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Eliopoulos - Gerontological Nursing 8th Ed - Digestion and Bowel Elimination Questions And Answers

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Eliopoulos - Gerontological Nursing 8th Ed - Digestion and Bowel Elimination Questions And Answers 1. The nurse teaches an 87-year-old inactive client about avoiding constipation. Which of the following fluid and diet choices should the nurse include in the teaching? A) Avoid beverages with ...

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  • November 20, 2024
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Eliopoulos - Gerontological Nursing 8th Ed -
Digestion and Bowel Elimination Questions
And Answers

1. The nurse teaches an 87-year-old inactive client about avoiding constipation. Which of the

following fluid and diet choices should the nurse include in the teaching?

A) Avoid beverages with caffeine

B) Drink iced liquids

C) Encourage low-residue foods


D) Increase intake of fruit juices Ans: D


Feedback:

It is important for older adults to incorporate good fluid intake, a diet rich in fruits and

vegetables to promote bowel health.




2. Which of the following statements by older adult clients should the nurse interpret as a

potential pathological process rather than a normal age-related change?

A) "Food just doesn't seem to have as much taste as it did when I was younger."

B) "I feel like it takes so much longer to digest my meals than it used to."

C) "Even when I have a bowel movement it often doesn't feel like it's complete."


D) "I tend to regurgitate a lot of my food after a meal these days." Ans: D

, Eliopoulos - Gerontological Nursing 8th Ed -
Digestion and Bowel Elimination Questions
And Answers
Feedback:

Regurgitation is indicative of GERD or a hiatal hernia. Decreased taste sensation, lower gastric

motility, and incomplete bowel movements are considered normal, age-related changes.




3. The nurse discusses nutritional health with an 89-year-old client whose total protein level is 5

(abnormally low). Which of the following physiological changes should the nurse interpret as a

potential pathological process rather than a normal age-related change?

A) Decreased amounts of pepsinogen released in the stomach

B) Decreased peristalsis of the esophagus and stomach

C) Decreased taste sensations, decreasing food intake


D) Decreased teeth and chewing ability Ans: D


Feedback:

Tooth loss is not a normal aging change. Esophageal motility and stomach motility decrease

with advanced age causing presbyesophagus. The stomach has a higher pH as a result of the

declines in hydrochloric acid and pepsin (converted pepsinogen), which can interfere with the

absorption of proteins. The tongue atrophies, affecting the taste buds and decreasing taste

sensations.

, Eliopoulos - Gerontological Nursing 8th Ed -
Digestion and Bowel Elimination Questions
And Answers
4. The nurse discusses dental health with an 81-year-old client. Which of the following

statements, when made by the client is identified as true?

A) "Everyone loses their teeth, it's natural."

B) "I can't get any cavities any more, only young people get them."

C) "Fluoride treatments might help strengthen the enamel on my teeth."


D) "There is no treatment for my bad teeth and poor appetite." Ans: C


Feedback:

Topical fluoride treatments are beneficial to the teeth of older persons. Tooth loss is related to

periodontal disease, not aging. Whereas the incidence of caries decreases with age, it is still

present.




5. The nurse assists the aging client to create a menu. Which of the following foods, if requested

by the client will require further teaching as it should not be included on this list?

A) 2% milk

B) Canned tuna

C) Fried chicken


D) Squash Ans: C


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