Which of the following nutritional parameters is an indicator for functional decline among older adults?

NURS 6540 week 7 Quiz
Question 1
Which of the following nutritional parameters is an indicator for functional decline among older adults?

a.
Fasting blood glucose of 100 mg

b.
A body mass index greater than or equal to 35

c.
Total serum cholesterol of 175 mg

d.
A planned weight loss of 1 pound per week as a result of healthy dietary changes
Question 2

Which two laboratory test results provide evidence of malnutrition in hospitalized older adults?

a.
Low albumin and cholesterol

b.
Elevated hemoglobin and hematocrit

c.
Low sodium and potassium

d.
Elevated liver enzymes and CRP
Question 3

Strict adherence to therapeutic diets in hospitalized frail older adults is

a.
Essential to control disease states until the end of life

b.
Essential to conform to nursing home regulations

c.
Not essential if the patient is at risk for malnutrition or diet results in poor quality of life

d.
Not essential because old people don’t eat that much anyway

Question 4
In what way does functional disability contribute to malnutrition?

a.
The functionally disabled stomach does not absorb nutrients adequately from the food

b.
Dietary restrictions of functionally disabled individuals cause low caloric intake

c.
The person with functional disability has little money to buy food

d.
Declining functional ability interferes with shopping, preparing meals, or feeding

Question 5

For patients in whom protein energy supplements are indicated, when should these supplements be provided?

a.
At bedtime

b.
With breakfast and lunch

c.
Between meals as tolerated

d.
Before breakfast

Question 6
Which of the following is the first step in managing chronic constipation?

a.
Order saline enemas twice per week

b.
Order 8 ounces of warm milk at bedtime

c.
Stop constipating medicines when possible

d.
Order opioid antagonists daily

Question 7
The average older adult requires the following fluid intake to maintain health

a.
1 gallon of water per day

b.
As much fluid as required to diminish thirst

c.
30 mL per kilogram of body weight per day

d.
None of the above
Question 8

Which class of laxatives is NOT useful in managing opiod-induced constipation?

a.
Osmotic laxatives

b.
Bulk-forming laxatives

c.
Saline laxatives

d.
Stimulant laxatives
Question 9

For undernourished, frail older adults, effective medications to promote weight gain include

a.
Dronabinol

b.
Megestrol acetate

c.
Ensure Plus

d.
No medications are FDA-approved to promote weight gain in older adults

Question 10

Which of the following medications is constipating?

a.
Erythromycin

b.
Morphine

c.
Lipitor

d.
Synthroid