Author Question: Which of the following is regarded as a quality of care indicator? A. Frequent episodes of ... (Read 34 times)

kfurse · **on:** Jun 25, 2018

Which of the following is regarded as a quality of care indicator?

A. Frequent episodes of dehydration
B. Pattern of weight loss
C. Chronic constipation
D. Repeat urinary tract infections

Question 2

The best indicator of fluid status in the elderly is____.

A. Patient thirst
B. Patient weight
C. BUN/creatinine ratio
D. Serum creatinine

daiying98 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: B
Obtain an accurate weight, and make sure the scale is calibrated. For residents of long-term care facilities, always use the same scale for the same patient and, if there is a change in scale, make sure to note that beside the weight. Document what the patient is wearing, and always weigh in that same state. Significant weight loss is a quality indicator measure, and a pattern of weight loss in any facility will trigger an investigation by state and federal regulatory agencies. Ask the patient's usual body weight if possible. Calculate ideal body weight using the same formula as for any other population.

Answer to Question 2

ANS: C
Dehydration is common in the elderly and has serious consequences. The average fluid intake for community-dwelling elderly persons is less than 1,000 mL per day. Thirst is not a reliable indicator of the need for fluids, and most elderly individuals need reminders to drink fluids. The best method for monitoring hydration status is with the blood urea nitrogen/creatinine ratio; anything greater than 20:1 is highly suggestive of dehydration.