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    Chapter 17: Nutritional Support in The Older Adult: Multiple Choice

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    Jamie
    This document contains a 10 question multiple choice quiz about nutritional support in older adults. The questions cover topics like when feedings can begin after PEG tube placement, risk factors for refeeding syndrome, outcomes of feeding tubes in Alzheimer's patients, indicators of protein-energy malnutrition, nutritional status indicators, recommendations for an older patient with dysphagia and aspiration pneumonia, benefits of high protein supplements, and indicators of refeeding syndrome. The last question identifies the federal program that provides a monthly supply of food stamps.

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    Chapter 17: Nutritional Support in The Older Adult: Multiple Choice

    Uploaded by

    Jamie
    138 views3 pages
    This document contains a 10 question multiple choice quiz about nutritional support in older adults. The questions cover topics like when feedings can begin after PEG tube placement, risk factors for refeeding syndrome, outcomes of feeding tubes in Alzheimer's patients, indicators of protein-energy malnutrition, nutritional status indicators, recommendations for an older patient with dysphagia and aspiration pneumonia, benefits of high protein supplements, and indicators of refeeding syndrome. The last question identifies the federal program that provides a monthly supply of food stamps.

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    This document contains a 10 question multiple choice quiz about nutritional support in older adults. The questions cover topics like when feedings can begin after PEG tube placement, risk factors for refeeding syndrome, outcomes of feeding tubes in Alzheimer's patients, indicators of protein-energy malnutrition, nutritional status indicators, recommendations for an older patient with dysphagia and aspiration pneumonia, benefits of high protein supplements, and indicators of refeeding syndrome. The last question identifies the federal program that provides a monthly supply of food stamps.

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    Download as rtf, pdf, or txt
    138 views3 pages

    Chapter 17: Nutritional Support in The Older Adult: Multiple Choice

    Uploaded by

    Jamie
    This document contains a 10 question multiple choice quiz about nutritional support in older adults. The questions cover topics like when feedings can begin after PEG tube placement, risk factors for refeeding syndrome, outcomes of feeding tubes in Alzheimer's patients, indicators of protein-energy malnutrition, nutritional status indicators, recommendations for an older patient with dysphagia and aspiration pneumonia, benefits of high protein supplements, and indicators of refeeding syndrome. The last question identifies the federal program that provides a monthly supply of food stamps.

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    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    of 3

    Chapter 17: Nutritional Support in the Older Adult

    Multiple Choice
    Identify the choice that best completes the statement or answers the question.

    ____ 1. Feedings via PEG tube can safely begin ____ hours after PEG tube placement, barring any
    contraindications.
    A. 2 hours
    B. 6 hours
    C. 24 hours
    D. 48 hours

    ____ 2. Patients at risk of Refeeding Syndrome include those with:


    A. No food intake for more than 10 days
    B. Chronic malnutrition
    C. Dysphagia
    D. All of the above

    ____ 3. The use of feeding gastrostomy tubes at the end of life in Alzheimer’s disease patients has been
    associated with:
    A. Prolongation of life
    B. Aspirational pneumonia
    C. Increase in decubitus ulcer rate
    D. Reversal of any clinical signs of failure to thrive

    ____ 4. A key issue that needs to be addressed to families and patients with Alzheimer’s disease about the
    use of feeding tubes is that a feeding tube:
    A. Decreases the risk of aspirational pneumonia
    B. Does not improve nutritional status or quality of life
    C. Is a simple bedside procedure to place the tube and has minimal complications
    D. Is an irreversible process once the patient is started on feedings

    ____ 5. Which of the following is a major indicator of protein-energy malnutrition?


    A. Total cholesterol less than 200 mg/dl with LDL <100
    B. Intentional weight loss of 25 pounds in 2 years
    C. Mid-arm circumference less than 16 inches
    D. Unintentional low body weight less than 10% of average for height and age

    ____ 6. Which of the following nutritional indicators is not an indication of poor nutritional status in an older
    person?
    A. Albumin of <3.5 g/dl
    B. Body mass index of 24
    C. Total cholesterol <150 mg/dl
    D. Loss of 5-10% body weight in 180 days
    ____ 7. An 87-year-old female previously independent comes to the ER with 2 days of difficulty
    swallowing, productive cough, and dyspnea. History includes hypertension and atrial fibrillation.
    She has a low-grade fever and increased blood pressure. Physical examination and chest radiography
    are consistent with consolidation in left lower lobe. On bedside testing, she immediately sputters and
    coughs after drinking a small amount of water from a cup. There are no other neurological signs.
    Labs: Mild dehydration and WBC increased. MRI reveals a new small brain-stem infarction and
    mild generalized cerebral atrophy. Treatment for aspiration pneumonia is instituted. Five days later a
    speech therapy consult was ordered to evaluate swallowing. No improvement has been noted and
    formal evaluation shows aspiration with most consistencies of food and liquid. Which of the
    following is the best recommendation?
    A. Careful oral feeding
    B. Hospice
    C. Gastrostomy feeding
    D. Nasogastric feeding

    ____ 8. Which of the following is not considered a benefit of high protein supplements added to diets of
    hospitalized older adults?
    A. Improved grip strength
    B. Increased weight
    C. Overall increased intake of food
    D. Reduced readmissions to the hospital

    ____ 9. Which lab test is most indicative that a patient has refeeding syndrome?
    A. A serum albumin level of 3.0 g/dL
    B. Hemoglobin of 10.0 g/dL
    C. Prealbumin level of 17 mg/dL
    D. Serum phosphate level of less than 0.6 mmol/L

    ____ 10. What is the name of the federal program that allots a month supply of food stamps to eligible
    participants?
    A. Meals on Wheels
    B. Food Assistance
    C. Second Harvest
    D. Supplemental Nutrition Assistance Program (SNAP)
    Chapter 17: Nutritional Support in the Older Adult
    Answer Section

    MULTIPLE CHOICE

    1. ANS: A PTS: 1
    2. ANS: D PTS: 1
    3. ANS: B PTS: 1
    4. ANS: B PTS: 1
    5. ANS: D PTS: 1
    6. ANS: B PTS: 1
    7. ANS: C PTS: 1
    8. ANS: C PTS: 1
    9. ANS: D PTS: 1
    10. ANS: D PTS: 1

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