NURS 255 Exam 8 Flashcards

(54 cards)

1
Q

What 5 factors Influence personal hygiene practices?

A
  • Personal preferences
  • Culture, Religion, Spirituality
  • Economic status
  • Developmental level
  • Knowledge and cognition level
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2
Q

What should be assessed before delegating a task to a UAP (in terms of personal hygiene)

A
  • Patients limitations and restrictions
  • Use of assistive devices
  • Specific safety precautions to follow
  • Presence of obstacles
  • Observations to make during the procedure (skin/urine/stool)
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3
Q

What are 2 examples of Diagnostic statements related to self care and personal hygiene?

A
  • Bathing/Hygiene Deficit r/t severe knee pain second to degenerative joint disease
  • Toilet deficit r/t activity intolerance second to heart failure.
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4
Q

What is a complete bath?

A
  • Washing entire body without assistance from patient
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5
Q

What is an assist bath?

A
  • Patient performs most of the bath but nurse assists with hard to reach areas
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6
Q

What is a partial bath?

A
  • Nurse cleans only areas that may produce odour or discomfort.
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7
Q

What is a towel bath?

A

-

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8
Q

What is a bag bath?

A
  • The use of 8-10 washcloths moistened with water each part of the body is cleansed with a new cloth
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9
Q

What is a Shower?

A
  • Literally a shower (most patients can do this on their own)
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10
Q

What is a tub bath?

A
  • should be used when a patient is ambulatory but stiff and requires assistance (BETTER THAN BED BATH)
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11
Q

What is a therapeutic bath?

A
  • Baths given specifically to relax muscles or remove scales from skin.
  • May include oatmeal or tar baths for psoriasis
  • May be a warm sitz bath to clean perineum
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12
Q

What are the 3 energy nutrients?

A
  • Lipids
  • Carbs
  • Proteins
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13
Q

What are the 5 major functions of lipids?

A
  • Supply essential nutrients
  • Energy source
  • Flavour and satiety
  • Insulation, protection, nerve impulse transmission
  • Cholesterol functions
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14
Q

What are the 6 major functions of Protein?

A
  • Tissue building
  • Metabolism
  • Immune system function
  • Fluid balance
  • Acid-Base balance
  • Secondary energy source
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15
Q

What are the 3 major functions of carbohydrates?

A
  • Supply energy for muscle and organ function
  • Spare protein
  • Play a role in nutrition and metabolism
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16
Q

What are the main sources of Simple carbohydrates?

A
  • Corn syrup
  • Honey
  • Milk
  • Table sugar
  • Molasses
  • Sugar cane
  • Sugar beets
  • Fruits
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17
Q

What are the main sources of Complex carbohydrates?

A
  • Vegetables
  • Breads
  • Cereals
  • Pasta
  • Grains
  • Legumes
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18
Q

What are the main sources of Complete Proteins?

A
  • Meat
  • Poultry
  • Fish
  • Eggs
  • Milk products
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19
Q

What are the main sources of Incomplete Proteins?

A
  • Plant sources
  • They can be combined to make complete proteins
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20
Q

What are the main sources of Saturated fats?

A
  • Pork
  • Beef
  • Poultry
  • Seafood
  • Egg yolk
  • Dairy
  • Coconut oil
  • Palm oil
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21
Q

What are the main sources of Unsaturated fats?

A
  • Olives
  • Olive oil
  • Vegetable oils
  • Nuts
  • Avocados
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22
Q

What are the main sources of Essential Fatty acids?

A
  • Polyunsaturated vegetable oils
  • Fatty fish (salmon)
23
Q

What are the main sources of Trans-fats?

A
  • Hydrogenated oils
  • Margerines
  • Packaged baked goods
  • Processed foods
24
Q

What does vitamin A come from?

A
  • Fish liver oil
  • Liver
  • Butter
  • Cream
  • Egg yolk
  • Yellow fruit
  • Green leafys
  • Fortified milk
25
What does vitamin A do?
- Night and colour vision - Cellular growth and maturity - Skin and membrane maintenance - Growth of skeletal and soft tissue - Reproduction - Antioxidant
26
Where is vitamin D from?
- Fish liver oil - Fatty fish - yogurt - Sunlight
27
What does Vitamin D do?
- Regulates blood calcium levels - supports immune function - Anti inflammatory
28
What does vitamin K do?
- Synthesis of clotting factors and bone development
29
What does Vitamin B 12 do?
- Cellular metabolism - Mylin sheaths - Hemoglobin synthesis
30
What are the macromolecules?
- Ca - Mg - P - K - Na
31
What are the Trace minerals
- Copper - Floride - Iodine - Iron - Zinc
32
How much of our body weight does water make up?
- 55-65% In men - 50-55% in women
33
What are the 6 main functions of water in the body?
- Solvent - Transport - Body structure - Temperature - Lubricant - Catalyst
34
How much water is recommended per day?
- 2.7L in women -3.7 in men
35
What are 6 important things to remember for infant nutrition?
- Infants shouldn't have cow milk - Honey and corn syrup should not be given - Allow milk to cool for at least 1 minute - Don't dilute infant formula - No Goats milk - No plant based alternatives
36
What 8 Things are lifestyle choices when it comes to nutrition?
- Dietary patterns - Work environment - Cooking methods and food storage - Oral contraceptive use - Food to relive stress - Tobacco use - Alcohol - Caffine
37
What are lacto-vegitarians and lacto-ovo vegetarians?
- Lacto-ovo: No meat, and poultry only fish and milk - Lacto-veg: only dairy and plants
38
What are Pescatarians?
- Diet that does not allow meat, poultry, dairy or eggs but does include fish
39
What nutrients are vegans lacking in?
- B12 - D - Calcium - Zinc - Protein
40
What are 4 characteristics of fad diets?
- Promise quick and drastic results - Limit range of foods - Recommend supplements - Fail to implement permanent strategies
41
What are 4 characteristics of a good diet?
- Good descriptions of healthy foods to eat - Promotes variety in foods - Encourages healthy habits - Emphasizes self monitoring and behavioural change
42
Should traditional diets be encouraged?
- Yes, they can be healthful
43
What factors can make diseases harm nutrition?
- Traumatic injury - Long term insufficient caloric intake - Alcoholism - Cognitive function - Ability to obtain food - Chewing and swallowing - Stomach function - Peristalsis - Intestinal surface area - Enzyme secretions - Barbaric surgery
44
What three assessments can be performed to gain a subjective nutritional assessment?
- 24 hour recall - food frequency questionnaire - Food record (7 days)
45
What 3 groups is BMI not useful in?
- Athletes - Pregnant women - Older adults
46
What should be done to help patients with swallowing troubles?
- Use assistive devices - Do not use straws - Tilt head forward - Place food at back of mouth - monitor tongue movements - Keep head elevated 30-45 minutes after eating
47
What 3 interventions help undernourished individuals
- frequent small nutrient dense meals - restrict fluids with meals - Refrain from smoking 1 hour before meal
48
Movement is an interaction between what 3 systems?
- The muscular system - The skeleton - The neurological system
49
What do posture problems result from?
- accidents or injuries - careless sitting standing and eating - excessive weight - negative self image - occupational stress - visual difficulties
50
What body mechanics should be used to avoid injury?
- use proper alignment - Have a wide base - Avoid bending and twisting - Squat to lift - Keep objects close when lifting - Raise beds - Push versus lift - Get help
51
What 7 factors affect mobility and activity? (DNLEADP)
- Developmental stage - Nutrition - Lifestyle - Environmental factors - Attitudes - Diseases - Physical abnormalities
52
What are two possible goals of helping a patient with activity intolerance?
- Will transfer independently to the wheelchair - Will discuss their feelings about the activity restrictions by (date)
53
What 5 things is activity intolerance characterized by?
- Fatigue - Weakness - Discomfort on exertion - Dyspnea - Verbalization of no interest in activity
54
What are the 4 components of body mechanisms?
- Alignment - Balance - Coordination - Joint mobility