Nutrition Ch17 And 22: Surgery And Nutrition Suppo
Nutrition ch17 and 22: Surgery and Nutrition Suppo
Exam (elaborations)
Nutrition ch17 and 22: Surgery and Nutrition Support exam with correct answers
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Nutrition ch17 and 22: Surgery and Nutrition Suppo
Institution
Nutrition Ch17 And 22: Surgery And Nutrition Suppo
Some Nursing Diagnoses that are nutrition related: correct answersMalnutrition
Failure to thrive
Diarrhea
Fluid-volume-deficit
Clinical Nutrition Assessment: correct answersFood and nutrition related history:
- 24-hour dietary recall, multi-day food record
- Dietary supplement use: Identify...
,The RN can also gather a lot of information about food allergies, food intolerances, and dietary
supplement use while admitting a patient to the hospital or while interviewing a patient at the beginning
of an outpatient clinic appointment.
Signs that suggest nutrient imbalances correct answersChellosis (Vitamin B2)
Gingivitis (Vitamin C)
Spoon shaped nails (iron)
Poor wound healing (zinc, protein, vitamin C)
Hypertension (potassium)
Paresthesias (Thiamin, B6, B12, biotin)
How Does Surgery Influence Nutrient Needs? correct answersA client undergoing surgery often faces
significant physical and psychological stress.
As a result the body requires more nutrients during this period and malnutrition can develop.
- Energy
- Protein
- Iron
Malnutrition contributes to:
- Impaired wound healing
- Increased risk of infection
- Extended length of stay in the hospital
- Increased medical costs for the patient
- Increased risk of morbidity to the patient
- Increased risk of death to the patient
What is the purpose of the enhanced recovery after surgery (ERAS) protocol? pg. 416 correct
answersquestions many long-held beliefs and surgical practices.
decreases the physiologic stress of surgery and promotes a faster and easier recovery.
, considers many aspects of treating patients before and after surgery
reduce postop infection occurrence, hospital length of stay, client satisfaction, and even hospital costs.
Typically, patients are told to be NPO (nothing by mouth) for 8 hours prior to surgery. What does ERAS
suggest patients do instead and why? correct answersEnhanced Recovery After Surgery (ERAS) Protocol:
- Evidence based practices calling into question traditional surgical practices and promoting faster
recovery
- Recommends consuming a clear, high CHO beverage the night before surgery and 2 hours before to
promote an anabolic state
- Prevent tissue breakdown immediately following surgery
Adequate Energy:
- Sufficient energy (carbohydrates and fat) spare protein for tissue building
- Increase calories in underweight clients
- Weight reduction for overweight/obesity categories to reduce risk of surgical complications
Adequate Micronutrients:
- Supply extra B- complex vitamins to match extra energy and protein intake.
- Correct any nutrient deficiencies (such as iron-deficiency prior to surgery)
(Many of the B vitamins serve as coenzymes for enzymes involved in the metabolism of macronutrients
for energy)
Immediate Pre-Operative Period: correct answersTypically, nothing by mouth (NPO) for at least 8 hours
prior to surgery. Why?
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