Final exam - Exam 1 Flashcards
Define medical nutrition therapy
evidence based treatment applied to the nutrition care process
In reference to standards of practice, when is a dietitian considered proficient?
they have 3 or more years experience beyond entry level
What are the 4 guiding principles of the Code of Ethics for the Academy of Nutrition and Dietetics?
- competence
- integrity
- beneficence
- justice
What is the term for a set of billable codes used to indicate a medical diagnosis?
ICD-10 code
Which of the following is covered under CMS medicare reimbursement for MNT provided by RD’s?
Diabetes
T/F research has proven that withholding food during end-of-life care does not cause patients to suffer.
True
What should a patient taking MAOI avoid?
Dietary tyramine
Why do some medications have a warning to avoid grapefruit consumption?
Name two of these medications.
grapefruit inhibits chytochrome p450 and makes medication reach toxic levels in the body
- statins
- ambian
What nutrient should patients taking Coumadin (warfarin) consume?
consistant amounts of vitamin K
What labs should be monitored when a patient is taking lasix?
Potassium
Name two negative and two positive acute phase proteins
Negative: albumin, pre-albumin
Positive: CRP, ferritin
Which of the following is not found in a basic metabolic panel (BMP)?
- BUN
- glucose
- total protein
- calcium
total protein
Patients taking long term corticosteroids should supplement which micronutrients?
Calcium and Vitamin D
What are the 6 clinical categories of Malnutrition, and how many have to be present to support a diagnosis of malnutrition?
- insufficient energy intake
- weight loss
- subcutaneous fat loss
- muscle loss
- edema
- functional status
2 must be present for diagnosis
What are the best clinical indicators of a patients hydration status?
- capillary refill
- respiratory rate
- skin turgor
T/F people with a higher education level are more likely to use complementary and alternative medicine
true
T/F taking a multivitamin is associated with reduced risk for chronic diseases
false
What supplements should be avoided prior to surgery?
garlic, ginko, ginseng
which form of functional and integrative medicine has been proven to aid in decreasing axiety, depression, and CVD risk factors?
Yoga
T/F reiki has a vas amount of evidence-based research to support its efficacy
False
What is the golden rule of nutrition?
If the gut works, use it!
What are five benefits to using Enteral Nutrition (vs parenteral nutrition)
- lower length of stay
- maintains gut integrity
- lower risk of malnutrition
- cost saving
- less infections
- better recovery
For a stable patient needing short term (less than 3 weeks) of EN, what is the best option for Enteral Nutrition?
NG tube