WGU Nutrition D440 Competed Study Guide
with Questions and answers
Types of enteral tubes
nasogastric and nasaljejunal/nasalduodenal
When is a nasal gastric tube used?
If is required for less than 4 weeks, tube is usually inserted into the stomach through
the nose
When is a nasojejunal/nasoduodenal tube used?
If at risk for aspiration, reflux, or continual vomiting.
How is a nasojejunal/nasoduedenal tube placed?
Tube passes through the nose, down the esophagus, through the stomach, and into
the proper location of the small intestine by peristaltic activity, endoscopic, or
fluoroscopic guidance. Use of X-ray to verify placement
What is stomatitis?
Inflammation of the oral mucous lining of the mouth
What is the treatment/diet for stomatitis?
Eat foods that are soft and east to chew and swallow
Moisten foods with gravy, broth, or sauces
Avoid alcohol and known irritants such as acidic, spicy, salty, and coarse-textured
foods (crunchy foods)
Cook foods until they are soft and tender, or cut foods into small bites
,Eat foods at room temperature
Supplement meals with high-calories, high-protein milkshakes or smoothies
Maintain good oral hygiene
Numb the mouth with ice chips or flavored ice pops
Radiation of the head, neck or esophagus
disturbs the oral mucosa and salivary secretions, thereby affecting taste sensations and
sensitivity to food texture and temperature. Resultant anorexia and nausea may
exacerbate malnutrition.
Radiation to the abdominal area
compromises the intestinal mucosa, causing a loss of villi and possibly nutrient
malabsorption. Tissue breakdown may cause ulcers, inflammation, obstructions, or
fistulas, and these conditions interfere with the normal function of the involved tissue.
Dietary choices and physical activity
are the most modifiable risk factors for cancer prevention
What does the American cancer society suggest about your weight in order to prevent
cancer?
Be as lean as possible within normal range of body weight throughout life. Balance
caloric intake with physical activity. Avoid excessive weight gain at all ages.
What does the American Cancer Society suggest about exercise for children and
adolescents in order to prevent cancer?
participate in at least 60 minutes every day of moderate to vigorous physical activity,
with vigorous physical activity included at least 3 days per week.
,What does the American Cancer Society suggest about exercise for adults in order to
prevent cancer?
engage in at least 150 minutes of moderate intensity or 75 minutes of vigorous
physical activity each week. Limit sedentary behaviors.
What does the American Cancer society suggest that you eat in order to prevent
cancer?
Consume a healthy diet that has an emphasis on plant-based food.
What does the American Cancer Society recommend about alcohol intake?
limit intake to two drinks per day for men
one drink per day for women
One drink is defined as 12 oz of beer, 5 oz of wine, or 1.5 oz of 80-proof distilled
spirits.
What does the American Cancer Society recommend about dietary supplements?
Meet nutrient needs through diet alone; do not rely on dietary supplements
What does the American Cancer Society recommend about infant diets?
Aim to breastfeed infants exclusively for 6 months and continue to breastfeed for at
least 1 year while offering complementary food after 6 months.
What factors help support glycemic management?
pharmacology (insulin injections, oral medications), healthy eating, regular physical
activity, and glucose monitoring.
What should you do when assessing fatigue?
, Assess tolerance for activities. Provide assistance and support as needed for maintaining
bed or chair positions.
Frame size
the persons height (in centimeters) divided by their wrist circumference (in
centimeters)
Conditions associated with being underweight
Wasting disease, poor food intake, malabsorption, hormonal imbalance, low energy
availability, poor living situation
Who is the most at risk for malnutrition?
pregnant women, infants, children, and elderly adults.
How do we encourage adequate food intake?
Food Assistance Programs
Commodity Supplemental Food Program
Supplemental Nutrition Assistance Program
(WIC)
School Meals Program
Clear liquid
Clear juices that do not contain pulp. Examples: apple or cranberry juice, gelatin,
popsicles, and clear broths. Prescribed for patients with gastrointestinal (GI) problems,
before (preoperatively) and after surgery. (postoperatively), and before some diagnostic
tests.
Full liquid