QUIZ 2

Question 1

self-feeding: individual needs

Answer 1

• dentures, eye glasses, hearing aids (working and in place)
• pain
• hygiene/grooming
• clothing

Question 2

positioning of the ____ is key and the first step for good positioning

Answer 2

hips

Question 3

role of the dietician

Answer 3

provides thorough nutrition assessment and intervention helps improve or maintain heath

Question 4

therapeutic diet

Answer 4

alteration of nutrients to help treat a medical condition

ex. calorie restricted or enhanced (overweight, or underweight)

Question 5

mechanical diet

Answer 5

alteration of food and/or fluid textures to help treat a medical condition

Question 6

enteral nutrition

Answer 6

refers to nutrition support provided when use on an oral diet is either contraindicated (due to safety) or insufficient to meet a person’s nutritional needs

Question 7

enteral infers that…

Answer 7

the digestive tract is functional and can be used for nutrient ingestion and absorption

Question 8

parenteral nutrition is used when…

Answer 8

any part of the digestive tract is not functional or when it is necessary to minimize GI function

Question 9

routes of administration

Answer 9

• OG (orogastric), or OJ (orojejunal) tube
• NG or NJ
• G-tube (gastronomy) or PEG (percutaneous endoscopic gastronomy)
• J-tube (jejunostomy), or PEJ (percutaneous endoscopic jejunostomy) tube

Question 10

tube feeding complications

Answer 10

• nausea
• vomiting
• diarrhea
• constipation
• tube occlusion
• aspiration

Question 11

complications- nausea

Answer 11

improper tube placement, excessive rate or volume, anxiety

Question 12

complications- vomiting

Answer 12

excessive volume, improper formula, contamination, anxiety

Question 13

complications- diarrhea

Answer 13

cold formula, excessive rate, high osmolarity, anxiety

Question 14

complications- constipation

Answer 14

low fiber formula, inadequate fluid

Question 15

complications- tube occlusion

Answer 15

formula viscosity, failure to flush tube

Question 16

complications- aspiration

Answer 16

HOB- head of bed, tube placement, excessive gastric residual

Question 17

non imaging swallow technique

Answer 17

bedside/clinical swallow evaluation

Question 18

imaging technique

Answer 18

MBS, FEES (fiberoptic endoscopic evaluation of swallowing)

Question 19

cervical auscultation

Answer 19

utilizes the sounds of swallowing by placing a microphone or stethoscope to the neck area

Question 20

what do you listen for during the cervical auscultation?

Answer 20

the “click” of the opening of the eutstachian tube and “clunck” associated with CP opening for timing of the swallow

Question 21

what would you use to listen for respiration following the swallow?

Answer 21

stethoscope

Question 22

bedside swallow eval provides info on

Answer 22

• oral anatomy
• respiratory function and its relationship to swallow
• labial control
• lingual control
• palatal function
• pharyngeal wall contraction*
• laryngeal control
• general ability to follow directions
• reaction to oral sensory stimulation (taste, temp, and texture)
• reactions/symptoms during attempts to swallow

Question 23

3 diagnosis areas at risk for dysphagia

Answer 23

• neurological events/accidents
• neurological diseases
• head and neck cancer

Question 24

what is the sensation that something is stuck in your throat called?

Answer 24

globus sensation

Question 25

clinical/bedside swallow eval MEDICAL red flags

Answer 25

diagnosis
signs/symptoms
respiratory status
cognitive/behavioral status

Question 26

clinical/bedside swallow eval ORAL red flags

Answer 26

leakage
pocketing
drooling
labial/lingual weakness

Question 27

clinical/bedside swallow eval PHARYNGEAL red flags

Answer 27

coughing
throat clearing
wet gurgly voice
drop in O2 sats

Question 28

clinical/bedside swallow eval ESOPHAGEAL red flags

Answer 28

globus
belching
heartburn
coughing AFTER eating/drinking