NURS 220 Exam 3 Questions with Verified Answers-Graded
A-Plus.
Person on the health care team responsible for prescribing the diet and writing the diet order
- Correct answer physician
3 limitations of using a 24 hour real to obtain food intake data - Correct answer Patient can’t
always remember
It is only 1 day
May not be a typical day
Under and over estimation
May not say all foods
Seasonal changes not addressed
Skill of interviewer
Over/under estimates
Decreased accuracy
Doesn't take into account seasonal variations
Relies on memory
May not be the typical day
If you want to help a client become aware of what they are eating and see if they are
complying with medical nutrition therapy, you would have them do a _______. This is
particularly helpful for ________ patients in modifying their eating habits. - Correct answer
food record; obese/overweight
When the nurse obtains an estimate of the patients food intake through direct observation
this is called - Correct answer calorie count (only in a hospital setting)
calculate IBW for a man who is 5 feet 10 inches tall using the quick estimate method; then
calculate his %IBW is his current weight is 150 lbs. - Correct answer 106+ (10x6)=166
106 +6(10) = 166 lbs.; 150/166=.9036 x 100= 90.36% IBW
How should height be measured? - Correct answer Standing- against wall, no shoes, heels
together, face forward, place flat object on top of head, 90 angle
Not standing- lay flat and use head and foot board
Significant weight loss may be masked by ________ in the ill person. It also makes lab
values appear lower - Correct answer fluid retention
To be sure we don't miss possible PEM in overweight patients who are sick, we need to
assess their weight by comparing to their __________. - Correct answer usual body weight
To assess brain development in an infant, the nurse measures ____________. - Correct
answer head circumference
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, A ____% or more involuntary weight loss within a _____ period suggests risk of PEM and is
a signal that further _________ is needed. - Correct answer 10%, 6 month; nutritional
assessment
Mechanically altered diets include ____, ______, and ____ diets. The only criteria for foods
on a mechanical soft diet are that they are __________. This diet may also be called
_______. - Correct answer puree, liquid, and soft; easy to chew/swallow; dental soft
Modified diets are tailored to the patient's individual __________. We should think of them in
terms of _______, not a particular disease or organ they are related to. - Correct answer food
preferences and nutritional needs; problems they address
Modified diet orders should specify _________. - Correct answer precise nutrition levels
diet manuals include the following info about a diet that may be helpful to the nurse - Correct
answer Exact food and prep methods, rational indications for use, sample menu, foods that
should and should not be eaten, what patients would be on this diet cancer/burn patients
need. Excess kcals
criteria for foods included a clear liquid diet - Correct answer Transparent, liquid at room temp
and leave little residue on colon, easy on GI tract, ex: clear juices, carbonated beverages,
clear broths
guidelines for food included in a soft diet - Correct answer Mashed, ground, pureed, soft but
solid that are lightly seasoned and easy to digest, all food groups included, foods that are
low in fiber, avoid foods that can’t be blended well
Moderate in fiber, soft foods but solid, can easily form in bowels, lightly seasoned, yes-this
diet does include all food groups
Are all food groups included in a soft diet? - Correct answer Yes
Two types of patients a progressive diet would be appropriate - Correct answer post-surgery,
people in GI system rest, restarting after being NPO (nothing by mouth), nausea and
diarrhea
Compared to a clear liquid diet, the advantage of a pureed diet is that it provides foods that
_________. If followed for long periods, however, it can be __________, which may lead to
________. - Correct answer meet all nutritional needs; unappetizing/monotonous; malnutrition
Two benefits of selective menus for patients in the hospital - Correct answer Familiarize
people with their modified diet, pick foods they want to eat
Enteral nutrition includes _______. It is always preferred over ______ because it maintains
gut function and involves less________. - Correct answer oral and tube feedings; parenteral;
money and complications
define the following types of formulas: hydrolyzed, standard, and isotonic - Correct answer
Hydrolyzed- partially broken down proteins, low in fat, minimum digestion required;
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