A 78‑year‑old woman weighs 70 kg and is recovering from a recent hospitalization. The nurse notes she has decreased muscle mass and low protein intake. According to recommended guidelines for older adults, how much protein should this patient consume per day?
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82‑year‑old male: dribbling, hesitancy, weak stream, “still…
82‑year‑old male: dribbling, hesitancy, weak stream, “still feels full,” PVR 400 mL, ambulates independently.Priority action?
A 79-year-old woman is admitted with new-onset anxiety, rest…
A 79-year-old woman is admitted with new-onset anxiety, restlessness, and insomnia. Her history includes hypertension, atrial fibrillation, and type 2 diabetes. The nurse notes tremors, palpitations, and diaphoresis. What is the most appropriate nursing action?
Which findings place an older adult at increased risk for la…
Which findings place an older adult at increased risk for late-life anxiety disorders? (Select all that apply.)
An 84‑year‑old woman with mild cognitive impairment is admit…
An 84‑year‑old woman with mild cognitive impairment is admitted for dizziness and weakness. She has no swallowing difficulty and is physically able to hold a cup and drink independently. When the nurse offers fluids, the patient states, “I don’t drink much because I’m afraid I’ll wet myself.” Using the 4 categories of hydration problems, how should the nurse best classify why this patient is not adequately hydrated?
A 77-year-old patient repeatedly visits the clinic for vague…
A 77-year-old patient repeatedly visits the clinic for vague physical complaints. Diagnostic testing is unremarkable. The patient appears poorly groomed, reports insomnia, and states, “Nothing helps anymore.” What is the nurse’s best next action?
You have a 78-year-old patient who presents to the clinic f…
You have a 78-year-old patient who presents to the clinic for a routine wellness exam. He reports feeling more fatigued than usual and mentions a 6-pound weight loss over the past two months. He also describes occasional bloating, early satiety, and mild discomfort in the upper abdomen after meals. The nurse reviews his dietary intake and notes that he consumes a balanced diet with adequate protein and iron. His physical exam is unremarkable except for mild pallor. Vital signs are stable. Lab results from last week reveal: Hemoglobin: 11.2 g/dL (Low) Vitamin B12: Borderline low Stool test: Negative for blood As part of the assessment, the nurse considers age-related changes in the digestive system. Based on this information, which age-related digestive change most likely contributes to his symptoms?
A patient recovering from an acute diverticulitis episode as…
A patient recovering from an acute diverticulitis episode asks about diet. Which teaching shows best clinical judgment?
An 83‑year‑old resident in a long‑term care facility has had…
An 83‑year‑old resident in a long‑term care facility has had poor oral intake for 3 days and takes a daily diuretic. The nurse notes the following findings: Confusion and acute change from baseline Blood pressure 86/50 mmHg Heart rate 118 beats/min Dry oral mucosa and cracked lips Minimal urine output over the last 12 hours Which nursing action is most appropriate at this time?
Which statement best describes the primary purpose of the Mi…
Which statement best describes the primary purpose of the Minimum Data Set (MDS) 3.0 in long-term care facilities?