Exam #1: Nutritional Assessment Flashcards

1
Q

What are the A, B, C, D’s of nutrition assessment?

A
A= Anthropometric 
B= Biochemical 
C= Clinical 
D= Dietary
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2
Q

What are anthropometric assessment tools?

A

Scientific study of the measurements and proportions of the human body.

Things like:

  • Height/weight
  • BMI
  • % lean body mass
  • Waist circumference
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3
Q

What is the connection between waist circumference and chronic disease?

A
Men= >40 inches
Women= >35 inches 

*****Associated with higher rate of mortality and chronic disease

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4
Q

What is the anthropometry tool for the pediatric population?

A

Growth charts

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5
Q

List the sites that you should pay special attention to in a clinical evaluation of nutritional status?

A
Hair 
Angles of the mouth
Gums 
Nails 
Skin
Eyes 
Tongue 
Muscles 
Bones 
Thyroid gland
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6
Q

What are the advantages of the clinical assessment?

A
  • Fast and easy
  • Inexpensive
  • Non-invasive
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7
Q

What are the limitations of the clinical assessment?

A

Does NOT detect early cases

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8
Q

What should you think if you see nails that are mostly white with darker rims?

A

Liver problems/ hepatitis

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9
Q

What can pale nails be a sign of?

A
  • Anemia
  • CHF
  • Liver disease
  • Malnutrition
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10
Q

What are rippled nails a sign of?

A

Early sign of psoriasis/ inflammatory arthritis

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11
Q

What is a fissured tongue a sign of?

A

Vitamin B deficiency

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12
Q

What is easily pluckable hair a sign of?

A

Protein deficiency

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13
Q

What can bleeding gums be a sign of, aside from gingivitis?

A

Vitamin C deficiency

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14
Q

What can paresthesias in a “stocking-glove” distribution be a sign of?

A

Thiamine deficiency

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15
Q

What kind of questions should you ask about a patient’s stool?

A

1) How often?
2) What does it look like?
3) Sink or float?

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16
Q

What kind of deficiency is a patient likely to have if his/her stool floats?

A

Fat soluble vitamins (A,E,D,K)

17
Q

What can a low Na+ and K+ diet lead to?

A

Dehydration

18
Q

What types of things are going to be included in a biometric nutritional assessment?

A
  • Lab values
  • % body fat
  • Mineral analysis