Ch.16 Nutritional Screening

Question 1

The process of identifying characteristics is known to be associated with nutrition problems

Identify individuals who are malnourished

Answer 1

Nutrition screening

Question 2

In long-term care and nutrition screening assessments are required within how many days of admission?

Answer 2

14 days of admission

Question 3

In short term care nutritional screening is required within how many hours of admission?

Answer 3

24 hours

Question 4

Who does the nutritional screening

Answer 4

The registered dietitian

Question 5

What is the criteria of a nutrition screening?

Answer 5

BMI

Unintentional weight loss 10% loss in six months or 5% loss in one month

Nausea vomiting

Chewing and swallowing ability

Diagnosis

Food allergies

Special diet

Altered intake

Question 6

What is determined by a nutrition assessment?

Answer 6

Overall nutritional status, current health care needs, (physical, psycho social, and personal ) any factors influencing these means

Question 7

Nutrition assessment -type of information to receive from client?

Answer 7

Measurements and proportion of the body -data

Biochemical tests

Clinical observation

Diet evaluation and personal history

Question 8

How should the patient be weighed in at what times?

Answer 8

Consistent times, where in late clothing or examination gown without shoes

Question 9

check scales to be accurate, check for unexplained weight loss, how much in a week, month, 3 months, 6months is a significant weight loss and to be concerned about?

Answer 9

1% to 2% in a week

5% in a month

7.5% in three months

10% in six months

Question 10

Patient should be measured with what on what type of surface?

Answer 10

Fixed tape or stick

Vertical surface

Question 11

What to look for with height ?

Answer 11

Compare previous weights

No shoes hats and heels together , look straight

Question 12

Children two and under should be measured how?

Answer 12

With a stationary headboard and a movable footboard

Question 13

What are the alternatives for estimating height for patients confined to the bed

Answer 13

Knee height

Recruitment bed measurement

Arm span

Question 14

What could alter results of measurements?

Answer 14

Disease , treatment, procedures, medicine, hydration status

Question 15

This helps determine protein status, risk of medical complications, response to nutritional intervention

Answer 15

Serum Proteins

Question 16

CAn be measured by Anthropometric measures

24 hour urinary excretion

Answer 16

Somatic Proteins

Question 17

Evaluate sounds produced by heart and lungs and G.I. tract such as bowel sounds using a stethoscope

Answer 17

Auscultation

Question 18

Examination of the body using touch, such as abdominal tenderness or edema

Answer 18

Palpation

Question 19

Using sound to distinguish deviations from standard sound created by presence of body organs and cavities

Identify gastric air bubble, intestinal air, fluid present in lungs

Answer 19

Percussion

Question 20

The food plan and management is based on what requirements for each individual patient?

Answer 20

Based on normal nutritional needs

Modified with specific diseases

Question 21

What modifications in the diet may be due to a disease?

Answer 21

One or more basic nutrients

Modify calories

Texture or seasoning

Question 22

What are routine house diets?

What is it based on ?

Answer 22

I scheduled or cycle meal plan,

liquid or soft or regular
Based on patients needs

Question 23

What type of diet is preferred?

Answer 23

Oral diet

Question 24

If the patient can I eat but G.I. tract can be used

Answer 24

Tube feeding / enteral nutrition

Question 25

Internal mixtures of amino acids vitamins minerals and lipids

Non expensive or long term

Answer 25

Peripheral nutrition

Question 26

Long term- large central vein used for feeding

Surgical procedure

Necessary to place catheter

Answer 26

Total parenteral nutrition