NUR 209 Exam II Review.
NUR 209 Exam II Review.Exam II Review Nutrition *Need nutrition for cell growth, development, regulation, metabolism, bodily functions, etc. *Important electrolytes include: sodium, potassium, magnesium, calcium, and phosphorus. *Medication needs PROTEIN to bind to in order to be distributed throughout the body, or else too much of a free drug will cause toxicity. Assessment (Functional Health Pattern: Nutrition) I. Subjective A. Determine Normal Eating Pattern ⟶ 24-Hour Recall: What has the patient eaten in the last twenty-four hours? Is that typical of what they eat on a day-to-day basis? ⟶ Food Diary: A three or seven day diary of what is eaten daily. Nutrients and calories can then be calculated. Are they getting adequate nutrients, protein, carbs, fiber? Based on these findings, you can determine the patient’s risk and impacts on ADL’s. B. Determine Risk C. Impacts on ADL’s II. Objective A. Physical Assessment 1. General Observations 2. Measurements (BMI, waist circumference) 3. Intake & Output 4. Calorie Count (Tracks food intake for 3 days to measure nutrient intake) 5. Mouth Inspection (Check for thrush, stomatitis, open sores, dentures, etc.) 6. Swallowing Evaluation a. Palpation of jaw and muscles of mastication (Cranial Nerve 5) b. Swallowing and gag reflex (Cranial Nerves 9 & 10) c. Cough Factors Affecting Nutrition and Metabolism 1. Intake of Nutrients o Physical/Mental Barriers o Levels of Consciousness o Knowledge Deficit o Finances o Dysphasia 2. Ability to Use Ingested Nutrients o Allergies (Histamine) o Hypersensitivity/Intolerance o Inflammatory conditions such as colitis, gastritis, esophagitis 3. Metabolic Demand o Sick individuals require a greater number of calories
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