Chapter 5 NFPE

Question 1

Define nutrition focused physical exam

Answer 1

Findings from an evaluation of body systems, muscle and subcutaneous fat wasting, oral health, suck, swallow breath ability, aptetite, and affect

-addresses specific signs and symptoms

Question 2

Body systems for NFPE

Answer 2

General appearance, vital signs, skin, nails, hair, head, eyes, nose, mouth, neck/chest, abdomen, musculoskeletal

Question 3

Equipment that may be used

Answer 3

examination gloves, stethlescope, penlight or flashlight, tongue depressor, scales, calipers, tape measure, blood pressure cuff, a watch with a second hand, and a dyanometer to measure hand grip strength

Question 4

Four basic techniques for NFPE

Answer 4

Inspection
Palpation
Percussion
Auscultation

Question 5

Describe inspection

Answer 5

General observation that progresses to a more focused observation using the senses of sight, smell, and hearing; note appearance, mood, behavior, movement, facial expressions; most frequently used

Question 6

Describe palpation

Answer 6

Gentile tactile examination to feel pulsations and vibration; assessment of body structures, including texture, size, temperature, tenderness and mobility

Question 7

Describe percussion

Answer 7

Assessment of sounds to determine body organ borders, shape, and position; not always used in an NFPE

Question 8

Describe Auscultation

Answer 8

Use of naked ear or bell or diaphragm of stethlescope to listen to body sounds; not always used (bowel sounds, blood vessels)

Question 9

Pediatric malnutrition definition

Answer 9

an imbalance between nutrition requirements and dietary intake that results in deficits of energy, protein, and micronutrient stores, resulting in impaired growth and development

Question 10

Pediatric malnutrition is either related to

Answer 10

an illness or injury, environment, or behavioral factors

Question 11

Guidelines for assessing malnutrition in adults uses cause-based nomenclature that

Answer 11

reflects current understanding of the role of inflammatory response on the incidence progression and resolution of adult malnutrition

Question 12

Mild to moderate degree of inflammation signifies

Answer 12

chronic disease or injury-related malnutrition

Question 13

Marked inflammatory response signifies what malnutrition

Answer 13

acute disease or injury-related malnutrition

Question 14

Six characteristics of malnutrition

Answer 14

1. Interpretation of weight loss for malnutrition by cause
2. Interpretation of reduced energy intake for malnutrition by cause
3. Loss of body fat
4. Loss of muscle
5. Fluid accumulation
6. Reduced hand grip strength

Question 15

What can measure strength

Answer 15

hand grip strength with a dynamometer

Question 16

Low grip strength is associated consistently with

Answer 16

a greater likelihood of premature mortality, the development of disability, and increased risk of complications of or prolonged length of stay after hospitalization

Question 17

Decreased grip strength is associated with

Answer 17

sign of frailty and is one of the characteristics of severe malnutrition