Chapter 18- Digestion and Nutrition Complete Q&A Latest updated fall 2022.

Origin: Chapter 18- Digestion and Nutrition, 1 1.A nurse teaches an older adult about changes to nutritional requirements. Which of the following meal choices would give evidence that the older adult understands the teaching? A) Baked chicken, carrots, and angel food cake B) Green salad, mashed potatoes, and an oatmeal cookie C) Vegetable beef soup, crackers, and Jell-O D) Baked pork chop, green beans, and sherbet Ans: A Feedback: Older adults need increased intake of foods with a high nutritional value and a concomitant decrease in the intake of foods containing little or no nutrients. Origin: Chapter 18- Digestion and Nutrition, 2 2.A nurse teaches older adults about nutrition. Which of the following statements shows the nurse that the older adult requires further teaching? A) "Alcohol intake will interfere with absorption of B-complex vitamins and vitamin C." B) "Certain 'fluid' pills can decrease the potassium level in my blood." C) "Anticholinergic medications can cause my intestines to work slower." D) "My over-the-counter beta-carotene pill is appropriate for long-term use." Ans: D Feedback: Long-term beta-carotene use can cause vitamin E deficiency. Paralytic ileus can occur with anticholinergic medication. Nutritional supplements and herbal preparations can affect nutrients. Alcohol interferes with the absorption of B-complex vitamins and vitamin C. Origin: Chapter 18- Digestion and Nutrition, 3 3.A 70-year-old client with urosepsis is admitted to a nursing unit. The labs include elevated sodium, blood urea nitrogen, hematocrit, and albumin. Which of the following nursing diagnoses is priority for this client? A) Constipation B) Fluid volume deficit C) Imbalanced nutrition: less than body requirements D) Impaired tissue perfusion Ans: B Feedback: The appropriate nursing diagnosis is fluid volume deficit. Blood values that may be altered in dehydration include elevations in sodium, hematocrit, creatinine, osmolality, and blood urea nitrogen. While the client may develop constipation, it is not the priority at this time. Albumin will be decreased with poor nutrition but increased with dehydration. An elevation in these labs does not implicate impaired tissue perfusion.