistent throughout the existence span. Older adults do not have improved caloric and
dietary wishes. Older adults who are ill do not always require more energy because the
basal metabolic price declines 2% for every decade of lifestyles. Vitamin and mineral
supplements for older adults are undetermined.
2. A fitness-conscious resident of an assisted living facility is selling the price of fiber to a
fellow resident. Which assertion made with the aid of the resident approximately the benefits
of fiber is correct?
A) Improved bowel interest and extended metabolic price
B) Improved bowel interest and decreased serum cholesterol
C) Improved gastric emptying and prevention of colon most cancers
D) Increased nutrient absorption and reduced glucose tolerance - ANS-Ans: B
Feedback: Fiber is cited to decrease serum ldl cholesterol and sell exact bowel interest. It is
disregarded to improve nutrient absorption or gastric emptying or to increase overall
metabolic rate.
Three. During a domestic go to, the nurse is requested by an older couple if diet and
nutritional dietary supplements can compensate for negative food consumption. What need
to the nurse reply to this question?
A) "Supplements may be beneficial but keep away from people who include calcium."
B) "The risks of extra dosages mean that dietary supplements are exceptional averted
completely."
C) "Supplements ought to be concept of as supplements, not replacements, so it is great no
longer use them."
D) "Vitamin and nutrient supplements can be a beneficial quick-time period dietary degree,
however most effective if they do not interact with prescribed medicines." - ANS-Ans: D
, Feedback: There is a legitimate position for dietary supplements in assembly the nutritional
needs of older adults, however the chance of medication interactions should be taken into
consideration. It could be unnecessary to propose entire avoidance of all supplements or of
these that include calcium.
Four. An older lady asks what she will be able to do to reduce the threat of growing
osteoporosis. What must the nurse reply to this patient?
A) "The key to preventing osteoporosis is to remain bodily lively on a regular foundation."
B) "For girls who've complete menopause, diet D supplements are the excellent shape of
prevention."
C) "The exceptional thing that you could do is to maximize your calcium intake by including
dairy at most food and taking supplements as nicely."
D) "You want to ensure you are getting the encouraged day by day dose of calcium, which
may contain taking dietary supplements at each meal." - ANS-Ans: D
Feedback: Postmenopausal women want to make sure a each day consumption of calcium
of as a minimum 1 g. Supplements can be required. It might be faulty to encourage the
female to eat as tons calcium as feasible given the dangers associated with extra calcium
intake. Neither vitamin D supplementation nor exercising is the number one preventative
measure for the development of osteoporosis.
5. An older affected person with a history of renal failure is admitted with dehydration and
hyponatremia. The nurse identifies which evaluation findings as being constant with the
diagnosis of dehydration? (Select all that practice.)
A) Confusion
B) Shortness of breath
C) Decreased skin elasticity
D) Increased blood urea nitrogen (BUN)
E) Adventitious lung sounds on auscultation - ANS-Ans: A, C, D
Feedback: Confusion, reduced skin elasticity, and expanded BUN are all associated with
dehydration. Adventitious lung sounds and shortness of breath aren't related to dehydration
but instead with overhydration.
6. An older affected person is demonstrating symptoms of dehydration. Which motion must
the nurse initiate first?
A) Minimize meals consumption and maximize fluid consumption
B) Advocate for the initiation of intravenous rehydration
C) Initiate tracking and recording of fluid consumption and output
D) Ask that the doctor order blood work to confirm or rule out dehydration - ANS-Ans: C
Feedback: When dehydration is suspected, the nurse ought to display and report fluid intake
and output. This could probable precede IV rehydration and blood paintings, and minimizing
meals consumption would be an inappropriate action.
7. After receiving new dentures the nurse affords education to an older patient at the use
and their care. Which affected person announcement suggests that coaching about the
dentures has been powerful?
A) "I do now not have to brush and floss my tooth every day."
B) "I think that I'll must get those resized and altered from time to time."
