Module 3 Exam Flashcards

1
Q

Food contamination can happen at any point in the food supply process. This may include:

A

Improper food handling

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2
Q

Some foods support the growth of salmonella better than others. Common food vehicles include:

A

Raw eggs, unpasteurized milk, and poultry

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3
Q

Toxoplasma gondii is a parasite found in food sources, such as:

A

Raw or undercooked meat, unwashed fruits and vegetables, contaminated water, dust, soil, and cat feces

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4
Q

Listeria is problematic because:

A

The bacteria can grow slowly at refrigerated temperatures (32-34 F) and on most surfaces

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5
Q

Radiation:

A

Kills bacteria and parasites in food
Used to delay sprouting and ripening in foods

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6
Q

The FDA requires what on foods that have been treated with radiation:

A

Irradiation logo, the Radura
Label stating “treated with radiation” or “treated by irradiation”

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7
Q

To avoid irritation, the nurse may choose to use a ______ _______ or _______ the NG tube prior to insertion.

A

Softer tube; lubricate

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8
Q

________ __________ refers to physician or institution-induced malnutrition.

A

Iatrogenic malnutrition

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9
Q

Iatrogenic malnutrition can be combatted in many ways including:

A

Weighing clients at regular intervals
Documenting the client’s food intake during hospitalization

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10
Q

___ means to feed the client via a vein away from the center of the body in a line terminating in a peripheral area.

A

PPN

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11
Q

To avoid problems with tube feeding:

A

Formula may need to be brought to room temp prior to feeding
Changing to a lactose-free formula may decrease GI symptoms in client
Formulas with higher fat content may cause GI distress. Therefore, it may be appropriate to decrease the fat content of the formulas

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12
Q

Broccoli, kale, and other leafy vegetables are a source of:

A

Vitamin K

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13
Q

Because vitamin K may reduce or negate _______’s effects, the client should limit intake of raw broccoli.

A

Warfarin

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14
Q

Older clients, clients with chronic illnesses, and clients who take multiple medications are most at risk of:

A

Drug-nutrient interactions

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15
Q

__________ is among those drugs that is likely to have interactions

A

St. John’s wort

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16
Q

What can tyramine cause in a patient that is taking a monoamine oxidase inhibitor (MAOI)?

A

Hypertensive crisis

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17
Q

Which foods have tyramine and should be avoided when taking a MAOI?

A

Bologna, cheeses (except gouda)

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18
Q

The Five-Hundred Rule

A

500 kcal more per day than needed will cause 1 pound of weight gain per week

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19
Q

To lose 1 pound of body fat per week, an individual must eat ___ kcals fewer per day than his or her body expends for 7 days.

A

500

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20
Q

A gluten-free diet notes that individuals should avoid anything containing:

A

Wheat, barley, rye, soy sauce, or whey products

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21
Q

The Paleo diet claims to help people lose weight by:

A

Restricting one’s diet to items that humans ate when they were hunters and gatherers

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22
Q

The Atkins diet is a four-phase diet that restricts:

A

The amount of CHO in a person’s diet to avoid weight gain

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23
Q

_______ refers to individuals who binge-eat food compulsively, and purge food through vomiting or by using laxatives.

A

Binge-eating disorders

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24
Q

Overweight and mildly obese people ____ starvation better than thin ones

A

tolerate

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25
Tolerate means that they:
Conserve body protein during weight loss
26
Overweight and mildly obese people are of a higher risk of becoming:
Protein-depleted during rapid weight loss
27
Most people, especially the overweight, can lose only about _ pounds of body fat per week by eating less. Any weight loss beyond that is probably due to loss of _____ and _______.
2 Water; lean muscle mass
28
The loss of body protein from reduced food intake is ______ than the loss of body protein from a combination of reduced food intake and regular exercise.
greater
29
Prediabetes
100-125 bs
30
Type I Diabetes
Insulin only, autoimmune (no beta cells)
31
Type II Diabetes
126 and greater blood sugar Typically lifestyle related
32
MODY
Maturity-onset diabetes of the young Type II in children
33
Signs of ketoacidosis
Hyperglycemia and excessive ketones
34
Four signs of hyperglycemic hyperosmolar nonketotic syndrome (HHNS):
Blood glucose level greater than 600 mg/dL Absence of or slight ketosis Plasma hyperosmolality Profound dehydration
35
Gastroparesis
Paralysis of the stomach with delayed gastric emptying
36
Gastroparesis may occur as a result of ___________. It alters the absorption of meals, which makes ________-_______ problematic.
Chronic diabetes Glycemic control
37
Individuals with type I diabetes are more prone to other autoimmune disorders such as:
Graves’ disease, lymphocytic thyroiditis (Hashimoto thyroiditis), Addison disease, vitiligo, celiac disease, autoimmune hepatitis, myasthenia gravis, and pernicious anemia
38
Type I diabetes accounts for only _ to __% of those with diabetes
5-10
39
Triad of diabetes
Polydipsia, polyphagia, glucosuria (also polyuria)
40
Elevated Blood Pressure
120-129 and <80
41
Stage I HTN
130-139 or 80-89
42
Stage II HTN
>140 or >90
43
Secondary hypertension
Is caused by something else in the body (kidney issues, etc)
44
Potassium influences blood pressure because it:
Promotes urinary elimination of sodium
45
Potassium also helps reduce __________________, which helps lower blood pressure.
The tension in blood vessel walls
46
DASH Diet
No more than 27% of intake should be fat and oils Only 18% of diet should be comprised of protein 55% of intake should be carbs No more than 2,300 mg of sodium should be consumed
47
Stroke Victims and Hemiplegia Feeding
Turn client’s head toward weak side Place food on unaffected side Place food in unaffected side of mouth Thicker liquids are easier to manage Dry and chunky food should be avoided
48
What would a good, cholesterol-lowering diet consist of?
Limited red meat Limited lipid, sodium, and sugar intake Legumes are high in fiber and low-fat source of protein Limited high-fat dairy items
49
___________ is the most common cause of renal failure.
Diabetic neuropathy
50
Physiological stress, such as ________ or _________, can precipitate renal disease.
MI; extensive burns
51
Nutritional goals for the client on hemodialysis is to:
Maintain adequate potassium levels and adequate hydration status
52
An important nutritional goal is to control the progression of:
Renal osteodystrophy
53
Preventing net protein catabolism is a nutritional goal of clients on:
Hemodialysis
54
________ and ________ are leading causes of kidney disease.
Diabetes and hypertension
55
Control of ________ and __________ are important in the dietary treatment of renal disease.
Blood pressure and blood glucose
56
During stage II kidney disease it is important to limit/monitor:
CHO, sodium, potassium
57
A client with heart failure should be given food that is:
Nutrient-dense Easily digested Liquid formulas Low in sodium
58
Why would you not give HF patients chewy, chunky, or dry foods?
Because it takes more energy to digest and can cause the heart to work harder
59
What are expected findings for DKA?
Hyperglycemia, hot and dry, Kussmauls respirations, increased urination
60
What lab values would be a priority for DKA?
Low sodium, high potassium, high blood sugar
61
Which type of treatments would you expect to administer for DKA?
Regular insulin, 100 u/100mL NS to bring blood glucose down slowly, watch for hypokalemia
62
Underweight BMI
<18.5
63
Normal BMI
18.5-24.9
64
Overweight BMI
25-29.9
65
Obesity BMI
30-39.9
66
Morbidly Obese BMI
>40