Mr. K is a 60-year-old diabetic client on the medical surgical ...

[nmorano1]

Mr. K is a 60-year-old diabetic client on the medical surgical floor of the local hospital. He was admitted for nausea, vomiting, and loss of appetite.
 
  He is suspected of being malnourished, and has lost more than 8 pounds recently since his symptoms began. The nurse practitioner has diagnosed him with gastroparesis and ordered a pureed diet with: 1. Liquid nutritional supplements three times a day. 2. High fiber to stimulate peristalsis. 3. High fat to provide calories for energy. 4. No spices to avoid gastrointestinal upset.

Question 2

Chewing and swallowing difficulties in older adults increase the risk of
 
  a. vomiting.
  b. hiatal hernia.
  c. food asphyxiation.
  d. gastroesophageal reflux.

[parker125]

Answer to Question 1

1
Rationale: Gatroparesis is a motility disorder of the stomach that causes low gastric emptying and results in nausea, vomiting, and loss of appetite which can lead to malnutrition. Liquid nutritional supplements may be used to ensure adequate caloric and nutritional intake. High-fiber foods are avoided to prevent obstructions. High-fat foods are avoided due to slower gastric emptying. The addition of spices has no effect on this condition.

Answer to Question 2

C
Chewing and swallowing difficulties in older adults increase the risk of food asphyxiation. Vo-miting is caused by infection or foodborne illness. Gastroesophageal reflux is caused by a wea-kening of the sphincter between the esophagus and the stomach. Hiatal hernia is caused by part of the stomach pushing up through the diaphragm; this is often related to gastroesophageal ref-lux.

[nmorano1]

Thanks

[parker125]

Welcome