DTC 203 Exam 3 Questions & Answers
what are the symptoms and effects of illness related to reduced food intake? -
ANSWERSAnorexia due to illness, nausea and vomiting, pain with eating, mouth ulcers or
wounds, difficulty chewing or swallowing, depression or psychological stress, or inability to feed
oneself
what are the treatments for reduced food intake? - ANSWERSrestrictive diets; bowel rest;
surgical restriction of head, neck, mouth or esophagus; preparation for surgery or diagnostic
tests; surgical wounds; side effects of medications (which can cause anorexia or GI distress)
what are the symptoms and effects of illness related to impaired digestion and absorption? -
ANSWERSinflammation associated with bowel conditions; insufficient secretion of digestive
enzymes or bile salts; altered structure or function of intestinal mucosa
what are the treatments for impaired digestion and absorption? - ANSWERSradiation therapy,
GI surgeries; side effects of medications on GI tract structure or function
what are the symptoms and effects of illness for altered nutrient metabolism and excretion? -
ANSWERSelevated metabolic rate; muscle wasting, changes in hydration, prolonged
immobilization, nutrient losses due to excessive bleeding, diarrhea, or frequent urination
what are the treatments for altered nutrient metabolism and excretion? -
ANSWERSchemotherapy, use of diuretics (increased urination and nutrient excretion), side
effects of other medications (can affect nutrient function)
ADIME acronym for nutrition care process - ANSWERSAssess
Diagnose
Intervene
,Monitor
Evaluate
what is the first part of assessing nutritional risk? - ANSWERSnutrition screening
what is involved in assessment of nutrition? - ANSWERSmedical history, social history, diet
history, anthropometrics, physical exam and biochemical
What biochemical tools do we use to assess nutritional status? - ANSWERS1. album- (major
plasma transport protein and regulator of
fluid balance)
2. prealbium and transferrin (major plasma iron transport protein)... (these values are typically
depressed in stressed patients)
what happens to transferrin levels during iron depletion and malnourishment? - ANSWERSlevels
go up during iron depletion and goes down when during malnutrition
What are the PO diets? - ANSWERSMechanically altered
clear liquids
full liquids
fat restriction
sodium/ salt restriction
low fiber/ low residue
high calorie/ high protein
appropriate uses for pureed food diets - ANSWERSpeople with swallowing difficulty, poor lip
and tongue control, or oral hypersensitivity
, pureed diet - ANSWERSyogurt, pudding, custard, mashed bananas, mashed potatoes,
applesauce, hummus, pureed meat, cream of wheat, pancakes, pureed rice and pasta
appropriate use of mechanically altered and soft food diets - ANSWERSpeople with limited
chewing ability or certain swallowing impairments
clear liquid diet - ANSWERSclear liquids or foods that are liquid at room temperature and leave
minimal residue in the colon
examples of clear liquid diet - ANSWERSpulp free juices, carbonated beverages, clear meat and
vegetable broths, fruit flavored gelatin, fruit juices, and popsicles
examples of full liquid diet - ANSWERSmilk, juice, fellow, and scrambled eggs
Foods included in a fat restricted diet - ANSWERSfat free milk products, most breads and cooked
grains, fat free broths and soups, veggies prepared w/o fat, most fruits, and fat free candies and
sweets
reducing the symptoms of fat malabsorption which accompanies diseases of the liver,
gallbladder, pancreas, and intestines - ANSWERSfat restriction diet
what foods are restricted with low fiber/ low residue diets? - ANSWERSwhole grain breads and
cereals, nuts and nut butters, most fresh fruit (except peeled apples, ripe bananas, and melons),
dried fruit, dried beans and peas, many veggies (broccoli, cabbage, corn, onions, peppers, and
spinach)
intestinal disorders, GI surgery, and acute diverticulitis - ANSWERSlow fiber/ residue diet
can help prevent or correct fluid retention and may be prescribed for treatment of
hypertension, CHF, kidney disease, and liver disease - ANSWERSsalt/sodium restriction
what are the symptoms and effects of illness related to reduced food intake? -
ANSWERSAnorexia due to illness, nausea and vomiting, pain with eating, mouth ulcers or
wounds, difficulty chewing or swallowing, depression or psychological stress, or inability to feed
oneself
what are the treatments for reduced food intake? - ANSWERSrestrictive diets; bowel rest;
surgical restriction of head, neck, mouth or esophagus; preparation for surgery or diagnostic
tests; surgical wounds; side effects of medications (which can cause anorexia or GI distress)
what are the symptoms and effects of illness related to impaired digestion and absorption? -
ANSWERSinflammation associated with bowel conditions; insufficient secretion of digestive
enzymes or bile salts; altered structure or function of intestinal mucosa
what are the treatments for impaired digestion and absorption? - ANSWERSradiation therapy,
GI surgeries; side effects of medications on GI tract structure or function
what are the symptoms and effects of illness for altered nutrient metabolism and excretion? -
ANSWERSelevated metabolic rate; muscle wasting, changes in hydration, prolonged
immobilization, nutrient losses due to excessive bleeding, diarrhea, or frequent urination
what are the treatments for altered nutrient metabolism and excretion? -
ANSWERSchemotherapy, use of diuretics (increased urination and nutrient excretion), side
effects of other medications (can affect nutrient function)
ADIME acronym for nutrition care process - ANSWERSAssess
Diagnose
Intervene
,Monitor
Evaluate
what is the first part of assessing nutritional risk? - ANSWERSnutrition screening
what is involved in assessment of nutrition? - ANSWERSmedical history, social history, diet
history, anthropometrics, physical exam and biochemical
What biochemical tools do we use to assess nutritional status? - ANSWERS1. album- (major
plasma transport protein and regulator of
fluid balance)
2. prealbium and transferrin (major plasma iron transport protein)... (these values are typically
depressed in stressed patients)
what happens to transferrin levels during iron depletion and malnourishment? - ANSWERSlevels
go up during iron depletion and goes down when during malnutrition
What are the PO diets? - ANSWERSMechanically altered
clear liquids
full liquids
fat restriction
sodium/ salt restriction
low fiber/ low residue
high calorie/ high protein
appropriate uses for pureed food diets - ANSWERSpeople with swallowing difficulty, poor lip
and tongue control, or oral hypersensitivity
, pureed diet - ANSWERSyogurt, pudding, custard, mashed bananas, mashed potatoes,
applesauce, hummus, pureed meat, cream of wheat, pancakes, pureed rice and pasta
appropriate use of mechanically altered and soft food diets - ANSWERSpeople with limited
chewing ability or certain swallowing impairments
clear liquid diet - ANSWERSclear liquids or foods that are liquid at room temperature and leave
minimal residue in the colon
examples of clear liquid diet - ANSWERSpulp free juices, carbonated beverages, clear meat and
vegetable broths, fruit flavored gelatin, fruit juices, and popsicles
examples of full liquid diet - ANSWERSmilk, juice, fellow, and scrambled eggs
Foods included in a fat restricted diet - ANSWERSfat free milk products, most breads and cooked
grains, fat free broths and soups, veggies prepared w/o fat, most fruits, and fat free candies and
sweets
reducing the symptoms of fat malabsorption which accompanies diseases of the liver,
gallbladder, pancreas, and intestines - ANSWERSfat restriction diet
what foods are restricted with low fiber/ low residue diets? - ANSWERSwhole grain breads and
cereals, nuts and nut butters, most fresh fruit (except peeled apples, ripe bananas, and melons),
dried fruit, dried beans and peas, many veggies (broccoli, cabbage, corn, onions, peppers, and
spinach)
intestinal disorders, GI surgery, and acute diverticulitis - ANSWERSlow fiber/ residue diet
can help prevent or correct fluid retention and may be prescribed for treatment of
hypertension, CHF, kidney disease, and liver disease - ANSWERSsalt/sodium restriction
