The nurse assigns the diagnosis of Nutrition Imbalance: less than body requirements for an older adult. Which age-associated intestinal problem does the nurse apply to plan goals and interven-tions to improve this adult's nutritional status?
a. Less intrinsic factor secretion c. Decreased gastric smooth muscle
b. Short, broad small intestinal villi d. Decreased large intestinal motility
B
Villi of the small intestine shorten and widen with age and, as a result, become less functional, which contributes to malabsorption of nutrients; despite a healthy diet, nutrients are absorbed primarily in the small intestines. The concept of malabsorption is what the nurse uses to plan care; this nursing diagnosis refers to the inability of the body to absorb nutrients as a result of biological factors. Decreased intrinsic factor secretion leads to pernicious anemia as a result of the inability to absorb vitamin B12 in the stomach. Gastric smooth muscle is not present in the intestines. Decreased large intestine motility is an age-associated problem; however, it should have no impact on absorption in the small intestine.
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A patient with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of a new onset of pain at the surgical site. What is the nurse's best action?
A) Administer pain medication as ordered. B) Assess the surgical site and the affected extremity. C) Reassure the patient that pain is a direct result of increased activity. D) Assess the patient for signs and symptoms of systemic infection.
Because of reduced sensitivity of the baroreceptors in the older adult who is also on a diuretic, the nurse instructs that the patient should
A) walk for 20 minutes a day. B) reduce sodium in the diet. C) sit on side of bed before standing. D) use a walker for all ambulation.
ICD-9 and ICD-10 are examples of which category of terminology?
a. Nursing terminology b. Billing code c. Clinical classification d. Multidiscipline terminology used for clinical coding within an EHR
Head circumference is measured in children with known or suspected hydrocephalus and children less than how many months old?
a. 40 c. 32 b. 36 d. 24