ATI Nutrition Exam Review

Addison's disease skin manifestation - Bronze pigmentation of exposed and unexposed skin Acromegaly occurs as a result of excessive production of - Somatotropin twelve hours after thyroidectomy, which findings should the nurse report to MD - Tachycardia and hypertension laryngeal stridor and hoard voice positive Trouseau's sign Graves' disease expect - difficulty sleeping instruction for type 1 diabetes about exercise - always wear medical alert ID tag when you exercise hyperglycemia - increased urination Type 2 Diabetes patho - My cells are resistant to the effects of insulin Cushing's Disease Complication - Osteoporosis Somogyi effect - Monitor Night time blood glucose levels Graves' Disease - hypertension abdominal pain tachycardia fever Following adrenalectomy, glucocorticoid are administered following - compensate for the decrease after surgery Syndrome of inappropriate antidiuretic hormone secretion. monitor closely for - hyponatremia left pneumonectomy for adenocarcinoma. which type of drainage should the nurse anticipate the client will have? - NO chest drainage. a pneumonectomy is the removal of an entire lung Manifestation of diabetes - diaphoresis, irritability, and tremors Vitamin and mineral intake during pregnancy - take calcium and iron supplement at different times pregnant and BMI of 34 - gain 6.8 kg (15 lb) Nutrition for 3 yr old - low fat milk - whole milk is recommended for children up to 2 yr of age taking ferrous sulfate - drink juice in between meal eggs, low fat milk & coffee will decrease absorption anorexia r/t cancer treatment - add extra calories and protein to every meal small frequent meals every 2 hr serve cold foods rather than hot foods sensitive to odor TPN is effective - Prealbumin level is 30 mg/dL lab indicating type 2 diabetes - HbA1c 6.5% less than 7% is good healthy diet to control HTN - 4-5 servings of unsalted nuts, seeds, or legumes per week 1 alcohol drink or less per day rich in potassium to control HTN avoid whole milk normal HDL - HDL >45 (male) HDL >55 (female) Crohn's disease - Eat eggs for breakfast--> high on protein COPD - consume foods that are soft in texture & easy to chew to decrease SOB drink high calories and high protein formulas between meals eat 6 small meals Counting Carbs - serving size can affect the number of carbs you eat intermittent enteral feedings and experiencing diarrhea - feed in small frequent volume failure to thrive - eliminate environmental disruptions during meals schedule meal times at same time each day continue to feed despite negative behavior limit fruit juice to no more than 120 ml per day maintain unhurried meal time of 20-30 min per meal highest source of calcium to prevent osteoporosis - roasted almonds sources of zinc - ground beef patty reviewing solid foods to a parent of 4-month infant - introduce new solid food every 4-7 days to avoid food allegies Somogyi phenomenon - monitor BG during the night Pakinson's disease and dysphagia - offer high calorie diet because muscular rigidity increases metabolic rate cancer prevention - eat at least 2.5 cups of fruits and veggies each day to maintain body weight and reduce risk of cancer of lung and GI system contraindication of MAOI - cheddar cheese = tyramine mineral cause constipation - Calcium decrease peristalsis excessive potassium - cause vomiting excessive magnesium - cause diarrhea and cramping enteral tube feeding - place client in Fowler's verify placement check residual flush tubing Breastfeeding - nutritionally complete to support grown and development up to 6 months first thing to do if obese and wants to lose weight - Obtain a 24-hr recall Islamic dietary law during Ramadan - provide snack for the client after sunset and before dawn Parkinsons findings - The client drools while eating --> risk for aspiration from dysphagia nurse action who has dysphagia with oral feeding - palpate client's throat during swallowing position at high fowler's 90 degree inspect food pockets in mouth before feeding allow rest for 30 min before meals flex chin down stress management - I will take a long walk every evening