Which disorder, common in some older adults, impairs the ability to swallow and can lead to difficulty getting adequate nutrition?
Menopause
Taste threshold
Fibromyalgia
Dysphagia
The Correct Answer is D
A. Menopause is the natural cessation of menstruation in women, typically occurring around age 50. While it involves hormonal changes and can affect bone density, metabolism, and cardiovascular health, it does not impair swallowing or directly affect nutrition intake.
B. Taste threshold refers to the sensitivity of the taste buds to detect flavors. Although aging can alter taste perception, it does not cause difficulty swallowing or lead directly to inadequate nutrition.
C. Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain, fatigue, and tender points. While it can affect quality of life, it does not directly impair swallowing or nutritional intake.
D. Dysphagia is a disorder that affects swallowing, making it difficult or painful to move food or liquid from the mouth to the stomach. It is common among older adults due to age-related changes, neurological disorders (such as stroke or Parkinson’s disease), or structural abnormalities. Dysphagia increases the risk of malnutrition, dehydration, and aspiration pneumonia, making proper diagnosis and management essential for maintaining adequate nutrition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Clostridium perfringens is a common cause of foodborne illness, often associated with improperly stored cooked meats and gravies. While it causes many cases of mild gastrointestinal illness, it rarely leads to hospitalization or death.
B. Salmonella is responsible for the largest number of foodborne illnesses in the United States and causes the greatest number of hospitalizations and deaths among foodborne pathogens. It commonly contaminates eggs, poultry, meat, and sometimes produce. Infections can range from mild gastroenteritis to severe systemic illness, particularly in young children, older adults, and immunocompromised individuals, leading to hospitalization or, in severe cases, death.
C. Campylobacter is a leading cause of bacterial gastroenteritis and is often linked to undercooked poultry. While it can cause significant illness and sometimes complications like Guillain-Barré syndrome, it results in fewer hospitalizations and deaths than Salmonella.
D. Listeria monocytogenes causes severe illness in vulnerable populations, such as pregnant women, newborns, and the elderly, and can lead to miscarriage or meningitis. However, it is relatively rare compared to Salmonella and does not account for the greatest number of overall cases.
Correct Answer is A
Explanation
A. The “danger zone” for bacterial growth is between 40°F and 140°F (4°C–60°C). Within this temperature range, bacteria such as Salmonella, E. coli, and Listeria can multiply rapidly, increasing the risk of foodborne illness. Foods should be kept below 40°F in refrigeration or above 140°F during cooking or holding to prevent bacterial proliferation.
B. 35°F–155°F is slightly outside the standard danger zone range. Temperatures below 40°F are generally safe, and 155°F exceeds the threshold where most bacteria are destroyed.
C. 30°F–130°F is too low and does not accurately reflect the range in which bacteria multiply rapidly. Foods at 30°F are generally frozen or safe from bacterial growth.
D. 50°F–150°F does not reflect the standardized danger zone. Bacterial growth can occur at lower temperatures, starting around 40°F, and most pathogens are destroyed above 140°F.
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