During a nutritional assessment, a 79-year-old patient responds, ...

[vicotolentino]

During a nutritional assessment, a 79-year-old patient responds, My weight is fine. I weigh the same as I did 15 years ago. The nurse responds based on the understanding that older patients
 
  a. generally guess their weight rather than weigh themselves.
  b. often rely on how their clothes fit to de-termine whether their weight has changed.
  c. sometimes experience altered metabolic problems that hide weight change.
  d. often exchange lean muscle mass for body fat so weight stays the same.

Question 2

An older patient is being admitted to an acute care unit after surgical repair of a fractured tibi
 
  a. To minimize any negative factors affecting the patient's ability to sleep, the nurse's initial inter-vention is to:
  a. be sure postoperative pain is being well managed.
  b. manipulate the environment to manage light and noise.
  c. plan care to minimize the number of times the patient is disturbed.
  d. ask the patient about usual sleeping habits.

[abctaiwan]

Answer to Question 1

D
With age there is a loss of lean body mass and an increase of body fat; therefore, body weight alone can be misleading.

Answer to Question 2

D
Nurses can promote sleep by first assessing the patient's usual sleep habits and satisfaction with sleep. Managing postoperative pain, minimizing environmental stimuli, and encouraging undis-turbed rest are also important, but the first step in the nursing process is assessment.

[vicotolentino]

Thanks for the timely response, appreciate it

[frankwu0507]

Excellent