Chapter 29 Flashcards

(59 cards)

1
Q

Anorexia is?

A

Loss of appetite

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2
Q

What factors affect eating & nutrition?

Name 6

A
  1. Culture & religion
  2. Personal Choice & finances
  3. Appetite & body reaction
  4. Aging
  5. Illness & disability
  6. Chewing & swallowing
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3
Q

Many GI changes occur with ____

A

Aging

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4
Q

A person has difficulty getting enough food & fluids for good nutrition & fluid balance. This is called?

Related to Dysphagia

A

Slow swallow

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5
Q

When the food enters the airway, what kind of swallow is this?

A

Unsafe swallow

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6
Q

What are the three liquid thickness in a dysphagia diet?

A
  1. Nectar
  2. Honey
  3. Pudding
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7
Q

______ is mildly thick. The liquid coats and drips off of a spoon. It can flow through a straw

A

Nectar thick

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8
Q

______ is moderately thick. Liquid flows off of a spoon like honey.

A

Honey-thick

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9
Q

If a patient can drink the liquid from a cup, what thickness is the liquid?

A

Honey-thick

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10
Q

_________ extremely thick. The liquid stays on a spoon in a soft mound. It can be sipped or served with a spoon.

A

Pudding thick

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11
Q

If the liquid can stay on a spoon in a soft mound, the thickness is?

A

Pudding thick

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12
Q

What is changed in a dysphagia diet to help ease swallowing?

A

Food thickness, texture, and liquid thickness

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13
Q

What are the two food textures for a dysphagia diet?

A
  • Mechanical Soft
  • Pureed
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14
Q

________ food is smooth, uniform texture and hold their shape on a spoon.

A

Pureed

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15
Q

______ foods are pudding-like and have no lumps

A

Pureed

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16
Q

________ foods have a moist, soft texture. Meats are chopped, blended, or ground.

A

Mechanical soft

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17
Q

What diet involved well cooked vegetables?

A

Mechanical soft diet

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18
Q

What liquid is mildly thick?

A

Nectar thick

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19
Q

What liquid is moderately thick?

A

Honey thick

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20
Q

What liquid is spoon-thick?

A

Pudding thick

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21
Q

For aspiration precautions, the person remains upright for at least __ hour after eating

A

One hour

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22
Q

For aspiration precautions what parts of the body should be supported with a pillow?

A
  • Upper back
  • Shoulders
  • Neck
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23
Q

For aspiration precautions, can a patient use a straw?

A

Follow the care plan for straw use, straw may not be allowed.

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24
Q

If a patient has dysphagia, what should you check after they are done eating?

A

Check persons mouth for pocketing

25
Difficulty breathing during or after meals or snacks is a sign of?
aspiration
26
If you observed the patient choking and coughing during their meal, what should you do? What is it a symptom of?
* Report it at once * Aspiration
27
A patient has abnormal breathing and respiratory sounds, what is this a symptom of?
Aspiration
28
What are the four dining programs?
1. Social dining 2. Low-stimulation dining 3. Restaurant-style dining 4. Open dining
29
To promote safety & comfort when preparing meals, what safety measures does the patient need to do before meals?
1. Eliminate 2. Oral hygiene 3. Hand Hygiene
30
When removing food from a patients mouth, what safety measures should you follow?
* Use spongswabs as needed * Have person tip chin downward (toward the chest)
31
If you cannot remove food easily from patients mouth, what should you do?
Call the nurse
32
# Cleaning a patients mouth after eating The person tips their chin downward (toward the chest), what is the purpose of this?
Prevent aspiration
33
Use a ______ to feed the person
teaspoon
34
The teaspoon should be only _____ full when feeding a patient
1/3 full
35
Visually impaired patient often recognize foods from their ______
aromas
36
When feeding a visually impaired patient, what should you describe to the patient?
describe what is on the plate and what you are offering
37
The numbers on a clock are used to help a ______ ______ person locate food
visually impaired
38
T/F: You should describe foods and fluids and their place on the plate to only visually impaired patients.
FALSE: Also for persons who feed themselves too
39
What are finger foods?
breads, cookies, crackers
40
T/F: For a dementia patient, a plate may be easier than a bowl
FALSE: Bowl is easier
41
What makes drinking easier for a dementia patient?
Use straws or cups with lids
42
You should limit the number of food choices for patients who have?
Dementia
43
T/F: Offer larger meals for dementia patients
FALSE: Offer several smaller meals during the day
44
________ is giving nutrients into the gastro-intestinal tract through a feeding tube.
Enteral nutrition
45
What are the two common feeding tubes?
* Naso-gastric (NG) tube * Gastrostomy tube
46
What is Gavage?
processing of giving tube feeding
47
What can aspiration cause?
pneumonia & death
48
Aspiration can occur when?
* During insertion * From tubing moving out of place * From regurgitation
49
T/F: You check the feeding tube placement
FALSE: Nurse does that, you NEVER do it
50
To prevent aspiration & regurgitation, what position should the patient be in? How long should they be in that position after feeding?
* Fowler's or semi-fowlers position * 1 to 2 hours after feeding
51
Every 2 hours a patient with a feeding tube receives: oral hygiene, lubricant for lips and what else?
Mouth rinses
52
A patient with a feeding tube should receive oral hygiene and lubricant for lips every ___ hours
2 hours
53
A patient with a feeding tube needs their nose & nostrils cleaned every ___ to ___ hours
4 to 8 hours
54
T/F: Re-taping the feeding is needed
FALSE: re-taping irritates skin
55
What are the two ways you can secure the feeding tube to the patients garment?
1. Loop rubber band around the tube, then pin rubber band to garment 2. Tape tube to garment
56
Standing communicates being in a _______
hurry
57
Wiping the person's hands, face, and mouth promote?
Comfort & dignity
58
The person must be alert enough to ____
Eat
59
_________ is a major risk from tube feedings
Aspiration