Explanation: 1. Calcium intake should be 1,200 mg for those over the age of 51 years. 2. Older individuals need supplements of vitamins D and B12 and calcium, not vitamins A, C, E, and K. 3. Vitamin D intake should be 600 IU up to age 70 and 800 IU if older than 70. 4. Protein intake for older individuals should be 0.8 grams per kilogram of body weight. 5. Fluid intake each day should be at
least 13 cups for men and 9 cups for women.
1. "An appetite decrease will help me lose weight."
2. "I will add vitamin B fortified cereal to my breakfast."
3. "Eating animal products at each meal is needed."
4. "Drinking coffee will offset any tiredness or weakness."
2. "I will add vitamin B fortified cereal to my breakfast."
Explanation: 1. Metformin has an adverse effect of anorexia in the elderly. Though weight loss is helpful in those who are overweight, a decrease in appetite should be addressed early and monitored. The dose should be reduced or the medication changed if this occurs.
2. Metformin is associated with a decreased intake and absorption of vitamin B12. Vitamin B12 in fortified foods like breakfast cereals is not bound to protein and therefore is more bioavailable than in natural food sources.
3. Animal products are a terrific source of vitamin B12, but there are other food sources to obtain this nutrient.
4. Weakness and tiredness can be signs of a developing B12 deficiency and this needs to be addressed with the physician. The client should not try to make up for this with caffeine intake.
You might also like to view...
A nurse cares for a client placed in skeletal traction. The client asks, "What is the primary purpose of this type of traction?" How should the nurse respond?
a. "Skeletal traction will assist in realigning your fractured bone." b. "This treatment will prevent future complications and back pain." c. "Traction decreases muscle spasms that occur with a fracture." d. "This type of traction minimizes damage as a result of fracture treatment."
Which expected outcome is best for a patient with a nursing diagnosis of Deficient Knowledge related to new drug treatment regimen?
a. After an explanation and written materials, describes the expected actions and adverse reactions of his medication b. In 1 week after instructional session, describes the expected actions and adverse reactions of his medications c. Follows the treatment plan as prescribed d. Experiences no adverse effect from his prescribed treatment plan
To increase the proportion of adults who engage in vigorous physical activity that promotes the development and maintenance of cardiorespiratory fitness, what would the nurse teach a patient? (Mark all that apply.)
A) The importance of physical activity B) To exercise vigorously 3 or more days a week C) To "cool down" after exercise so as not to strain muscles D) To exercise for 20 or more minutes E) To swim, which is the best exercise
What other actions may occur?
You are waiting for a RN Rosie has been working as an anaesthetic nurse for several months and she is in the anaesthetic room with Mrs A, who is to undergo a total knee replacement. Mrs A has had a premedication, which has made her drowsy, but she is clearly still very anxious and holding firmly onto Rosie's hand. Rosie notices that Mrs A's healthcare record and her consent form both state that the procedure that she is about to undergo is a right total knee replacement. The operating list in the operating suite has Mrs A listed for a left total knee replacement. Rosie asks Mrs A to clarify which knee she is having replaced and Mrs A points to her right knee, but tells Rosie that ‘both knees are bad'. Rosie checks Mrs A's legs to see whether the surgeon has marked the operative site for today's procedure and notes that this has not occurred. What will be an ideal response?