The nurse who is caring for a group of elderly residents in a ...

[savannahhooper]

The nurse who is caring for a group of elderly residents in a long-term care facility understands that the aging process influences the recommended dietary allowance (RDA) needs in this population.
 
  What statement by the nurse is most accurate concerning elderly adults?
  1. Normal aging causes a decline in skin turgor, producing an increase in metabolism of vitamins.
  2. Normal aging causes an increase in renal excretion of fat-soluble vitamins in the urine.
  3. Normal aging causes a stagnation of liver enzymes that aid in the dissection of water-soluble vitamins.
  4. Normal aging causes a reduction of gastric absorption, producing vitamin deficiencies.

Question 2

The client is a fitness enthusiast who adheres to a regimen of high vitamin supplement intake. Which vitamins would the nurse assess for hypervitaminosis?
 
  Standard Text: Select all that apply.
  1. Vitamin A (Aquasol A)
  2. Vitamin E (Aquasol E)
  3. Vitamin D (Rocaltrol)
  4. Vitamin C (ascorbic acid)
  5. Vitamin B2 (riboflavin)

[ebe]

Answer to Question 1

Correct Answer: 4
Rationale 1: Although normal aging includes a decline in skin turgor, this does not affect the metabolism of vitamins.
Rationale 2: The normal aging process does not increase renal excretion of fat-soluble vitamins in the urine.
Rationale 3: Aging does not cause a stagnation of liver enzymes that aid in the dissection of water-soluble vitamins.
Rationale 4: As part of the normal aging process, gastric absorption is reduced, causing decreased absorption of vitamins.
Global Rationale: With normal aging, the absorption of food diminishes and the quantity of ingested food is often reduced, leading to a higher risk of vitamin deficiencies in older adults. Although normal aging includes a decline in skin turgor, this does not affect the metabolism of vitamins. The normal aging process does not increase renal excretion of fat-soluble vitamins in the urine. Aging does not cause a stagnation of liver enzymes that aid in the dissection of water-soluble vitamins.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Vitamin A (Aquasol A) is a fat-soluble vitamin and can cause hypervitaminosis when taken in large doses.
Rationale 2: Large doses of fat-soluble vitamin E (Aquasol E) can cause hypervitaminosis.
Rationale 3: Hypervitaminosis can be caused by the fat-soluble vitamin D (Rocaltrol).
Rationale 4: Vitamin C (ascorbic acid) has been associated with hypervitaminosis.
Rationale 5: The water-soluble vitamin B2 (riboflavin) is not likely a factor in hypervitaminosis.
Global Rationale: Hypervitaminosis, or toxic levels of vitamins, has been reported for vitamins A, C, D, E, B6, niacin, and folic acid. The water-soluble vitamin B2 (riboflavin) is not likely a factor in hypervitaminosis. The water-soluble vitamin B2 (riboflavin) is not likely a factor in hypervitaminosis.

[savannahhooper]

Both answers were spot on, thank you once again

[ebe]

Great! Please up vote