Final Exam Study Guide Flashcards
Anorexia and mouth issues
Mouth issues (ulcers, stomatitis) can cause anorexia because it is painful/difficult to eat
A nurse is caring for a client with mouth ulcers – teaching?
Soft food, use straw, mouth care (rinse/gentle)
AIDS and dementia
AIDS dementia complex
HIV infection can cause organ dysfunction such as:
Cholecystitis, hepatomegaly, pancreatitis, end-stage renal failure
Antiretroviral therapy (ART) adverse effect:
Lipodystrophy (peripheral fat wasting and fat accumulation centrally)
Can cause metabolic abnormalities in total cholesterol, increased low-density lipoprotein, and increased triglycerides, which may necessitate that clients modify their diets
Megestrol acetate
Used for appetite stimulation and to increase kilocalorie intake in AIDS patients
AIDS and energy expenditure
AIDS patients use more energy than healthy people
Right to self determination
Right to decide for themselves the way in which they live or die
MAOI – food restrictions/allowances
Tyramine can cause hypertensive crisis with MAOI
Tyramine foods: cured foods, processed meats, bologna, cheeses (except gouda)
Diabetes – autoimmune conditions
People with type 1 DM are more prone to other autoimmune diseases
Graves’ disease, lymphocytic thyroiditis, Addison disease, vitiligo, celiac disease, autoimmune hepatitis, myasthenia gravis, pernicious anemia
Minimum fasting recommendations for surgery
Fatty foods or meats: 8 hours
Non-human milk or light meal: 6 hours
Breast milk: 4 hours
Clear liquids: 2 hours
Cachexia of cancer
A general state of ill health involving marked weight loss and muscle loss
Treat underlying cancer and the cachexia will resolve
Interventions to increase oral intake for a client with cancer and anorexia
Soft foods
Orajel before meals to numb them during eating
Offer pain meds 30 mins before mealtime
Client with cancer who is experiencing nausea and vomiting – treatment?
Zofran (ondansetron)
Neoplasm
A new and abnormal growth of tissue
Metastasis
Secondary malignant growths at a distance from primary site of cancer
Cancer associated with grilling and barbeque?
Colorectal cancer
Conditions requires the greatest increase in kilocaloric demand?
Burns