Nutrition 2750 Exam 2 Questions With
Complete Solutions
Malnutrition Correct Answers literally means bad nutrition -
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protein/calorie undernutrition
malnutrition diagnosis Correct Answers -inadequate cal intake
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-loss of muscle mass
-localized or generalized fluid accumulation that may mask
weight loss
-unintentional weight loss
-loss of subcutaneous fat
-diminished hand grip strength
etiology based malnutrition definition Correct Answers
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starvation
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chronic disease
acute disease
nutrition screening Correct Answers quick look at a few
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variables to judge clients risk for nutrition problems
whats the primary focus of nutrition therapy Correct Answers
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adequate calorie and protein intake - cal: 25-30 cal/kg/day
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types of oral diets Correct Answers regular, modified
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consistency, therapeutic
clear liquid or full liquid
pureed
,mechanically altered
soft
clear liquid diet Correct Answers clear and liquid at room temp:
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mostly water and carbs; minimal digestion, nutritionally
inadequate.
when? prep for bowel surgery or colonoscopy, acute GI
disorders, transitional feeding after parenteral nutrition
full liquid diet Correct Answers liquid at room temp; more
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variety and nutritional support than clear liquid. includes all
clear liquid diet, plus milk, soup, veggie/fruit juice, plain ice
cream and sherbert, pudding, strained fruits and veggies
pureed diet Correct Answers liquids and foods pureed to liquid
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mechanically alterd diet Correct Answers - regular diet that is
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modified in texture only: foods that require minimal chewing
,before swallowing for limited chewing ability, swallowing
problems
o Jaw surgery
o Swallowing problems
enteral nutrition Correct Answers - Commercial formula given
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by a tube into stomach or small intestine
- Indicated when adequate nutrients and cals cannot be taken
orally; but client has partially functioning GI system-at least
lower half
- May augment oral diet or be used alone
enteral nutrition often used for clients who Correct Answers
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obstruction of upper Gi, lack of appetite d/t disease such as
cancer, burn injuries
enteral misc. (notes from missed class) Correct Answers
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Jejunum=absorption issue
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- Most commonly in stomach
- Need to have way to get out
- Augment-along with
which enteral routes are surgically created ostomy - long term
Correct Answers Gastronomy (gt or g tube)
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jejunostomy (jt or j tube)
which skin level device allows more free movement Correct
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Answers mickey button
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, which enteral routes are nasal tubes - short term Correct
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Answers nasogastric (NG)
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nasojejunal (NJ)
standard feeding formula enteral Correct Answers composed of
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whole proteins
hydrolyzed feeding formula enteral Correct Answers partially
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digested proteins: for those with impaired digestion/absorption
(pancreatic; GI inflammatory disorders)
similarities between standard and hydrolyzed feeding Correct hh
Answers o Both composed of whole proteins, impacts pancreas,
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absorption issues
o Partially functioning GI tract
define isotonic and hypertonic Correct Answers § Isotonic:
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same as blood, well tolerated
§ Hypertonic: higher osmolality; hydrolyzed formulas à less
tolerated
nasogastric - when? Pros? Cons? Correct Answers short term
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(less than four weeks), functional GI tract
Pros: easy placement/removal, stomach as reservoir, intermittent
feedings, no pump
cons: high aspiration risk, nose/esophagus irritation, unasthetic
enteral feeding important considerations Correct Answers
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return residual volume
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o Safety: positioning of client and placement of tube,
assessment, and care of site
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