47 Free CNA Practice Test Online Questions and Answers on Nutrition Caring

Adequate nutrition is a key factor in maintaining the health of older adults and adequate diet is an important factor in delaying onset and managing chronic illness associated with aging. Consequently, hydration and nutrition is the vital process which nursing assistants must ensure for patients’ health, especially for older adults with serious sickness. In fact, as a professional CNA, beside the adequate nutrients, you must make sure of giving older patients with a tasty meal because aging associates changes in taste and smell. Therefore, 47 Free CNA Practice Test Online Questions and Answers on Nutrition Caring with many useful free CNA test questions about identification of nutrients will help nursing assistant complete their duty easily and quickly. This quiz can be the great support for nurses to assist patients better in their recovery progression.

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   Assessment of oral health consists of:

• -Increasing vulnerability—osteoporosis, heart failure, dementia-Dietary restrictions of fluids, salt, potassium, protein-Medications—diuretics, tricyclic antidepressants, laxatives
• -Kayser-Jones "Try This Series" tool-Risk factors-Federal regulations mandate annual examination for long-term care residents
• "Be A.W.A.R.E" enteral feeding safety campaign
• -Assessment of oral hygiene habits-Ultrasonic toothbrush-Foam swabs-Therapeutic rinses-Tube feeding associated with significant -pathological colonization of ral cavity-Oral care every four hours and as needed for patients with PEG tubes

why is malnutrition so detrimental to the older person?

• -Do not add medication directly into an enteral feeding formula-Administer each medication separately-Flush tube before and after each medication is administered-Dilute solid or liquid medications as appropriate-Administer each medication using a clean oral or enteral syringe
• -Physiological changes in body water content-Impaired thirst sensation-Medications-Functional impairments-Chronic illnessEmotional illness-High environmental temperatures
• -malnourished older adults take 40% longer to recover-have 2-3 times as many complications -90% longer hospital stays- primarily used for older adults over the age of 70
• 1. fever, 2. thirst, 3. dry and warm skin, 4. furrowed tongue, 5. decreased urinary output, 6. sunken eyes
• -Cellulitis-Diarrhea-Aspiration pneumonia-Metabolic problems
• 1. Fat2. Protein3. Vitamins4. Minerals5. Water
• 1. whole grains, 2. fiber3. nutrient-dense foods4. monounsaturated fats5. reduced sodium6. added fruits and vegetables

nutrition and hydration:

• (Estimated that 50% of all residents unable to eat independently)Inadequate staffing associated with poor nutrition and hydration-Restrictive diets and poor use of supplements further affect nutritional status
• -Assessment of oral hygiene habits-Ultrasonic toothbrush-Foam swabsTherapeutic rinses-Tube feeding associated with significant -pathological colonization of oral cavity-Oral care every four hours and as needed for patients with PEG tubes Adequate fluid consumption and maintenance of fluid balance essential to health
• -Adequate nutrition is a key factor in maintaining the health of older adults-Adequate diet is an important factor in delaying onset and managing chronic illness associated with aging
• (Estimated that 50% of all residents unable to eat independently)-Inadequate staffing associated with poor nutrition and hydration-Restrictive diets and poor use of supplements further affect nutritional status
• -Difficult, labored swallowing-Drooling-Copious oral secretions-Aspiration-Coughing, choking at meals-Holding or pocketing of food in the mouth-Absence of chewing-Absence of swallowing-Excessive throat clearing-Difficulty swallowing medications-Wet or gurgling voice-Discomfort during swallowing-Sensation of something stuck in throat during swallowing-Food or liquid coming from nose during swallowing
• -Physiological changes in body water content-Impaired thirst sensation-Medications-Functional impairments-Chronic illness-Emotional illness-High environmental temperatures
• -Sit at 90 degrees during all oral (PO) intake-Maintain 90-degree positioning for at least 1 hour after PO intake-Postural changes during meals-eep suction equipment ready at all times-Supervise all meals-Monitor temperature-Observe color of phlegm-Visually check mouth for pocketing of food in cheeks-Provide mouth care every 4 hours-Follow speech therapist's recommendation for safe swallowing techniques and modified food consistency-Neuromuscular stimulation

promoting healthy aging: implications for gerontological nursing in regard to dehydration

• -Oral hydration-Replace 50% of loss within first 12 hours or sufficient quantity to relieve tachycardia and hypotension-Hypodermoclysis—infusion of isotonic fluids into the subcutaneous space(Prevention is essential)—establish daily goal and monitor hydration status
• -Assessment of oral hygiene habits-Ultrasonic toothbrush-Foam swabs-Therapeutic rinses-Tube feeding associated with significant -pathological colonization of oral cavity-Oral care every four hours and as needed for patients with PEG tubes
• a complex condition resulting in a reduction in total body water
• Assessment for dehydration-History of dehydration, infections, difficulty swallowing-Return from 24-hour hospitalization, dental or eye surgery, rocedures that require fasting-Laboratory reports with increasing sodium, blood urea nitrogen, creatinine, hematocrit, urine specific gravity

interventions for oral hygiene:

• -Adequate nutrition is a key factor in maintaining the health of older adultsAdequate diet is an important factor in delaying onset and managing chronic illness associated with aging
• -Patient and/or caregiver education of proper cleaning techniques-Dentures-Regular cleaning-Assessment of fit, especially after weight loss-Commercial marking system to identify dentures, especially in residential setting
• -Assessment of oral hygiene habits-Ultrasonic toothbrush-Foam swabs-Therapeutic rinses-Tube feeding associated with significant -pathological colonization of ral cavity-Oral care every four hours and as needed for patients with PEG tubes
• -Do not add medication directly into an enteral feeding formula-Administer each medication separately-Flush tube before and after each medication is administered-Dilute solid or liquid medications as appropriate-Administer each medication using a clean oral or enteral syringe

when is the modified mypyramid used for older adults?

• a complex condition resulting in a reduction in total body water
• persons with dementia
• primarily used for older adults over the age of 70
• "Be A.W.A.R.E" enteral feeding safety campaign

hospitalization and institutional living (affecting malnutrition)

• primarily used for older adults over the age of 70
• a complex condition resulting in a reduction in total body water
• -40% - 60% of hospitalized older adults are -malnourished or at risk for malnutrition in the United States-Severely restricted diets-Prolonged NPO status-Insufficient time for feeding assistance(older adults in hospitals and long-term care settings are more prone to problems associated with inadequate nutrition)
• -Common problem of older adults-As many as 60% of nursing home residents demonstrate clinical evidence of dysphagia-A serious problem with negative sequelae including weight loss, malnutrition, dehydration, aspiration pneumonia, and even death

facts about feeding tubes:

• -Dental health increasingly neglected with advanced age-Poor oral health associated with dehydration, malnutrition, and other systemic diseases-Not reimbursed by Medicare-Few older adults have private dental insurance
• primarily used for older adults over the age of 70
• -Interfere with basic psychological, biological, and cultural needs associated with eating-Decisions about feeding tubes complex and should involve atient's advance directives and family and include full disclosure of risks and benefits-Up to 50% of patients with PEG placement die within six months of insertion-Assessment of all factors for poor nutritional uptake including meal environment, feeding techniques, food preferences, medications, and depression should be investigated before decision on enteral feeding
• Adequate fluid consumption and maintenance of fluid balance essential to health

what are the risk factors for changes in fluid balance?

• -Difficult, labored swallowing-Drooling-Copious oral secretions-Aspiration-Coughing, choking at meals-Holding or pocketing of food in the mouth-Absence of chewing-Absence of swallowing-Excessive throat clearingDifficulty swallowing medications-Wet or gurgling voice-Discomfort during swallowing-Sensation of something stuck in throat during swallowing-Food or liquid coming from nose during swallowing
• 1. Age associate changes in taste and smell2. Oral health status3. Chronic diseases and conditions4. Side effects of medications5. Lifelong eating habits6. Socialization7. Anorexia of aging8. Income9. Transportation10. Housing
• -Physiological changes in body water content-Impaired thirst sensation-Medications-Functional impairmentsChronic illness-Emotional illness-High environmental temperatures
• Nutritional screening and assessment-Several screening tools available-MDS - includes risk factors and triggers for further evaluation1. Interview and 2. Physical examination 3. Anthropometrical measurements4. Biochemical evaluation-Interventions-Pharmacological -Therapy-Patient education

safety alert- enteral feeding:

• persons with dementia
• "Be A.W.A.R.E" enteral feeding safety campaign
• a complex condition resulting in a reduction in total body water
• 60%