A nurse is working with an older adult who is at risk for malnutrition. Which of the following interventions is the most appropriate?- Skildor

Question 1 of 5

A nurse is working with an older adult who is at risk for malnutrition. Which of the following interventions is the most appropriate?

A. Administer high-calorie supplements. B. Encourage intake of a variety of foods rich in vitamins and minerals. C. Restrict caloric intake to prevent weight gain. D. Focus on protein supplements exclusively.

Correct Answer: B

Rationale: A balanced diet with a variety of foods helps ensure adequate nutrition, including vitamins and minerals, in older adults.

Question 2 of 5

Papilledema is a cause for concern because it is suggestive of:

A. Optic atrophy B. Microaneurysms C. Increased intracranial pressure D. Retinal hemorrhage

Correct Answer: C

Rationale: Papilledema is caused by increased intracranial pressure, leading to swelling of the optic disc.

Question 3 of 5

A 78-year-old man has an emergency partial colectomy for lower gastrointestinal bleeding. A localized colonic adenocarcinoma is completely resected. The surgeon did not dissect lymph nodes for metastatic sampling. The patient wants to know if he should have chemotherapy. Should he?

A. Yes because without knowing his complete staging it would be safer. B. No because he can be followed with serial carcinoembryonic antigens and CT scans. C. Yes because the severe bleeding indicates advanced disease. D. No because he is too old and will not likely have any problems during his lifetime.

Correct Answer: B

Rationale: Follow-up with serial carcinoembryonic antigens and CT scans is appropriate after resection of localized disease.

Question 4 of 5

Which of the following best describes the components included in a patient's Social History (SH)?

A. A summary of the patient's medical history and family background B. Lifestyle factors, social habits, and living conditions C. The patient's current medications and allergies D. Details about the patient's physical examination findings

Correct Answer: B

Rationale: Social History (SH) includes lifestyle factors, social habits, and living conditions, which impact overall health.

Question 5 of 5

A 70-year-old man has bothersome lower urinary tract syndrome (LUTS) associated with benign prostatic hyperplasia (BPH). His symptoms are no longer well managed with lifestyle modifications. He is interested in medication to reduce his urinary symptoms but is concerned about possible side effects. He notes that he is recently married and sexual activity is very important to him. Which of the following medications would be most appropriate for this patient?

A. Alfuzosin B. Ditropan C. Dutasteride D. Tamsulosin

Correct Answer: D

Rationale: Tamsulosin is an alpha-1 blocker that helps alleviate urinary symptoms without significantly impacting sexual function.