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
Q

Tolerate means that they:

A

Conserve body protein during weight loss

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26
Q

Overweight and mildly obese people are of a higher risk of becoming:

A

Protein-depleted during rapid weight loss

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27
Q

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 _______.

A

2

Water; lean muscle mass

28
Q

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.

A

greater

29
Q

Prediabetes

A

100-125 bs

30
Q

Type I Diabetes

A

Insulin only, autoimmune (no beta cells)

31
Q

Type II Diabetes

A

126 and greater blood sugar

Typically lifestyle related

32
Q

MODY

A

Maturity-onset diabetes of the young

Type II in children

33
Q

Signs of ketoacidosis

A

Hyperglycemia and excessive ketones

34
Q

Four signs of hyperglycemic hyperosmolar nonketotic syndrome (HHNS):

A

Blood glucose level greater than 600 mg/dL
Absence of or slight ketosis
Plasma hyperosmolality
Profound dehydration

35
Q

Gastroparesis

A

Paralysis of the stomach with delayed gastric emptying

36
Q

Gastroparesis may occur as a result of ___________. It alters the absorption of meals, which makes ________-_______ problematic.

A

Chronic diabetes

Glycemic control

37
Q

Individuals with type I diabetes are more prone to other autoimmune disorders such as:

A

Graves’ disease, lymphocytic thyroiditis (Hashimoto thyroiditis), Addison disease, vitiligo, celiac disease, autoimmune hepatitis, myasthenia gravis, and pernicious anemia

38
Q

Type I diabetes accounts for only _ to __% of those with diabetes

A

5-10

39
Q

Triad of diabetes

A

Polydipsia, polyphagia, glucosuria (also polyuria)

40
Q

Elevated Blood Pressure

A

120-129 and <80

41
Q

Stage I HTN

A

130-139 or 80-89

42
Q

Stage II HTN

A

> 140 or >90

43
Q

Secondary hypertension

A

Is caused by something else in the body (kidney issues, etc)

44
Q

Potassium influences blood pressure because it:

A

Promotes urinary elimination of sodium

45
Q

Potassium also helps reduce __________________, which helps lower blood pressure.

A

The tension in blood vessel walls

46
Q

DASH Diet

A

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
Q

Stroke Victims and Hemiplegia Feeding

A

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
Q

What would a good, cholesterol-lowering diet consist of?

A

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
Q

___________ is the most common cause of renal failure.

A

Diabetic neuropathy

50
Q

Physiological stress, such as ________ or _________, can precipitate renal disease.

A

MI; extensive burns

51
Q

Nutritional goals for the client on hemodialysis is to:

A

Maintain adequate potassium levels and adequate hydration status

52
Q

An important nutritional goal is to control the progression of:

A

Renal osteodystrophy

53
Q

Preventing net protein catabolism is a nutritional goal of clients on:

A

Hemodialysis

54
Q

________ and ________ are leading causes of kidney disease.

A

Diabetes and hypertension

55
Q

Control of ________ and __________ are important in the dietary treatment of renal disease.

A

Blood pressure and blood glucose

56
Q

During stage II kidney disease it is important to limit/monitor:

A

CHO, sodium, potassium

57
Q

A client with heart failure should be given food that is:

A

Nutrient-dense
Easily digested
Liquid formulas
Low in sodium

58
Q

Why would you not give HF patients chewy, chunky, or dry foods?

A

Because it takes more energy to digest and can cause the heart to work harder

59
Q

What are expected findings for DKA?

A

Hyperglycemia, hot and dry, Kussmauls respirations, increased urination

60
Q

What lab values would be a priority for DKA?

A

Low sodium, high potassium, high blood sugar

61
Q

Which type of treatments would you expect to administer for DKA?

A

Regular insulin, 100 u/100mL NS to bring blood glucose down slowly, watch for hypokalemia

62
Q

Underweight BMI

A

<18.5

63
Q

Normal BMI

A

18.5-24.9

64
Q

Overweight BMI

A

25-29.9

65
Q

Obesity BMI

A

30-39.9

66
Q

Morbidly Obese BMI

A

> 40