Chapter 15: Hydration and Oral Care Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. An older woman asks a nurse, “You always seem to be telling me that I need to drink more
water. How much water do I really need to drink?” The nurse bases her response on the knowledge that older adults should consume at least: a. 1000 mL of fluid per day. b. 1500 mL of fluid per day. c. 2000 mL of fluid per day. d. 2500 mL of fluid per day. ANS: B
Older adults, with the exception of those who require a fluid restriction, should consume at least 1500 mL of fluid per day. DIF: Cognitive Level: Remembering REF: p. 191 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 2. A nurse administers hypodermoclysis (HDC) to an older nursing home resident. The purpose
of hypodermoclysis is: a. to rehydrate an individual with severe dehydration. b. to quickly administer 4-5 L of fluid within a 24-hour period. c. to rehydrate an individual with mild to moderate dehydration. d. as a supplement to IV hydration to expedite rehydration. ANS: C
HDC is an infusion of isotonic fluids into the subcutaneous space. It is an alternative to IV administration for individuals with mild to moderate dehydration. It cannot be used in individuals with severe dehydration or for any situation requiring more than 3 L over 24 hours. DIF: Cognitive Level: Remembering REF: p. 194 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 3. Which of the following statements describing oral care for the older population is correct? a. Regular dental examinations can prevent tooth loss and improve the ability to
chew healthful foods. b. Losing one’s teeth is considered a normal part of the aging process. c. Oral malignancies seldom occur in older adults so oral examinations are of low
priority. d. Preventative dental care is covered under Medicare. ANS: A