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NUTRITION 101 > Ch 11: Nutrition Assessment And Patient Care > Flashcards

Ch 11: Nutrition Assessment And Patient Care Flashcards

1
Q

What does Durable Power of Attorney mean?

A

A legal document in which a competent adult authorizes another competent adult to make decisions for him/her in the even if incapacitation

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2
Q

What are the 4 Steps of Nutrition Care Process (NCP)?

A
  1. Nutrition Assessment
  2. Nutrition Diagnosis
  3. Nutrition Intervention
  4. Nutrition Monitoring and Evaluation
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3
Q

What are the 4 key areas of the ABCD approach?

A

A - Anthropometrics
B - Biochemical Tests
C - Clinical Observations
D - Diet Evaluation

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4
Q

What are the 4 measurements Anthropometric Assessment consider?

A
  1. Height
  2. Weight
  3. Head Circumference
  4. Skin-fold Thickness
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5
Q

What is the NORMAL BMI (body mass index) range?

A

18.5 - 24.9 kg/m2

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6
Q

What BMI (body mass index) range is considered UNDERWEIGHT?

A

< 18.5 kg/m2

Less than 18.5 kg/m2

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7
Q

What BMI (body mass index) range is considered OVERWEIGHT?

A

25.0 - 29.9 kg/m2

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8
Q

What BMI (body mass index) range is considered OBESE?

A

> 30 kg/m2

Over 30 kg/m2

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9
Q

A gain of more than 1 pound in a day’s time may not signify mass gained, but what is?

A

Excess Fluid

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10
Q

What is the acceptable Weight-to-height ratio (WHtR) for males?

A

1.0

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11
Q

What is the acceptable Weight-to-height ratio (WHtR) for females?

A

0.8

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12
Q

Placental insufficiency , maternal malnutrition, and intrauterine growth roster croon (IUGR) can affect an infant in what 4 ways?

A
  1. Impair infant growth
  2. Hypertension
  3. Cardiovascular disease
  4. Type 2 DM in adults
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13
Q

What are 4 key nutritional issues when patient is admitted to the hospital?

A
  1. Decreased appetite
  2. Unintentional weight loss
  3. Age and medical history
    4, hydration status and illness severity
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14
Q

Upon patient being admitted to the hospital what is the minimum time required the by TJC (the joint commission) nurses have to assess for nutritional screening

A

48 hrs

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15
Q

Who is responsible for in-depth nutrition intervention

A

Registered dietician-nutritionist

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16
Q

What are the effects of bed rest after 24 hrs?

A

Impaired skin integrity

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17
Q

Other than impaired skin integrity, what are four effects of bed rest after 3 days of lying down?

A
  1. Muscle tone decrease
  2. Bone calcium decrease
  3. Plasma volume decreased
  4. Gastric secretion decrease
18
Q

TRUE/FALSE

Glucose intolerance and body fluids are not affected by prolonged bed rest.

A

FALSE. In addition, glucose intolerance and shirts in body fluids and electrolytes may also occur

19
Q

What does starvation-related malnutrition mean?

A

Chronic starvation with our inflammation

20
Q

What does chronic disease-related malnutrition mean?

A

Chronic inflammation of mild to moderate degree

21
Q

What does acute disease-or injury related malnutrition mean?

A

A cute inflammation of severe degree

22
Q

What is the maximum acceptable waist conference for males?

A

Up to 40 in for males

23
Q

What is the maximum acceptable waist conference for females?

A

Up to 35 in for females

24
Q

What is the maximum acceptable waist-to-hip ratio for males?

A

1.0 for males

25
Q

What is the maximum acceptable waist-to-hip ratio for female?

A

0.8 for females

26
Q

How to calculate BMI?

A

Weight in kilograms / height in meters squared

Kg/m2

27
Q

How to calculate BMI in 3 steps

A
  1. Convert lbs to kg (lbs x 2.2)
  2. Covert height in inches to meters squared 2
  3. Kg/m2
28
Q

What is normal range for albumin status?

A

3.5 to 5 g /dl for normal visceral protein

29
Q

What is the normal range for prealbumin status?

A

16-40 mg/dl for prealbumin

30
Q

Albumin status is used for? (Short term or long term?)

A

Long term

31
Q

Prealbumin status is used for? (Short or long term)

A

Short term

32
Q

What is kwashiorkor range for albumin?

A

<2.4 g /dl is considered kwashiorkor (dangerous) for albumin

33
Q

What is the kwashiorkor for prealbumin?

A

<5 mg/dl is considered kwashiorkor (dangerous levels) for prealbumin

34
Q

What is good percentage for lymphocyte count?

A

20-25% of total WBC for total lymphocyte count

35
Q

To determine immunity status of a patient which 2 biochemical assessment used?

A
  1. Total lymphocyte count

2. Vitamin D level

36
Q

What are 3 ways to measure biochemical assessment?

A
  1. Albumin levels
  2. Prealbumin levels
  3. Homoglobin levels
37
Q

If the patient have infection, burn, trauma, CHR, liver failure, and edema would the visceral protein status (both albumin and prealbumin) high or low?

A

Low

38
Q

3 ways to check clinical assessment

A
  1. Medical history
  2. Social history
  3. Physical exam
39
Q

What are Primary factors to become malnourished?

A

Primary factors- inadequate intake of nutrient s

40
Q

What are Secondary factors to become malnourished?

A

Secondary factors- caused by diseases or iatrogenic (caused by mistake from healthcare workers)

NUTRITION 101 (4 decks)

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