ASPEN Module 1 "Assessment" with Complete Solutions.

Copper deficiency is associated with which kind of anemia? correct answers microcytic hypochromic anemia Sx of Cu deficiency correct answers sensory ataxia, lower extremity spacticity, parathesis in extremities, leukopenia, neutropenia, hypercholesteremia, inc. erythrocyte turnover, dec. ceruloplasmin, abnormal EKG patters, myeloneuropathy Pts on long-term parenteral nutrition have developed correct answers anemia, leukopenia, neutropenia, and skeletal abnormalities A complication/deficiency related to Celiac disease correct answers Cu deficiency Ileostomy output tends to be high in which electrolyte correct answers Na (120 mEq/L) A pt receiving PN has a high ileostomy output. What changes should you make to the PN Rx? correct answers inc. Na and inc. fluid volume Acute disease-associated malnutrition is cause by what? what are its clinical features? correct answers it is caused by an acute inflammatory response; features include hypoalbuminemia, edema, and anasarca the condition with one of the highest associated rates of malnutrition correct answers cancer tricep skinfold thickness below the ___ percentile is abnormal in hospitalized pts correct answers 5th Involuntary weight loss of greater than or equal to __% of usual body weight in one month, __% in 3 months or __% in 6 months are indicative of malnutrition. correct answers 5%, 7.5%, 10% Body weight below ideal ________________________ correct answers does not necessarily indicate malnutrition Characteristics of starvation correct answers lipolysis, hypoglycemia, ketosis characteristics of stress-related malnutrition correct answers hypermetabolism and hyperglycemia Subjective Global Assessment (SGA) correct answers evaluates subcutaneous fat and muscle wasting at multiple body sites to determine nutritional status What are the 5 historical evaluation factors for the SGA? correct answers weight history, dietary intake, gastrointestinal symptoms, functional status, metabolic demand