Which assessment is the greatest priority to report when considering the gastrointestinal (GI) changes that take place in the geriatric patient?
24-hour dietary intake of 75% of meals
24-hour urinary output of 1450 mL
Weight loss of 2 lb since admission 2 months ago
Last bowel movement 4 days ago
The Correct Answer is D
A. 24-hour dietary intake of 75% of meals
This indicates adequate intake and is generally not concerning.
B. 24-hour urinary output of 1450 mL
This is within the normal range for urinary output and does not indicate GI dysfunction.
C. Weight loss of 2 lb since admission 2 months ago
While unintended weight loss in older adults is important, 2 pounds over 2 months is mild and not the most urgent finding.
D. Last bowel movement 4 days ago
Constipation is common but potentially serious in older adults. Not having a bowel movement for 4 days increases the risk for fecal impaction, discomfort, or bowel obstruction, and warrants intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weight-bearing exercises
Resistance and weight-bearing activities help preserve and improve muscle strength and mass in older adults.
B. Increased calcium in diet
Supports bone health, not directly muscle strength.
C. Limited walking and bicycling activities
Limiting activity would worsen muscle weakness and atrophy.
D. Use of a cane when walking
Canes help with safety and mobility but do not prevent muscle loss.
Correct Answer is D
Explanation
A. Decision making skills
Decision-making often remains intact with age unless cognitive impairment is present.
B. Cognitive capacity
Normal aging does not significantly impair cognition; changes are usually subtle and not generalized.
C. Creative ability
Creativity often remains strong into older age and may even increase with experience.
D. Short-term memory
This is a common and expected change with normal aging. Older adults may take longer to learn new information or recall recent events.
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