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A) decreased bowel sounds B) prominent bony structures D) cool, rough, dry, scaly skin, E) decreased reflexes and
inattention - CORRECT- During assessment of the patient with protein calorie malnutrition, the nurse would
expect to find (Select all that apply)
A) Decreased bowel sounds
B) Prominent body structures
C) A flat or concave abdomen
D) Cool, rough, dry, scaly skin
E) Decreased reflexes and inattention.
distended - CORRECT- when malnourished, the abdomen is usually...
D) mid upper arm circumference and triceps skin fold - CORRECT- To evaluate the effect of nutritional
interventions with a patient with protein calorie malnutrition, the best indicator for the nurse to use is the patient's
A) Height and weight
B) Body mass index
C) Weight in relation to ideal body weight
D) Mid upper arm circumference and triceps skin fold
A) there is less irritation to the nasal and esophageal mucosa - CORRECT- When considering a tube feeding
for a patient with severe protein calorie malnutrition, the nurse knows that an advantage of a gastrostomy tube over a
nasogastric tube is that
A) There is less irritation to the nasal and esophageal mucosa- NG are used short term because of irritation
B) The patient experiences the sight and smells associated with eating
C) Aspiration resulting from reflux of formulas in the esophagus is less common
D) Routine checking for placement is not required because gastrostomy tubes do not become displaced.
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,low levels of vitamins, can leak, reduces amount of fat and calories you absorb from the foods you eat, rapid weight
loss, long term results - CORRECT- roux-enY gastric bypass advantages and disadvantages:
restrict and decrease food intake, less invasive, less chance of infection, band can slip, can require a second
procedure - CORRECT- vertical banded advantages and disadvantages:
C) plan for necessary modifications in equipment and nursing techniques before initiating care - CORRECT-
During the care of the morbidly obese patient, it is important that the nurse
A) Avoid reference to the patient's weight to avoid embarrassing the patient
B) Deemphasize to the patient how important it is to lose weight to maintain health
C) Plan for necessary modifications in equipment and nursing techniques before initiating care
D) Recognize that a full assessment of each body system might not be possible because of numerous layers of skin
folds
A) avoid sugary foods and limit fluids to prevent dumping syndrome - CORRECT- Dietary teaching for the
patient following roux-enY gastric bypass includes information regarding the need to
A) Avoid sugary foods and limit fluids to prevent dumping syndrome
B) Gradually increase the amount of food ingested to preoperative levels
C) Maintain a long term liquid diet to prevent damage to the surgical site
D) Consume foods high in complex carbohydrate, protein, and fiber to add bulk to intestinal contents.
clear liquid diet - CORRECT- water based, fiber free, recommended for short term use
jello, tea, coffee, broth - CORRECT- examples of clear liquid diet:
full liquid diet - CORRECT- milk based, provides water, calories, proteins, vitamins and minerals
milk, pudding, custard, ice cream, yogurt - CORRECT- examples of full liquid diet:
satiety - CORRECT- Condition of being too full or too satisfied
nutrients - CORRECT- Substances in food that your body needs to grow, to repair itself, and to supply you
with energy
micronutrients - CORRECT- vitamins and minerals, needed in smaller amounts
macronutrients - CORRECT- carbohydrates, proteins, and fats, body needs them in large amounts
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, lipids - CORRECT- fats, secondary source of energy
fiber - CORRECT- carb that the body cannot digest, passes through and helps regulate the body's use of
sugars, helps keep blood sugar and hunger in check
Carbohydrates definition - CORRECT- the starches and sugars present in foods, supply energy to the body in
the form of calories
proteins - CORRECT- natural substances consisting of amino acids
vitamins - CORRECT- micronutrient compounds that regulate body function, consumed by dietary intake
minerals - CORRECT- salts dissolved in water, carry electrolytes, work to maintain fluid balance
BMI - CORRECT- a measure of body weight relative to height
enteral nutrition - CORRECT- alternate form of feeding that involves passing a tube into the gastrointestinal
tract to allow instillation of the appropriate formula
triglycerides - CORRECT- an energy-rich compound made up of a single molecule of glycerol and three
molecules of fatty acid
morbid obesity - CORRECT- body mass index (BMI) of 40 or greater or 35 or greater with obesity related
health conditions, 100 or more pounds over ideal body weight
metabolic syndrome - CORRECT- A cluster of conditions that increase the risk of heart disease, stroke, and
diabetes
assess dietary habits, health history, physical assessment, allergies, socioeconomic status, weight changes -
CORRECT- In what ways would a health care provider assess nutrition in a client? How might this change
per age group?
Education about nutrition, set goals related to food/nutrition, resources available - CORRECT- Explain any
nursing interventions that may be implemented.
dietician, social worker/counselor, nutritionist if being discharged - CORRECT- What collaborative therapies
could be used in a patient with altered nutrition? Who would you collaborate with?
higher calorie intake than calories burned, increased adipose tissue - CORRECT- What is the
pathophysiology of Obesity?
joint pain, sleep apnea, diabetes, high blood pressure, respiratory issues, high cholesterol, mobility issues,
depression, anxiety, possible higher risk for cancer - CORRECT- What are the complications of Obesity?
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