Health Considerations for Pregnant Women and Elderly
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Questions and Answers

Which nutrient deficiency should the nurse specifically test for in a 70-year-old patient taking methyldopa?

  • Iron (correct)
  • Calcium
  • Vitamin B12
  • Vitamin D
  • What is a common sign of poor nutritional status in older adults?

  • Strong, muscular physique
  • Glossy, healthy skin
  • Spoon-shaped and brittle nails (correct)
  • Thick, lustrous hair
  • In patients with a pancreatic fistula, what metabolic condition should be monitored?

  • Metabolic acidosis with a normal anion gap (correct)
  • Respiratory alkalosis
  • Respiratory acidosis
  • Metabolic alkalosis
  • Which option is recommended for patients sensitive to visual glare?

    <p>Yellow or amber lenses</p> Signup and view all the answers

    Which symptom indicates intolerance to tube feedings in a patient?

    <p>High gastric residual</p> Signup and view all the answers

    Which nursing intervention is most effective in preventing hearing impairment in a fetus?

    <p>Avoiding the use of ototoxic drugs</p> Signup and view all the answers

    Which food item should be avoided in a low-residue diet postoperatively?

    <p>Steamed veggies</p> Signup and view all the answers

    Which of the following is a source of soluble fiber?

    <p>Apples</p> Signup and view all the answers

    Which factor is most likely to increase the risk of metabolic acidosis in older adults?

    <p>Changes in kidney function</p> Signup and view all the answers

    What complication of dysphagia should the nurse be particularly aware of?

    <p>Malnutrition</p> Signup and view all the answers

    In an older adult, what increases the risk of hypernatremia and dehydration?

    <p>Inadequate fluid intake</p> Signup and view all the answers

    Which condition would contraindicate the use of hearing aids?

    <p>Chronic feeling of dizziness</p> Signup and view all the answers

    Which substance is classified as a disaccharide?

    <p>Maltose</p> Signup and view all the answers

    Study Notes

    Preventing Fetal Hearing Impairment

    • Screening for rubella in the pregnant woman helps prevent potential fetal hearing impairment.
    • Avoiding ototoxic drugs during pregnancy is important for fetal hearing.
    • Syphilis testing in pregnancy is not directly related to preventing fetal hearing impairment.

    Postoperative Low-Residue Diet

    • Foods high in fiber should be avoided.
    • Steamed vegetables and other high-fiber foods should be excluded.

    Soluble Fiber

    • Oats, barley, and cornmeal are soluble fibers.

    Insoluble Fiber

    • Lignin and cellulose are insoluble fibers.

    Metabolic Acidosis Risk Factors (Older Adults)

    • Decreased kidney function, making it harder to excrete acid, increases the risk of metabolic acidosis in older adults.

    Fluid Imbalances (Older Adults)

    • Decreased fluid intake increases the risk of hyponatremia and extracellular fluid volume deficit.
    • Older adults are less efficient at concentrating urine, increasing the risk of hypernatremia and dehydration.
    • Multiple medications taken by older adults can lead to fluid and electrolyte imbalances.

    Hearing Aid Contraindications

    • Traumatic ear deformity, visible cerumen accumulation, and chronic dizziness are contraindications to hearing aid use.

    Sensory Deprivation Reduction

    • Bringing fresh flowers or helping the patient to a chair will promote well-being and reduce sensory deprivation.
    • Speaking, listening, touching, and engaging with patient's feelings reduces sensory deprivation and improves well-being.

    5-Year-Old Odor Perception

    • Assessing the child's ability to identify non-irritating odours will help evaluate sensory perception.
    • Assessing children under 7 on odor perception is challenging.

    Respiratory Acidosis

    • Respiratory acidosis happens when the buildup of carbon dioxide leads to high carbonic acid levels in the blood.

    Respiratory Alkalosis

    • Increased breathing (hyperventilation) leads to respiratory alkalosis, a condition where the body's pH is higher than normal.

    Metabolic Acidosis

    • Reduced bicarbonate levels lead to metabolic acidosis.

    Disaccharides

    • Sucrose, lactose, and maltose are disaccharides.

    Monosaccharides

    • Glucose and fructose are monosaccharides.

    Dysphagia Complications

    • Dysphagia (difficulty swallowing) can lead to aspiration pneumonia, dehydration, and malnutrition.

    Medication Interaction (Methyldopa)

    • Methyldopa, a blood pressure medication, may interact with nutrient absorption.
    • The nurse should test for iron, folic acid, and vitamin B12 deficiencies, as these are important nutrients and these deficiencies can lead to complications with Methyldopa.

    Poor Nutritional Status Signs

    • Dry, scaly lips, flaccid muscles, and brittle, spoon-shaped nails are signs of poor nutritional status.

    Pancreatic Fistula/Intestinal Decompression

    • Patients with pancreatic fistulas and/or intestinal decompression can experience excessive bicarbonate loss and metabolic acidosis.
    • Older adults typically experience decreased hearing acuity and have difficulty distinguishing consonant sounds, rather than vowels.

    Visual Glare Sensitivity

    • Yellow or amber lenses can help address visual glare sensitivity by filtering out harsh light.

    Tube Feeding Intolerance Signs

    • High gastric residuals, vomiting, nausea, and cramping are signs of tube feeding intolerance.

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    Description

    Explore key health topics related to fetal hearing impairment prevention and dietary guidelines for postoperative care. Additionally, gain insights into metabolic acidosis risk factors and fluid imbalances in older adults. This quiz is designed for those interested in health and nutrition for pregnant women and elderly populations.

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