NUR 257 Concepts of Aging & Chronic Illness
Exam 3
Question:
Decreased gastric PH means?
Answer:
Don’t break down nutrients as easily without proper acidic levels
Question:
Decreased absorbing cells in intestines means?
Answer:
need nutrient dense foods that are lower in calories.
Question:
Bone loss and lean muscle mass means?
Answer:
problems results from inactivity immobility increased fatigue, lower endurance.
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Question:
Constipation for older adults do what?
Answer:
Increase Fiber (35-50g) and Fluid (2L of water) Colon cocktail
Question:
what is a colon cocktail? and how mcuh
Answer:
prune juice apple sauce, and psyllium 1-2 tsp daily.
Question:
what do you need to teach about constipation about fluid restriction?
Answer:
that it can cause utis, bladder irritations, and electrolyte imbalances.
Question:
Ways to improve nutritional status for elderly?
Answer:
food stamps, meal prep services, home delivered groceries, cooking classes, meals on wheels, assisted living facilities.
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Question:
What foods for nutritional status for older adults?
Answer:
consider nutrient dense foods.-not high in fat and calories. but high in nutrients.-Can use supplemental foods such as ensure or boost.
Question:
What's really important for us to do for older adults in the community?
-ACTION ALERT
Answer:
Perform nutritional screening for older adults in the older community who are at risk for inadequate nutrition. -either under nutrition or obesity.
Question:
What to ask with older adults in community?
Answer:
ask about unintentional weight loss or gain, eating habits, appetite, prescribed and OTC drugs, and current health problems.-determine contributing factors for older adults who are at risk for poor nutrition, such as transportation issues or loneliness.
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Question:
Action alert on fluid intake for older adults?
Answer:
they limit fluid intake esp in the evening because of problems with immobility, prescribed diuretics' and incontinences
Question:
What do we want to teach about fluid restrictions?
Answer:
Teach older adults that fluid restrictions make them susceptible to dehydration, electrolyte imbalances (Na and K), and UTIs.
Question:
Incontinence may increase because of what in an older adult
Answer:
the urine becomes more concentrated and irritating to the bladder and urinary sphincter.
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