GERONTOLOGY CHAPTER 18:
DIGESTION AND NUTRITION
QUESTIONS & ANSWERS!!
1 of 16
Term
An older adult develops diarrhea. Which of the following is the priority
intervention for the nurse?
Assess for pancreatitis.
Determine the last bowel movement.
Review meal preparation techniques with the client.
Review the client's medication list.
Give this one a try later!
, Ans: C
Feedback:
Slight slowing of gastric emptying in older adults after ingestion of large meals
leads to early sensations of fullness. Gallstone symptoms include pain, not
fullness. An emergent visit to the health care provider is not indicated.
Ans: D
Feedback:
A number of medications can cause diarrhea in the older adult (e.g.,
Cimetidine, laxatives, antibiotics, cardiovascular drugs, and cholinesterase
inhibitors). Additionally, Clostridium difficile and its related diarrhea are
related to antibiotic usage.
Ans: B
Feedback:
The nurse uses therapeutic communication to assess the weight loss.
Unintentional weight loss is considered a significant indicator of poor nutrition.
Healthy adult BMI is between 18 and 25 and may extend to 30 for older adults.
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.
Don't know?
2 of 16
Term
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
Give this one a try later!
Ans: C
Feedback:
Slight slowing of gastric emptying in older adults after ingestion of large meals
leads to early sensations of fullness. Gallstone symptoms include pain, not
fullness. An emergent visit to the health care provider is not indicated.
Ans: B
Feedback:
Dietary guidelines for older adults recommend a daily intake of five to nine
servings of fruits and vegetables; 55% of calories need to come from complex
carbohydrates. Older adults need fewer calories with increased quality of
nutrients in their nutritional requirements. Older adults with presbyesophagus
must sit upright for 30 minutes to 1 hour after eating. Flavor enhancers (except
lemon) contain sodium and need to be used in small amounts for older adults
who have a diminished sense of taste.
Ans: D
Feedback:
A number of medications can cause diarrhea in the older adult (e.g., Cimetidine,
laxatives, antibiotics, cardiovascular drugs, and cholinesterase inhibitors).
Additionally, Clostridium difficile and its related diarrhea are related to antibiotic
usage.
DIGESTION AND NUTRITION
QUESTIONS & ANSWERS!!
1 of 16
Term
An older adult develops diarrhea. Which of the following is the priority
intervention for the nurse?
Assess for pancreatitis.
Determine the last bowel movement.
Review meal preparation techniques with the client.
Review the client's medication list.
Give this one a try later!
, Ans: C
Feedback:
Slight slowing of gastric emptying in older adults after ingestion of large meals
leads to early sensations of fullness. Gallstone symptoms include pain, not
fullness. An emergent visit to the health care provider is not indicated.
Ans: D
Feedback:
A number of medications can cause diarrhea in the older adult (e.g.,
Cimetidine, laxatives, antibiotics, cardiovascular drugs, and cholinesterase
inhibitors). Additionally, Clostridium difficile and its related diarrhea are
related to antibiotic usage.
Ans: B
Feedback:
The nurse uses therapeutic communication to assess the weight loss.
Unintentional weight loss is considered a significant indicator of poor nutrition.
Healthy adult BMI is between 18 and 25 and may extend to 30 for older adults.
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.
Don't know?
2 of 16
Term
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
Give this one a try later!
Ans: C
Feedback:
Slight slowing of gastric emptying in older adults after ingestion of large meals
leads to early sensations of fullness. Gallstone symptoms include pain, not
fullness. An emergent visit to the health care provider is not indicated.
Ans: B
Feedback:
Dietary guidelines for older adults recommend a daily intake of five to nine
servings of fruits and vegetables; 55% of calories need to come from complex
carbohydrates. Older adults need fewer calories with increased quality of
nutrients in their nutritional requirements. Older adults with presbyesophagus
must sit upright for 30 minutes to 1 hour after eating. Flavor enhancers (except
lemon) contain sodium and need to be used in small amounts for older adults
who have a diminished sense of taste.
Ans: D
Feedback:
A number of medications can cause diarrhea in the older adult (e.g., Cimetidine,
laxatives, antibiotics, cardiovascular drugs, and cholinesterase inhibitors).
Additionally, Clostridium difficile and its related diarrhea are related to antibiotic
usage.
