2750 Comprehensive Exam 2 Questions
With All Complete Solutions.
Malnutrition - Answer literally means bad nutrition - protein/calorie undernutrition
malnutrition diagnosis - Answer -inadequate cal intake
-loss of muscle mass
-localized or generalized fluid accumulation that may mask weight loss
-unintentional weight loss
-loss of subcutaneous fat
-diminished hand grip strength
etiology based malnutrition definition - Answer starvation
chronic disease
acute disease
nutrition screening - Answer quick look at a few variables to judge clients risk for nutrition problems
whats the primary focus of nutrition therapy - Answer adequate calorie and protein intake - cal: 25-30
cal/kg/day
types of oral diets - Answer regular, modified consistency, therapeutic
clear liquid or full liquid
pureed
mechanically altered
soft
,clear liquid diet - Answer clear and liquid at room temp: mostly water and carbs; minimal digestion,
nutritionally inadequate.
examples: water, coffee, tea, broth, clear juice, pop, jello, popsicle
when? prep for bowel surgery or colonoscopy, acute GI disorders, transitional feeding after parenteral
nutrition
full liquid diet - Answer liquid at room temp; more variety and nutritional support than clear liquid.
includes all clear liquid diet, plus milk, soup, veggie/fruit juice, plain ice cream and sherbert, pudding,
strained fruits and veggies
pureed diet - Answer liquids and foods pureed to liquid form
soft diet - Answer whole foods low in fiber, lightly seasoned, and easily digested
soft on GI tract
noodles/bread
mechanically alterd diet - Answer - regular diet that is modified in texture only: foods that require
minimal chewing before swallowing for limited chewing ability, swallowing problems
o Jaw surgery
o Swallowing problems
enteral nutrition - Answer - Commercial formula given by a tube into stomach or small intestine
- Indicated when adequate nutrients and cals cannot be taken orally; but client has partially functioning
GI system-at least lower half
- May augment oral diet or be used alone
, enteral nutrition often used for clients who - Answer altered consciousness, neuromuscular
impairment, preemies, obstruction of upper Gi, lack of appetite d/t disease such as cancer, burn injuries
enteral misc. (notes from missed class) - Answer Jejunum=absorption issue
- Most commonly in stomach
- Need to have way to get out
- Augment-along with
which enteral routes are surgically created ostomy - long term - Answer Gastronomy (gt or g tube)
jejunostomy (jt or j tube)
which skin level device allows more free movement - Answer mickey button
which enteral routes are nasal tubes - short term - Answer nasogastric (NG)
nasojejunal (NJ)
standard feeding formula enteral - Answer composed of whole proteins
hydrolyzed feeding formula enteral - Answer partially digested proteins: for those with impaired
digestion/absorption (pancreatic; GI inflammatory disorders)
similarities between standard and hydrolyzed feeding - Answer o Both composed of whole proteins,
impacts pancreas, absorption issues
o Partially functioning GI tract
define isotonic and hypertonic - Answer § Isotonic: same as blood, well tolerated
§ Hypertonic: higher osmolality; hydrolyzed formulas à less tolerated
nasogastric - when? Pros? Cons? - Answer short term (less than four weeks), functional GI tract
Pros: easy placement/removal, stomach as reservoir, intermittent feedings, no pump
With All Complete Solutions.
Malnutrition - Answer literally means bad nutrition - protein/calorie undernutrition
malnutrition diagnosis - Answer -inadequate cal intake
-loss of muscle mass
-localized or generalized fluid accumulation that may mask weight loss
-unintentional weight loss
-loss of subcutaneous fat
-diminished hand grip strength
etiology based malnutrition definition - Answer starvation
chronic disease
acute disease
nutrition screening - Answer quick look at a few variables to judge clients risk for nutrition problems
whats the primary focus of nutrition therapy - Answer adequate calorie and protein intake - cal: 25-30
cal/kg/day
types of oral diets - Answer regular, modified consistency, therapeutic
clear liquid or full liquid
pureed
mechanically altered
soft
,clear liquid diet - Answer clear and liquid at room temp: mostly water and carbs; minimal digestion,
nutritionally inadequate.
examples: water, coffee, tea, broth, clear juice, pop, jello, popsicle
when? prep for bowel surgery or colonoscopy, acute GI disorders, transitional feeding after parenteral
nutrition
full liquid diet - Answer liquid at room temp; more variety and nutritional support than clear liquid.
includes all clear liquid diet, plus milk, soup, veggie/fruit juice, plain ice cream and sherbert, pudding,
strained fruits and veggies
pureed diet - Answer liquids and foods pureed to liquid form
soft diet - Answer whole foods low in fiber, lightly seasoned, and easily digested
soft on GI tract
noodles/bread
mechanically alterd diet - Answer - regular diet that is modified in texture only: foods that require
minimal chewing before swallowing for limited chewing ability, swallowing problems
o Jaw surgery
o Swallowing problems
enteral nutrition - Answer - Commercial formula given by a tube into stomach or small intestine
- Indicated when adequate nutrients and cals cannot be taken orally; but client has partially functioning
GI system-at least lower half
- May augment oral diet or be used alone
, enteral nutrition often used for clients who - Answer altered consciousness, neuromuscular
impairment, preemies, obstruction of upper Gi, lack of appetite d/t disease such as cancer, burn injuries
enteral misc. (notes from missed class) - Answer Jejunum=absorption issue
- Most commonly in stomach
- Need to have way to get out
- Augment-along with
which enteral routes are surgically created ostomy - long term - Answer Gastronomy (gt or g tube)
jejunostomy (jt or j tube)
which skin level device allows more free movement - Answer mickey button
which enteral routes are nasal tubes - short term - Answer nasogastric (NG)
nasojejunal (NJ)
standard feeding formula enteral - Answer composed of whole proteins
hydrolyzed feeding formula enteral - Answer partially digested proteins: for those with impaired
digestion/absorption (pancreatic; GI inflammatory disorders)
similarities between standard and hydrolyzed feeding - Answer o Both composed of whole proteins,
impacts pancreas, absorption issues
o Partially functioning GI tract
define isotonic and hypertonic - Answer § Isotonic: same as blood, well tolerated
§ Hypertonic: higher osmolality; hydrolyzed formulas à less tolerated
nasogastric - when? Pros? Cons? - Answer short term (less than four weeks), functional GI tract
Pros: easy placement/removal, stomach as reservoir, intermittent feedings, no pump
