NUTRITION TOOLS, STANDARDS, AND GUIDELINES NUTRIENT

Question 1

seeks to guarantee that all patients get prompt and uniform nurse evaluations

Answer 1

PHYSICAL ASSESSMENT

Question 2

• Provide care for client that use individualize, holistic, effective and efficient.

Answer 2

PHYSICAL ASSESSMENT

Question 3

1. Initial assessment
2. Problem-Focused
3. Emergency
4. Time-Lapsed

Answer 3

4 TYPES OF ASSESSMENT

Question 4

age and developmental stage of the child.

Answer 4

PA considerations

Question 5

Implement behaviors that show respect for child’ s age, gender, cultural values and personal preferences.

Answer 5

PA considerations

Question 6

• Modify language and communicate style to be consistent with child’ s needs.

Answer 6

PA considerations

Question 7

• Modify language and communicate style to be consistent with child’ s needs.

Answer 7

PA considerations

Question 8

Gather as much information as possible by observation first

Answer 8

PA considerations

Question 9

important to all levels of nursing practice.

Answer 9

PHYSICAL ASSESSMENT

Question 10

an essential skill that falls within the scope of nursing practice. It can be helpful because it can help determine the status of your health.

Answer 10

PHYSICAL ASSESSMENT

Question 11

help you have open communication with your doctor and give you an opportunity to share information about your symptoms and overall health.

Answer 11

PHYSICAL ASSESSMENT

Question 12

help you assess which areas of your health need attention so they don ’t cause bigger issues later on.

Answer 12

PHYSICAL ASSESSMENT

Question 13

• Blood Pressure
• Cholesterol
• Blood glucose level
• Body mass index

Answer 13

PHYSICAL ASSESSMENT example

Question 14

1. Inspection
2. Palpation
3. Percussion
4. Percussion

Answer 14

4 TECHNIQUES USED IN PHYSICAL ASSESSMENT

Question 15

It involves using vision to differentiate between normal and abnormal discoveries. Examining body parts for color, shape, symmetry, motion, and texture

Answer 15

Inspection

Question 16

It involves the use of hands to touch body parts for data collection. It detects body temperature, moisture, turgor, texture, tenderness, thickness, and distention.

Answer 16

Palpation

Question 17

It is the technique in which one or both hands are used to strike the body surface to produce a sound called percussion note. The character of the sound determines the location, size and density of underlying structure to verify abnormalities.

Answer 17

Percussion

Question 18

It is a general term that refers to the process of listening to the sound within the body , usually using a stethoscope

Answer 18

Auscultation

Question 19

SKIN
HAIR
NAILS

Answer 19

INTEGUMENTARY

Question 20

client’ s skin is consistent in tone, free of blemishes, and feels pleasant. He has healthy skin turgor and a normal range for skin temperature.

Answer 20

SKIN

Question 21

thick, silky hair that is uniformly spaced out and varying amounts of body hair. Additionally, no evidence of illness or infestation has been found.

Answer 21

HAIR

Question 22

are light brown and have a convex curve in their shape. It is smooth and the epidermis is still present.

Answer 22

NAILS

Question 23

revert to their normal color in less than 3 seconds when pushed between the fingers (Blanch Test).

Answer 23

NAILS

Question 24

The customer has a rounded, symmetrical, normocephalic head.

Answer 24

HEAD

Question 25

• When the skull is palpated, there are no nodules, masses, or depressions.

Answer 25

HEAD

Question 26

uniformly smooth, without any nodules or lumps, and with consistent consistency.

Answer 26

FACE

Question 27

Make sure there is good communication between management and staff

Answer 27

VISION AND THE EYES

Question 28

hair is spread equally equivalent amount of movement

Answer 28

Eyebrows:

Question 29

even distribution and a modest outward curl.

Answer 29

Eyelashes

Question 30

no discharges, no discoloration, and closed symmetrically with 15-20 unconscious blinks a minute.

Answer 30

Eyelids

Question 31

translucent and had few visible capillaries.

Answer 31

Bulbar conjunctiva

Question 32

white

Answer 32

sclera

Question 33

pink, lustrous, and smooth.

Answer 33

palpebral conjunctiva

Question 34

neither torn or edematous.

Answer 34

lacrimal gland

Question 35

PERRLA

Answer 35

pupils

Question 36

round and flat.

Answer 36

iris

Question 37

moved parallel to one another and in synchrony when the extraocular muscle was tested.

Answer 37

eyes

Question 38

symmetrical Color same as facial skin aligned with the outer canthus of the eye Movable, firm and not tender Pinna recoils after it is folded

Answer 38

Auricles

Question 39

Distal third contains hair follicles and glands Pearly gray color, semitransparent

Answer 39

External Ear Canal and Tympanic Membrane

Question 40

Normal voice tones audible Able to repeat the phrases correctly in both ears

Answer 40

Gross Acuity Test

Question 41

heard in both ears or is localized at the center of the head (Weber negative)

Answer 41

Weber's test

Question 42

o Air-conducted hearing is greater than bone-conducted hearing (positive Rinne)

Answer 42

• Rinne test

Question 43

• Symmetric and straight • No discharge or flaring • Uniform color • Not tender; no lesions • Air moves freely as the client breathes through the nares • Mucosa pink • Clear watery discharge • Nasal septum intact and in midline

Answer 43

Nose

Question 44

Not Tender

Answer 44

Facial Sinuses

Question 45

• Symmetrical anterior thorax • no thorax deformities, masses, or swelling • Loud, high-pitched bronchial breath sounds over the trachea. • Soft, breezy, low-pitched vesicular breath sounds over most of the peripheral lung fields

Answer 45

Thorax and Lungs

Question 46

• Dome-shaped abdomen • Soft to palpation • There are no visible lesions or scars • The aorta is midline without bruit or visible pulsation.

Answer 46

Abdomen

Question 47

length and size are symmetrical without swelling or erythema. atraumatic in appearance without tenderness or deformity. Full range of motion is noted to all joints. Muscle strength is 5/5 bilaterally.

Answer 47

EXTREMITIES

Question 48

equipment used to measure various bodily components such as muscle, bones, and adipose tissue or body fat.

Answer 48

ANTHROPOMETRIC MEASUREMENTS TOOL

Question 49

Tool comprised of rods that can be configured for many body measurements. may reference a small or large bone

Answer 49

Anthropometer

Question 50

a tool to measure the lengths of the human body.

Answer 50

Anthropometer

Question 51

a sliding caliper usually between 140-200mm used to measure width of small bones, such as wrist, knee, elbow, ankle.

Answer 51

Small Bone Anthropometer

Question 52

measures knee height and other bone lengths, such as forearm

Answer 52

Segmometer

Question 53

used to locate the midpoint of upper arm for body test measurement

Answer 53

Segmometer

Question 54

usually has a 3m range and is the size of a standard handheld tape measure for easy transport.

Answer 54

Segmometer

Question 55

a sliding caliper usually with a range of 600mm used to measure large bones, such as shoulder width and chest depth. Chest depth can also be measured by a breadth caliper.

Answer 55

Large Bone Anthropometer

Question 56

measures the anterior-posterior chest depth, shoulder, and pelvis, usually has a range of 50cm / 20 inch.

Answer 56

Breadth Caliper

Question 57

measures the height of bedridden patients, elderly persons, and persons in wheelchairs, by means of measuring the height of the leg

Answer 57

Knee Height Caliper

Question 58

usually rigid metal and about 80cm long (just under 2.5 ft). It may sometimes be referred to as a rigid segmometer.

Answer 58

Knee Height Caliper

Question 59

a collection of calipers and measurement instruments for complete anthropometric evaluation

Answer 59

Anthropometry Kit

Question 60

usually includes a small bone and large bone anthropometer, a stadiometer, anthropometric tape measure, segmometer, and transport case. a complete kit usually includes a skinfold caliper as well

Answer 60

Anthropometry Kit

Question 61

measure wrist, ankle, waist. Also for locating midpoint of upper arm for body fat testing.

Answer 61

Anthropometric Tape Measure

Question 62

Has a thin (6mm wide), flat, flexible steel blade with blank space before the zero (6-8cm), and uses the metric system, about 2 meters in length.

Answer 62

Anthropometric Tape Measure

Question 63

To measure wrist, ankle, waist. Also, for locating midpoint of upper arm for body fat testing.

Answer 63

Anthropometric Tape Measure

Question 64

• Body fat caliper with jaws that measure the thickness of skinfolds, usually with a range of 60- 100mm.

Answer 64

Skinfold Caliper

Question 65

• Measure skinfold thickness at multiple sites on the body in order to calculate body fat percentage

Answer 65

Skinfold Caliper

Question 66

Height Meter a straight vertical meter usually 200- 300cm in length.

Answer 66

Stadiometer

Question 67

Used to measure height of a person standing up

Answer 67

Stadiometer

Question 68

includes a variety of healthy foods

Answer 68

healthy eating

Question 69

the distance from the bottom of the feet to the top of the head in a human body, standing erect.

Answer 69

Height/stature

Question 70

a measurement of mass

Answer 70

Weight

Question 71

a measure that relates body weight to height

Answer 71

BODY MASS INDEX (BMI)

Question 72

A Belgian mathematician who created the formula for BMI

Answer 72

Lambert Adolphe Jacques Quetelet

Question 73

ho renamed the formula to BMI

Answer 73

Ancel Benjamin Keys

Question 74

calculated by dividing a person's height in meters squared by their weight in kilograms.

Answer 74

BMI

Question 75

for muscle builders, long distance athletes, pregnant women, the elderly or young children.

Answer 75

BMI is not used

Question 76

BMI is interpreted by using standard weight status categories that are the same for all ages and for both men and women

Answer 76

for adults 20 years and older

Question 77

Below 18.5

Answer 77

Underweight

Question 78

18.5 – 24.9

Answer 78

Normal

Question 79

25.0 – 29.9

Answer 79

Overweight

Question 80

30.0 and Above

Answer 80

Obese

Question 81

BMI classifications do not depend on age or sex.

Answer 81

For adults

Question 82

BMI is interpreted relative to a child’s age and sex, because the amount of body fat changes with age and varies by sex.

Answer 82

For children and adolescents between 2 and 20 years old

Question 83

Less than 5th percentile

Answer 83

Underweight

Question 84

5th percentile to less than 85th percentile

Answer 84

Healthy weight

Question 85

85th percentile to less than 95th percentile

Answer 85

Overweight

Question 86

Equal to or greater than the 95th percentile

Answer 86

Obese