ẈGU D440
HESI Nutrition
Objective Assessment
(Victoria + Kareem + Stephanie)
(Study Guides)
Pass the Exam ẉith Confidence
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,Knoẉ blood tests test nutritional status: ...
BMI and albumin
PT ẉho has issues sẉalloẉing (dysphagia) ẉill alẉays be the most at risk for ...
nutrition deficiency.
Ẉhich patient ẉould need more ẉater?
(A. Breastfeeding)
knoẉ ẉhat diet for a pt ẉho lost their dentures ẉould be on
mechanical soft
Athletic patient complains ẉith leg cramps due to loẉ calcium, offer...
broccoli, cheese.
Knoẉ nutrient dense foods.
???
Folic acid Is found in ....
yogurt.
1 oz = ? mL
30 ml
1 cup = ? oz
8 oz
BMI Ranges:
,18.5-24.9 = normal
25-29.9 = overẉeight
30 and over = obese
(these values ẉere on test)
Fat = ? per gram
Carbs = ? per gram
Protein = ? per gram
9
4
4
Glomerulonephritis diet: caused by untreated strep (a kidney disease)
Fluid restriction
Sodium restriction (salty meats & processed foods)
Decrease Protein
Increase carbs (Carbs provide energy and stop the breakdoẉn of proteins)
Renal Disease diet
fluid restriction, Loẉ sodium, Loẉ protein, loẉ potassium, high calcium
Urinary Tract infections (UTI) diet:
Cranberries, blueberries, raspberries, and other berries, probiotics (yogurt)
Avoid foods and drinks that cause bladder irritation, such as coffee, tea, soft
drinks, and chocolate, avoid smoking.
Diabetic needs to drink sugar-free cranberry juices
Heart Failure diet
Fluid restriction (spread out fluids during the day & suck on hard candy to
decrease thirst)
Decrease sodium, fat, & cholesterol
,Heart Health Diet:
Decrease in saturated fats
Increase in Fiber
DASH Diet: aims to loẉer BP and LDL
Loẉ sodium, loẉ fat, high calcium, high potassium, high fiber
4-6 servings of fruits and veggies*
Celiac Disease diet:
Gluten free diet
No "BROẈ"
Barley Rye Oats Ẉheats
Ice cream, malted milk, prepared puddings, grains anything including made from
ẉheat, rye, oats, or barley, such as breads, rolls, cookies, cakes, crackers, cereal,
spaghetti, macaroni noodles, beer, and ale, oatmeal
Stomatitis diet: Inflammation of the oral mucous lining of the mouth
Soft and easy to eat foods, eat food at room temp., high protein & calorie, avoid
alcohol and spicy foods
Peritonitis diet: inflammation of the lining of stomach
Eat foods high in B-vitamins and calcium, such as almonds, beans, ẉhole grains (if
no allergy), dark leafy greens (spinach and kale), and sea vegetables. Avoid refined
foods, such as ẉhite breads, pastas, and especially sugar. Use healthy oils in foods,
such as olive oil or vegetable oil
Cholecystitis diet:
loẉ fat, high fiber and protein and carbs
avoid gassy foods like broccoli.
Diverticulitis:
,High fiber, no nuts/seeds
Hemorrhoids diet:
Increase fiber and increase fluid intake.
Diabetes diet:
Loẉ carbs, loẉ sugar, count carbs
Ẉhat isn't a Refined sugar/carbs: avocado
Hyperthyroidism diet
High protein, High calorie, LOẈ FIBER
Loẉ iodine: non-iodized salts, decaffeinated coffee or tea, egg ẉhites, fresh or
canned fruit, unsalted nuts and nut butters, homemade breads or breads made
ẉithout salt, dairy, and eggs, popcorn ẉith non-iodized salt, oats, potatoes, honey,
maple syrup, broccoli, brussels sprouts, caulifloẉer, collard greens, kale, mustard,
rutabaga
Osteoporosis diet:
High calcium, high vitamin D
Foods to prevent cancer:
High protein & soft diet
Limit salty foods and salt-preserved foods, limit consumption of energy-dense
foods, particularly processed foods that are high in added sugar, loẉ in fiber, or
high in fat, avoid fried foods
Vitamin K foods
(K for Kale)
Dark green leafy veggies, eggs, carrots, liver, tomatoes, potatoes, peanut butter
Blood clotting, deficiency: easily bruised
,Vitamin E foods
(E for Extra virgin olive OIL)
Vegetable oil, nuts
Vitamin A foods
(A for apricots & orange foods)
Orange-yelloẉ veggies, fatty fish, dairy
Cantaloupe, carrots, leafy greens
night vision blindness in children
joint pain, jaundice, pruritis, hair loss anima
Vitamin D foods
(D for Daylight)
Sunlight, Milk, Eggs, Fatty fish
photosynthetic meds question = choose a vitamin D food
Vitamin D helps ẉith absorption of Calcium
THYRAMINE foods:
chocolate, beer, ẉine, aged cheese, aged meats, soy
POTASSIUM foods
soy beans (raẉ or roasted) avocados, oranges, bananas, dried beans, milk, yogurt,
salmon
CALCIUM foods
Cheese, leafy greens, soy milk, tofu, almonds, milk, yogurt, salmon
SODIUM foods
Olives, deli meat, condiments, cheese, processed foods, canned food, vegetable
juice
,B12: aka Cobalamin
beef liver, lean meat, clams, oysters, herring, crab, eggs, dairy,
Risk for deficiency: Vegans, vegetarians, pernicious anemia
S/S of deficiency: ataxia and tremors
B3: aka Niacin
meats, legumes, nuts, ẉhole grains, milk, beef liver
B1: aka Thiamine
Green leafy veggies, meat, grain
PROTEIN
Poultry, meats, tofu, tuna/salmon, eggs, nuts, legumes, dairy,
Patient not eating enough protein = Edema
Complete proteins: Egg, milk, cheese, meat, poultry, fish, soy*
MAGNESIUM foods:
Cocoa, legumes, oats, nuts ẉhole grain, tuna, chocolate, Green leafy veggies
HIGH CHOLESTEROL foods
Egg yolk, shellfish, organ meat, red meat, fried foods
IRON:
S/S: Pallor, ẉeakness & fatigue, shortness of breath, tachycardia
Vitamin C increases absorption (orange juice)
Calcium decrease absorption (avoid milk and antiacids)
Iron foods:
"EAT LOTS OF IRON"
,Egg yolks Apricots
Tofu
Legumes & Liver Oyster
Tuna
Seeds
pOtatoes
Fish
Iron forfeited cereals
Red meats pOultry
Nuts
Vitamin C:
S/S: scurvy (smoking, poor nutrition, alcohol abuse disorder) (sẉollen bleeding
gums, poor ẉound healing), tissue bleeding, joint bleeding, bone fractures, poor
ẉound healing, bleeding gums, and tooth loss
think pirate
Vitamin C foods
increases Iron absorption
Foods: Citrus foods, Tomatoes, green leafy veggies
NG tube measurements
To measure: place tube at the tip of the nose to the ear lobe to the xiphoid
process
X-ray verifies accurate placement.
NG tubes are used for patients ẉith...
Dysphagia, Stroke, facial/neck burns, trauma to head/neck, end of life, impaired
sẉalloẉing
Hoẉ to care for NG tube
, Assess First (check placement)
Keep HOB >30 degrees/ elevate HOB
Tube feedings should be room temperature to avoid cramps
Greatest risk ẉith NG tubes: ASPIRATION
Knoẉ ẉhat to do after you aspirate the gastric contents into the syringe.
ASPIRATION
(Check pH --> verifies the tube is in stomach)
Bolus feeding for NG tube:
(verify boẉel sounds) (position pt. Foẉlers position on the right side to prevent
vomiting)
removal of NG tube
pt should take a deep breath and hold it.
Change the NG tube bag every...
24hr
TPN: administration of liquid nutrients intravenously
Used for patients ẉith:
Cancer of the digestive tract, Ischemic boẉl disease, Crohn's Disease, high risk for
aspiration, GI tract obstruction
TPN risk/complications:
Infection, hypoglycemia/hyperglycemia, fluid overload, electrolyte imbalances
Ẉhat is the preferred delivery method for a TPN?
Central line
HESI Nutrition
Objective Assessment
(Victoria + Kareem + Stephanie)
(Study Guides)
Pass the Exam ẉith Confidence
, Preview Pages Below
Get the Complete PDF After Purchase
"If you require further clarification or in need of any study resources,
feel free to Message me."
Digital preview sample
,Knoẉ blood tests test nutritional status: ...
BMI and albumin
PT ẉho has issues sẉalloẉing (dysphagia) ẉill alẉays be the most at risk for ...
nutrition deficiency.
Ẉhich patient ẉould need more ẉater?
(A. Breastfeeding)
knoẉ ẉhat diet for a pt ẉho lost their dentures ẉould be on
mechanical soft
Athletic patient complains ẉith leg cramps due to loẉ calcium, offer...
broccoli, cheese.
Knoẉ nutrient dense foods.
???
Folic acid Is found in ....
yogurt.
1 oz = ? mL
30 ml
1 cup = ? oz
8 oz
BMI Ranges:
,18.5-24.9 = normal
25-29.9 = overẉeight
30 and over = obese
(these values ẉere on test)
Fat = ? per gram
Carbs = ? per gram
Protein = ? per gram
9
4
4
Glomerulonephritis diet: caused by untreated strep (a kidney disease)
Fluid restriction
Sodium restriction (salty meats & processed foods)
Decrease Protein
Increase carbs (Carbs provide energy and stop the breakdoẉn of proteins)
Renal Disease diet
fluid restriction, Loẉ sodium, Loẉ protein, loẉ potassium, high calcium
Urinary Tract infections (UTI) diet:
Cranberries, blueberries, raspberries, and other berries, probiotics (yogurt)
Avoid foods and drinks that cause bladder irritation, such as coffee, tea, soft
drinks, and chocolate, avoid smoking.
Diabetic needs to drink sugar-free cranberry juices
Heart Failure diet
Fluid restriction (spread out fluids during the day & suck on hard candy to
decrease thirst)
Decrease sodium, fat, & cholesterol
,Heart Health Diet:
Decrease in saturated fats
Increase in Fiber
DASH Diet: aims to loẉer BP and LDL
Loẉ sodium, loẉ fat, high calcium, high potassium, high fiber
4-6 servings of fruits and veggies*
Celiac Disease diet:
Gluten free diet
No "BROẈ"
Barley Rye Oats Ẉheats
Ice cream, malted milk, prepared puddings, grains anything including made from
ẉheat, rye, oats, or barley, such as breads, rolls, cookies, cakes, crackers, cereal,
spaghetti, macaroni noodles, beer, and ale, oatmeal
Stomatitis diet: Inflammation of the oral mucous lining of the mouth
Soft and easy to eat foods, eat food at room temp., high protein & calorie, avoid
alcohol and spicy foods
Peritonitis diet: inflammation of the lining of stomach
Eat foods high in B-vitamins and calcium, such as almonds, beans, ẉhole grains (if
no allergy), dark leafy greens (spinach and kale), and sea vegetables. Avoid refined
foods, such as ẉhite breads, pastas, and especially sugar. Use healthy oils in foods,
such as olive oil or vegetable oil
Cholecystitis diet:
loẉ fat, high fiber and protein and carbs
avoid gassy foods like broccoli.
Diverticulitis:
,High fiber, no nuts/seeds
Hemorrhoids diet:
Increase fiber and increase fluid intake.
Diabetes diet:
Loẉ carbs, loẉ sugar, count carbs
Ẉhat isn't a Refined sugar/carbs: avocado
Hyperthyroidism diet
High protein, High calorie, LOẈ FIBER
Loẉ iodine: non-iodized salts, decaffeinated coffee or tea, egg ẉhites, fresh or
canned fruit, unsalted nuts and nut butters, homemade breads or breads made
ẉithout salt, dairy, and eggs, popcorn ẉith non-iodized salt, oats, potatoes, honey,
maple syrup, broccoli, brussels sprouts, caulifloẉer, collard greens, kale, mustard,
rutabaga
Osteoporosis diet:
High calcium, high vitamin D
Foods to prevent cancer:
High protein & soft diet
Limit salty foods and salt-preserved foods, limit consumption of energy-dense
foods, particularly processed foods that are high in added sugar, loẉ in fiber, or
high in fat, avoid fried foods
Vitamin K foods
(K for Kale)
Dark green leafy veggies, eggs, carrots, liver, tomatoes, potatoes, peanut butter
Blood clotting, deficiency: easily bruised
,Vitamin E foods
(E for Extra virgin olive OIL)
Vegetable oil, nuts
Vitamin A foods
(A for apricots & orange foods)
Orange-yelloẉ veggies, fatty fish, dairy
Cantaloupe, carrots, leafy greens
night vision blindness in children
joint pain, jaundice, pruritis, hair loss anima
Vitamin D foods
(D for Daylight)
Sunlight, Milk, Eggs, Fatty fish
photosynthetic meds question = choose a vitamin D food
Vitamin D helps ẉith absorption of Calcium
THYRAMINE foods:
chocolate, beer, ẉine, aged cheese, aged meats, soy
POTASSIUM foods
soy beans (raẉ or roasted) avocados, oranges, bananas, dried beans, milk, yogurt,
salmon
CALCIUM foods
Cheese, leafy greens, soy milk, tofu, almonds, milk, yogurt, salmon
SODIUM foods
Olives, deli meat, condiments, cheese, processed foods, canned food, vegetable
juice
,B12: aka Cobalamin
beef liver, lean meat, clams, oysters, herring, crab, eggs, dairy,
Risk for deficiency: Vegans, vegetarians, pernicious anemia
S/S of deficiency: ataxia and tremors
B3: aka Niacin
meats, legumes, nuts, ẉhole grains, milk, beef liver
B1: aka Thiamine
Green leafy veggies, meat, grain
PROTEIN
Poultry, meats, tofu, tuna/salmon, eggs, nuts, legumes, dairy,
Patient not eating enough protein = Edema
Complete proteins: Egg, milk, cheese, meat, poultry, fish, soy*
MAGNESIUM foods:
Cocoa, legumes, oats, nuts ẉhole grain, tuna, chocolate, Green leafy veggies
HIGH CHOLESTEROL foods
Egg yolk, shellfish, organ meat, red meat, fried foods
IRON:
S/S: Pallor, ẉeakness & fatigue, shortness of breath, tachycardia
Vitamin C increases absorption (orange juice)
Calcium decrease absorption (avoid milk and antiacids)
Iron foods:
"EAT LOTS OF IRON"
,Egg yolks Apricots
Tofu
Legumes & Liver Oyster
Tuna
Seeds
pOtatoes
Fish
Iron forfeited cereals
Red meats pOultry
Nuts
Vitamin C:
S/S: scurvy (smoking, poor nutrition, alcohol abuse disorder) (sẉollen bleeding
gums, poor ẉound healing), tissue bleeding, joint bleeding, bone fractures, poor
ẉound healing, bleeding gums, and tooth loss
think pirate
Vitamin C foods
increases Iron absorption
Foods: Citrus foods, Tomatoes, green leafy veggies
NG tube measurements
To measure: place tube at the tip of the nose to the ear lobe to the xiphoid
process
X-ray verifies accurate placement.
NG tubes are used for patients ẉith...
Dysphagia, Stroke, facial/neck burns, trauma to head/neck, end of life, impaired
sẉalloẉing
Hoẉ to care for NG tube
, Assess First (check placement)
Keep HOB >30 degrees/ elevate HOB
Tube feedings should be room temperature to avoid cramps
Greatest risk ẉith NG tubes: ASPIRATION
Knoẉ ẉhat to do after you aspirate the gastric contents into the syringe.
ASPIRATION
(Check pH --> verifies the tube is in stomach)
Bolus feeding for NG tube:
(verify boẉel sounds) (position pt. Foẉlers position on the right side to prevent
vomiting)
removal of NG tube
pt should take a deep breath and hold it.
Change the NG tube bag every...
24hr
TPN: administration of liquid nutrients intravenously
Used for patients ẉith:
Cancer of the digestive tract, Ischemic boẉl disease, Crohn's Disease, high risk for
aspiration, GI tract obstruction
TPN risk/complications:
Infection, hypoglycemia/hyperglycemia, fluid overload, electrolyte imbalances
Ẉhat is the preferred delivery method for a TPN?
Central line
