NR 228- Nutrition, Health, and Wellness
Wk 6 Questions and Complete Solutions
Graded A+
The Nutritional Team - Answer: doctors:
- write orders, including diet
nurses:
- help identify patients in need of nutrition services
- basic nutrition screening: per the joint commission, this must be completed within 48 hours of
admission and should include cultural, ethnic, and religious food preferences
registered dietitian- nutritionist (RDN)
- nutrition care process
- detailed nutrition assessment
- nutrition diagnosis
- intervention: provision of specific nutrition therapies
- monitoring and evaluation of outcomes
dietetic technicians registered (DTRs)
- take diet histories
- collect info for nutrition screening and assessment
- work directly with pts who are having problems w/ their meals
- provide basic nutrition education
- should not be asked to counsel pts about modifications for complex disease
Nitrogen Balance - Answer: nitrogen primary part of protein and is used to evaluate protein status in
body
zero balance:
- healthy status
positive balance: increased nitrogen based on need for more protein in body
- preg, wound healing, lactation, growing children
, negative balance: more nitrogen excreted than taken in by body through ingestion of protein
- illness, stress, surgery, eating disorders, starvation
Nutrition Risk and Malnutrtion - Answer: nutritional risk
- potential to become malnourished
- primary: inadequate intake of nutrients
-- undernutrition and chronic micronutrient deficiencies are a form of "hidden hunger"
- secondary: caused by diseases or iatrogenic effects
nutritional screening must be completed w/in 48 hrs of arrival
Nutritional Screening and Assessment - Answer: screening
- process of id-ing pts at risk for poor nutritional status
- short process, limited prioritized questions
- performed by non-healthcare professionals
assessment
- process of determining a pts nutritional status
- long process, includes medical history, diet history, physical examination, anthropometric parameters,
lab values, economic, food access, IADL/ADL, impairments, individual/family information
- performed by a healthcare professional (dietitian)
Primary vs. Secondary Malnutrition - Answer: primary
- due to inadequate intakes
- a pt can "overeat" calories and still be malnourished
-- think nutrients
secondary
- due to factors other than diet
-- illness, drug interactions
Outcomes of Malnutrtion - Answer: poor wound healing
Wk 6 Questions and Complete Solutions
Graded A+
The Nutritional Team - Answer: doctors:
- write orders, including diet
nurses:
- help identify patients in need of nutrition services
- basic nutrition screening: per the joint commission, this must be completed within 48 hours of
admission and should include cultural, ethnic, and religious food preferences
registered dietitian- nutritionist (RDN)
- nutrition care process
- detailed nutrition assessment
- nutrition diagnosis
- intervention: provision of specific nutrition therapies
- monitoring and evaluation of outcomes
dietetic technicians registered (DTRs)
- take diet histories
- collect info for nutrition screening and assessment
- work directly with pts who are having problems w/ their meals
- provide basic nutrition education
- should not be asked to counsel pts about modifications for complex disease
Nitrogen Balance - Answer: nitrogen primary part of protein and is used to evaluate protein status in
body
zero balance:
- healthy status
positive balance: increased nitrogen based on need for more protein in body
- preg, wound healing, lactation, growing children
, negative balance: more nitrogen excreted than taken in by body through ingestion of protein
- illness, stress, surgery, eating disorders, starvation
Nutrition Risk and Malnutrtion - Answer: nutritional risk
- potential to become malnourished
- primary: inadequate intake of nutrients
-- undernutrition and chronic micronutrient deficiencies are a form of "hidden hunger"
- secondary: caused by diseases or iatrogenic effects
nutritional screening must be completed w/in 48 hrs of arrival
Nutritional Screening and Assessment - Answer: screening
- process of id-ing pts at risk for poor nutritional status
- short process, limited prioritized questions
- performed by non-healthcare professionals
assessment
- process of determining a pts nutritional status
- long process, includes medical history, diet history, physical examination, anthropometric parameters,
lab values, economic, food access, IADL/ADL, impairments, individual/family information
- performed by a healthcare professional (dietitian)
Primary vs. Secondary Malnutrition - Answer: primary
- due to inadequate intakes
- a pt can "overeat" calories and still be malnourished
-- think nutrients
secondary
- due to factors other than diet
-- illness, drug interactions
Outcomes of Malnutrtion - Answer: poor wound healing
