Author Question: Which assessment data would be of particular concern when attempting to manage an older adult's risk ... (Read 57 times)

TFauchery · **on:** Jul 11, 2018

Which assessment data would be of particular concern when attempting to manage an older adult's risk for dehydration? Select all that apply.

a. African-American ethnicity
b. Diuretic medication therapy
c. Chronic constipation
d. Diagnosed dysphagia
e. A large draining wound on the left leg.

Question 2

Which intervention would be included when developing a care plan to deduce the risk for injury for a patient with dysphagia who requires feeding assistance? Select all that apply.

a. Elevate bed to 90 degrees when feeding either solids or liquids
b. If facial weakness is present, place food on the non-impaired side of the mouth
c. Provide fluids when feeding of solids is complete
d. Monitor the individual's temperature frequently
e. If feeding causes agitation, introduce food after sedative medication is administered

gasdhashg · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B, D, E
Old age and black race have both been associated with an increased risk of dehydration. Other risk factors for dehydration include medications, particularly those that directly affect renal function and fluid balance, such as diuretics, and functional deficits including dyspha-gia and delayed wound healing have all been noted as risk factors for dehydration in this population. Diarrhea rather than constipation would be a recognized risk factor

Answer to Question 2

ANS: A, B, D
The correct options reflect appropriate care to facilitate swallowing and monitor for possible aspiration pneumonia. The introduction of solids and liquids should be alternated during the feeding and feeding should not occur when the client is experiencing medication-induced sedation since the cough reflex and swallowing abilities are impaired by the medication.