Author Question: The nurse is counseling an elderly client about vitamin supplementation. Due the diminished ... (Read 48 times)

abern · **on:** Aug 2, 2018

The nurse is counseling an elderly client about vitamin supplementation. Due the diminished secretion of hydrochloric acid and poor absorption the nurse recognizes that the client would benefit most from an increase in which vitamin?

1. B-6
2. B-12
3. B-2
4. B-3

Question 2

National programs that aim to reverse the trend of increasing body weight should focus on

a. smoking cessation.
b. maintenance of ideal body weight.
c. monitoring annual weight changes.
d. achievement of a healthier body weight.

yeungji · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

2

Rationale: The diminished secretion of hydrochloric acid that occurs with aging affects the digestion and absorption of nutrients that require a more acid medium in the stomach including vitamin b-12, calcium, and iron. Malabsorption of vitamin B-12 because of diminished gastric acid is the reason for over one-half of the cases of deficiency found in hospitalized older adults. Therefore it is recommended that older adults increase their intake of synthetic vitamin B-12.

Answer to Question 2

D
Achievement of healthier body weight is a more realistic goal than maintenance of ideal body weight; it is more likely to encourage success. Monitoring annual weight changes allows re-searchers to describe trends, but not to reverse them. Smoking cessation improves health, but is more likely to be associated with weight gain than with weight loss.