chap 36 Flashcards

1
Q

why is nutrition important

A
  • growth & development
  • tissue repair & maintenance
  • cellular metabolism
  • organ function
  • life
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2
Q

basal metabolic rate

A

energy needed to maintain life-sustaining activities for a specific period of time at rest

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3
Q

increase BMR

A
  • growth
  • infection
  • fever
  • extreme environment temps
  • emotional tension
  • hormone levels
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4
Q

decrease BMR

A
  • prolonged fasting

- prolonged sleeping

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5
Q

risk factors for poor nutritional status

A
  • chewing and swallowing difficulties
  • tight budget
  • living alone and eating alone
  • physical disabilities/state of health
  • medications
  • drug use
  • gender
  • dental problems
  • neurologic/cognitive impairments
  • oral/GI surgeries
  • development
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6
Q

nursing interventions for optimal nutrition

A
  • reinforce info from dietician
  • eating encouraged atmosphere
  • assist w/ eating
  • monitor appetite/food intake
  • administer enteral/parenteral feedings
  • consult PCP dietician
  • educate client
  • stimulate appetite
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7
Q

orthodox jew considerations

A
  • kosher foods

- avoid meet and dairy

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8
Q

mormon considerations

A

avoid alcohol/tobacco/caffeine

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9
Q

muslim consideration

A

fast all day during Ramadan

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10
Q

patients w/ visual impairments

A

may need food identified by location (plate is clock)

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11
Q

therapeutic diets

A
  • consistent carbs
  • fat restricted
  • high fiber
  • low fiber
  • sodium restricted
  • renal diet
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12
Q

consistent carb diet

A
  • total daily carb content is consistent

- type 1 & 2 diabetes, gestational diabetes, impaired glucose tolerance

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13
Q

fat restricted diet

A
  • diet w/ limited fats

- cholecystitis, cardiovascular disease

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14
Q

high fiber diet

A
  • add fresh uncooked fruits, steamed veggies, bran, oatmeal, dried fruits
  • prevent/treat IBS
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15
Q

low fiber diet

A
  • low-residue foods that pass easily through digestive system
  • before surgery, ulcerative colitis, chron’s
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16
Q

sodium restricted diet

A
  • low in sodium-rich foods and seasoning

- HTN, HF, renal disease, liver disease

17
Q

renal diet

A
  • low protein, low sodium, low potassium, low phosphate

- various kidney diseases

18
Q

modified consistency diet

A
  • clear liquid
  • full liquid
  • mechanical soft
  • pureed
19
Q

clear liquid for

A
  • prep for bowel surgery
  • GI disorder
  • post-op
20
Q

full liquid for

A

post-op advancing diet

21
Q

mechanical soft for

A
  • chewing/swallowing difficulties

- after surgery to head/neck/mouth

22
Q

pureed for

A
  • after oral/facial surgery

- swallowing/chewing difficulties

23
Q

dysphagia

A

difficulty swallowing

24
Q

dysphagia complications

A
  • increased mortality
  • increased stay
  • aspiration
  • chest infection
  • compromised nutritional status
  • overall disability
25
Q

signs of dysphagia

A
  • wet voice
  • weak cough
  • coughing/choking on food
  • prolonged/delayed swallowing
  • uncoordinated speech
  • drooling