Nutrition Flashcards
Which is not a good option for low protein diet?
a. ) Apples
b. ) rice
c. ) Yogurt
d. ) Tomatoes
C-Yogurt
Which of these is not a good option for low sodium?
a. ) Eggs
b. ) ice cream
c. ) fresh potatoes
d. ) Smoked meats
D -smoked meats
True/False: Nurse can provide a client with light blue gatorade for a clear liquid diet
True
True/False: The nurse can provide coffee with creamer and sugar substitute to a diabetic if they are on full liquids
True
Which is not a risk for TPN?
a. ) Thrombosis
b. ) SVT
c. ) Hyperglycemia
d. ) Hypoglycemia
B -SVT
What kind of diet: apples, bananas, berries, tomatoes, broccoli, rice, asparagus, olive oils
Low proteins
What kind of diet: oats brown rice, apples, pears, broccoli, frozen veggies, beans, peas, legumes
High Fiber
What kind of diet: Nonfat yogurt, low fat milk, carrots, asparagus, tomatoes, apples, oranges, spinach
Diabetic diet
Low protein diet is recommended for:
Renal failure pt.
High fiber diet is recommended for:
Diverticulosis
What kind of diet: water, apple juice, black coffee, gatorade, clear sodas
Clear liquids
What kind of diet: Water, coffee with milk, ice cream, gatorade, popsicles, orange juice
Full liquids
What kind of diet: milk, yogurt, fresh beef, fresh pork, fresh potatoes (dried foods), eggs
Low Sodium
Low sodium diet is recommended for:
Cardiac pt.
Pt. on Low fiber diet should avoid:
Raw fruits/veggies, processed meats, pulp, seeds and nuts
Pt. on low protein diet should avoid:
Chicken, turkey, eggs, dairy products
Pt. on low sodium diet should avoid:
processed meats, microwave pizza, canned foods
Pt. on puree/Soft diet should avoid:
nuts, seeds, stringy foods (green beans)
What kind of diet: Tofu, fish, stews, roasts, white rice, plain noodles, cooked veggies
Low fiber
Puree/soft diet is recommended for:
Stroke, dysphagia, or recent oral surgery
Animal liver, whole milk, orange/yellow veggies/fruits and dark leafy greens are sources of:
Vitamin A
Whole grains, fish, beef, steak, pork, pastas, nuts/seeds are sources of:
Vitamin B1 (Thiamine)
Animal proteins, eggs, milk, cheese, meat are sources of:
Vitamin B12
Oranges, Lemons, strawberries, tomatoes, kiwi, bell peppers, livers, oysters are sources of:
Vitamin C
The pt. with scurvy reports that he eats strawberries and makes stews with carrots, tomatoes, spinach, and potatoes. What is the nurse’s response?
Those are great sources of vitamin C however you should try them raw as heat can decrease the vitamin C content
Fish, eggs yolk, dairy, grain products, sun are sources of:
Vitamin D
Deficiency of Vit B1 is commonly seen in:
Chronic alcohol use
Old age
Hx bariatric surgery
Deficiency of Vit B12 is commonly seen in:
Vegetarians
Alcoholics
Fish oil, salmon, tuna, walnuts, avocado are sources of:
Fatty acids
Kwashiorkor
Severe protein malnutrition with adequate carb intake
Big Belly
Marasmus
Lack of calories and proteins, stunt growth
Impaired cognition
Decreased healing and immune factors
Mummy looking
What condition can be caused by too much protein?
Obesity
BMI less than 18.5
Underweight
BMI 35-39.9
Class 2 Obesity
BMI 18.5-24.9
Normal
BMI greater than 40
Class 3 Obesity
When is someone a candidate for beriatric surgery
BMI greater than 40 Class 3 obesity
Pt with BMI greater than 30. What is the nurses expectation for orders to bring weight down?
Meds
Early sign of bariatric surgery complication
PE, infection, bleeding, anastemesis leak, band slip
Later signs of bariatric surgery complication
DVTs, acid reflux, dumping syndrome
Risks of admin TPN
Dehydration Electrolyte imbalance Blood clots (B/c central line) Hyper/hypoglycemia Infection Liver failure Micronutrient deficiency
What pt would the nurse be concerned about giving a PPN/TPN?
HF
Or Pt. at high risk for fluid overload
Risks of administration of PPN
Confusion, Convulsions, irregular heart rhythm, seizures, SOB, weight gain, fever chills, increase urination
If TPN needs to be stopped or is finished before next bag is ready what fluid should the nurse hang?
D10W - decrease rick of pt. going hypoglycemic
TPN is mixed based on:
Pt. day before labs
How many nurses does it take to verify TPN dose, infusion?
2 Nurses (Like blood) Also needs filter tubing (special TPN tubing)
Use caution in what kind of pt. for lipid solutions for TPN?
Pt. allergic to eggs
High fiber diet
Whole grains**
beans, peas
Apple, pears, broccoli, celery, brussel sprouts
Pt. who should be on low fiber diet
Recent bowel surgery or radiation
Narrowing of bowels
Acute Diverticulitis
Decreased Pre-albumin measures
Recent inadequate protein intake
Albumin measures
Nutritional status overtime
Can be decreased due to other conditions
Not good sources of carbohydrates
Soda
Pastries
White bread
Processed foods