Ch 11: Nutrition Assessment And Patient Care

Question 1

What does Durable Power of Attorney mean?

Answer 1

A legal document in which a competent adult authorizes another competent adult to make decisions for him/her in the even if incapacitation

Question 2

What are the 4 Steps of Nutrition Care Process (NCP)?

Answer 2

1. Nutrition Assessment
2. Nutrition Diagnosis
3. Nutrition Intervention
4. Nutrition Monitoring and Evaluation

Question 3

What are the 4 key areas of the ABCD approach?

Answer 3

A - Anthropometrics
B - Biochemical Tests
C - Clinical Observations
D - Diet Evaluation

Question 4

What are the 4 measurements Anthropometric Assessment consider?

Answer 4

1. Height
2. Weight
3. Head Circumference
4. Skin-fold Thickness

Question 5

What is the NORMAL BMI (body mass index) range?

Answer 5

18.5 - 24.9 kg/m2

Question 6

What BMI (body mass index) range is considered UNDERWEIGHT?

Answer 6

< 18.5 kg/m2

Less than 18.5 kg/m2

Question 7

What BMI (body mass index) range is considered OVERWEIGHT?

Answer 7

25.0 - 29.9 kg/m2

Question 8

What BMI (body mass index) range is considered OBESE?

Answer 8

> 30 kg/m2

Over 30 kg/m2

Question 9

A gain of more than 1 pound in a day’s time may not signify mass gained, but what is?

Answer 9

Excess Fluid

Question 10

What is the acceptable Weight-to-height ratio (WHtR) for males?

Answer 10

1.0

Question 11

What is the acceptable Weight-to-height ratio (WHtR) for females?

Answer 11

0.8

Question 12

Placental insufficiency , maternal malnutrition, and intrauterine growth roster croon (IUGR) can affect an infant in what 4 ways?

Answer 12

1. Impair infant growth
2. Hypertension
3. Cardiovascular disease
4. Type 2 DM in adults

Question 13

What are 4 key nutritional issues when patient is admitted to the hospital?

Answer 13

1. Decreased appetite
2. Unintentional weight loss
3. Age and medical history
   4, hydration status and illness severity

Question 14

Upon patient being admitted to the hospital what is the minimum time required the by TJC (the joint commission) nurses have to assess for nutritional screening

Answer 14

48 hrs

Question 15

Who is responsible for in-depth nutrition intervention

Answer 15

Registered dietician-nutritionist

Question 16

What are the effects of bed rest after 24 hrs?

Answer 16

Impaired skin integrity

Question 17

Other than impaired skin integrity, what are four effects of bed rest after 3 days of lying down?

Answer 17

1. Muscle tone decrease
2. Bone calcium decrease
3. Plasma volume decreased
4. Gastric secretion decrease

Question 18

TRUE/FALSE

Glucose intolerance and body fluids are not affected by prolonged bed rest.

Answer 18

FALSE. In addition, glucose intolerance and shirts in body fluids and electrolytes may also occur

Question 19

What does starvation-related malnutrition mean?

Answer 19

Chronic starvation with our inflammation

Question 20

What does chronic disease-related malnutrition mean?

Answer 20

Chronic inflammation of mild to moderate degree

Question 21

What does acute disease-or injury related malnutrition mean?

Answer 21

A cute inflammation of severe degree

Question 22

What is the maximum acceptable waist conference for males?

Answer 22

Up to 40 in for males

Question 23

What is the maximum acceptable waist conference for females?

Answer 23

Up to 35 in for females

Question 24

What is the maximum acceptable waist-to-hip ratio for males?

Answer 24

1.0 for males

Question 25

What is the maximum acceptable waist-to-hip ratio for female?

Answer 25

0.8 for females

Question 26

How to calculate BMI?

Answer 26

Weight in kilograms / height in meters squared | Kg/m2

Question 27

How to calculate BMI in 3 steps

Answer 27

1. Convert lbs to kg (lbs x 2.2) 2. Covert height in inches to meters squared 2 3. Kg/m2

Question 28

What is normal range for albumin status?

Answer 28

3.5 to 5 g /dl for normal visceral protein

Question 29

What is the normal range for prealbumin status?

Answer 29

16-40 mg/dl for prealbumin

Question 30

Albumin status is used for? (Short term or long term?)

Answer 30

Long term

Question 31

Prealbumin status is used for? (Short or long term)

Answer 31

Short term

Question 32

What is kwashiorkor range for albumin?

Answer 32

<2.4 g /dl is considered kwashiorkor (dangerous) for albumin

Question 33

What is the kwashiorkor for prealbumin?

Answer 33

<5 mg/dl is considered kwashiorkor (dangerous levels) for prealbumin

Question 34

What is good percentage for lymphocyte count?

Answer 34

20-25% of total WBC for total lymphocyte count

Question 35

To determine immunity status of a patient which 2 biochemical assessment used?

Answer 35

1. Total lymphocyte count | 2. Vitamin D level

Question 36

What are 3 ways to measure biochemical assessment?

Answer 36

1. Albumin levels 2. Prealbumin levels 3. Homoglobin levels

Question 37

If the patient have infection, burn, trauma, CHR, liver failure, and edema would the visceral protein status (both albumin and prealbumin) high or low?

Answer 37

Low

Question 38

3 ways to check clinical assessment

Answer 38

1. Medical history 2. Social history 3. Physical exam

Question 39

What are Primary factors to become malnourished?

Answer 39

Primary factors- inadequate intake of nutrient s

Question 40

What are Secondary factors to become malnourished?

Answer 40

Secondary factors- caused by diseases or iatrogenic (caused by mistake from healthcare workers)